This is an AngularJS example using JSON data in a seperate file

Patient List

(select one)

Patient Information - {{selected.Name}}

MRN:{{selected.MRN}}
Scheduled Time:{{selected.ScheduleTime}}
DOB:{{selected.DOB}}
Gender:{{selected.Gender}}

Medical History

No Problem Medical Problem Surgery
1: Eyes (cataracts, glaucoma)
2: Ears, nose, sinuses or tonsils
3: Thyroid or parathyroid glands
4: Heart valves or abnormal heart rhythm
5: Coronory (heart) arteries (angina)
6: Arteries (aorta, arteries to head, arms, legs)