{# signature_box_patient.html #} {% comment %} template parameters: patient_lookup: PatientLookup {% endcomment %}
Signed:
Date:
Name: {{ patient_lookup.pt_forename_surname }}
Date of birth: {{ patient_lookup.pt_dob|date }}
Identifiers: NHS number: {{ patient_lookup.nhs_number }}. {% if patient_lookup.pt_local_id_description %} {{ patient_lookup.pt_local_id_description}}: {{ patient_lookup.pt_local_id_number }}. {% endif %}