{% extends 'modal_base.html' %}
{% load forms %}
{% block icon %}<i class="fa fa-warning"></i>{% endblock %}
{% block modal_body %}
  <form class="form-horizontal">
   {% input  label="Drug" model="editing.drug"  %}
   {% checkbox  label="Provisional" model="editing.provisional"  %}
   {% input  label="Details" model="editing.details"  %}
  </form>
{% endblock %}
