Difference between revisions of "Form:CalcBenzo"

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Line 39: Line 39:
 
| {{{field|dose5|input type=Number|size=5}}}  
 
| {{{field|dose5|input type=Number|size=5}}}  
 
| mg/day  
 
| mg/day  
|}
 
{|
 
 
|-
 
|-
| Conversion drug
+
| colspan="4"
| {{{field|replacement|mandatory|values=diazepam,oxazepam,clonazepam,chlordiazepoxide|default=diazepam }}}  
+
|-
 +
| colspan="2" | '''Conversion drug'''
 +
| colspan="2" | {{{field|replacement|mandatory|values=diazepam,oxazepam,clonazepam,chlordiazepoxide|default=diazepam }}}  
 
|}
 
|}
 
{{{end template}}}
 
{{{end template}}}

Revision as of 17:34, 16 September 2011