<?xml version="1.0"?>
<form>
    <label name="analysis"/>
    <field name="analysis"/>
    <label name="laboratory"/>
    <field name="laboratory"/>
    <label name="method"/>
    <field name="method"/>
    <label name="device"/>
    <field name="device"/>
    <group id="priority" colspan="2" col="4">
        <label name="urgent"/>
        <field name="urgent"/>
        <label name="priority"/>
        <field name="priority"/>
    </group>
    <group id="checkboxes" colspan="2" col="4">
        <label name="explode_analysis"/>
        <field name="explode_analysis"/>
        <label name="divide"/>
        <field name="divide"/>
    </group>
    <group id="estimated_waiting_laboratory" colspan="2" col="2">
        <label name="estimated_waiting_laboratory"/>
        <field name="estimated_waiting_laboratory"/>
    </group>
    <group id="estimated_waiting_report" colspan="2" col="2">
        <label name="estimated_waiting_report"/>
        <field name="estimated_waiting_report"/>
    </group>
    <group id="laboratory_date" colspan="2" col="2">
        <label name="laboratory_date"/>
        <field name="laboratory_date"/>
    </group>
    <group id="report_date" colspan="2" col="2">
        <label name="report_date"/>
        <field name="report_date"/>
    </group>
</form>
