<%@ include file="/includes.jsp" %>
<table border="0" width="100%" bgcolor="#E9DDE7">
	<tr>
		<td align="left" class="nrlPDBTableCell" width="20%">&#160;&#160;&#160;&#160;Patient</td>
		<td align="center" class="nrlPDTableCell" width="26.5%"><c:out
			value="${patientInfo.surName}" /></td>
		<td align="center" class="nrlPDTableCell" width="27%"><c:out
			value="${patientInfo.foreName}" /></td>
		<td align="center" class="nrlPDTableCell" width="11%"><c:out value="${patientInfo.age}" /></td>
		<td align="center" class="nrlPDTableCell" width="15.5%"><c:out
			value="${patientInfo.hospitalNumber}" /></td>
	</tr>

	<tr>
		<td width="20%" rowspan="2">&nbsp;</td>
		<td width="80%" colspan="4">
		<table width="100%" border="1">
			<tr>
				<td width="35%" class="nrlPHTableCell" align="center">Surname</td>
				<td width="35%" class="nrlPHTableCell" align="center">Forename</td>
				<td width="15%" class="nrlPHTableCell" align="center">Age</td>
				<td width="15%" nowrap class="nrlPHTableCell" align="center">Hospital Number</td>

			</tr>
		</table>
		</td>
	</tr>
</table>