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<html>
<head>
{literal}
<style>
<!--
td {
font-size:12pt;
font-family:helvetica;
}
li{
font-size:11pt;
font-family:helvetica;
margin-left: 15px;
}
a {
font-size:11pt;
font-family:helvetica;
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.title {
font-family: sans-serif;
font-size: 12pt;
font-weight: bold;
text-decoration: none;
color: #000000;
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.form_text{
font-family: sans-serif;
font-size: 9pt;
text-decoration: none;
color: #000000;
}
-->
</style>
{/literal}
</head>
<body bgcolor="{$STYLE.BGCOLOR2|attr}">
<p><span class="title">Circumferential and leg length measurements.</span></p>
<form name="soap" method="post" action="{$FORM_ACTION}/interface/forms/leg_length/save.php"
onsubmit="return top.restoreSession()">
<table width="194" border="1" bordercolor="#000000" cellpadding="7" cellspacing="0">
<col width="40">
<col width="54">
<col width="56">
<tbody><tr valign="top">
<td width="40" height="1">
<p class="western" align="justify">&nbsp;</p>
</td>
<td width="54">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><b>RIGHT</b></font></font></p>
</td>
<td width="56">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><b>LEFT</b></font></font></p>
</td>
</tr>
<tr valign="top">
<td width="40" height="2">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><b>AE</b></font></font></p>
</td>
<td width="54">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><input type="text" name="AE_left" value="{$data->get_AE_left()|attr}"></font></font></p>
</td>
<td width="56">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><input type="text" name="AE_right" value="{$data->get_AE_right()|attr}"></font></font></p>
</td>
</tr>
<tr valign="top">
<td width="40" height="2">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><b>BE</b></font></font></p>
</td>
<td width="54">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><input type="text" name="BE_left" value="{$data->get_BE_left()|attr}"></font></font></p>
</td>
<td width="56">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><input type="text" name="BE_right" value="{$data->get_BE_right()|attr}"></font></font></p>
</td>
</tr>
<tr valign="top">
<td width="40" height="3">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><b>AK</b></font></font></p>
</td>
<td width="54">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><input type="text" name="AK_left" value="{$data->get_AK_left()|attr}"></font></font></p>
</td>
<td width="56">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><input type="text" name="AK_right" value="{$data->get_AK_right()|attr}"></font></font></p>
</td>
</tr>
<tr valign="top">
<td width="40" height="2">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><b>K</b></font></font></p>
</td>
<td width="54">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><input type="text" name="K_left" value="{$data->get_K_left()|attr}"></font></font></p>
</td>
<td width="56">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><input type="text" name="K_right" value="{$data->get_K_right()|attr}"></font></font></p>
</td>
</tr>
<tr valign="top">
<td width="40" height="2">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><b>BK</b></font></font></p>
</td>
<td width="54">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><input type="text" name="BK_left" value="{$data->get_BK_left()|attr}"></font></font></p>
</td>
<td width="56">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><input type="text" name="BK_right" value="{$data->get_BK_right()|attr}"></font></font></p>
</td>
</tr>
<tr valign="top">
<td width="40" height="2">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><b>ASIS</b></font></font></p>
</td>
<td width="54">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><input type="text" name="ASIS_left" value="{$data->get_ASIS_left()|attr}"></font></font></p>
</td>
<td width="56">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><input type="text" name="ASIS_right" value="{$data->get_ASIS_right()|attr}"></font></font></p>
</td>
</tr>
<tr valign="top">
<td width="40">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><b>UMB</b></font></font></p>
</td>
<td width="54">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><input type="text" name="UMB_left" value="{$data->get_UMB_left()|attr}"></font></font></p>
</td>
<td width="56">
<p class="western" align="justify"><font face="Verdana, sans-serif"><font style="font-size: 11pt;" size="2"><input type="text" name="UMB_right" value="{$data->get_UMB_right()|attr}"></font></font></p>
</td>
</tr>
</tbody>
</table>
</p>
<table border='0' cellpadding='0' cellspacing='0' class='text'>
<tr class='text'>
<td><b>NOTES</b></td>
</tr>
<tr class='text'>
<td><textarea cols='80' rows='5' name='notes'>{$data->get_notes()|text}</textarea></td>
</tr>
</table>
<table>
<tr>
<td>
</td>
</tr>
<tr>
<td>
<input type="submit" name="Submit" value="Save Form">
</td>
<td>
<a href="{$DONT_SAVE_LINK}" class="link">[Don't Save]</a>
</td>
</tr>
</table>
<input type="hidden" name="id" value="{$data->get_id()|attr}" />
<input type="hidden" name="pid" value="{$data->get_pid()|attr}">
<input type="hidden" name="process" value="true">
</form>
</body>
</html>