{% extends "global/Page.html" %}

{% block title %}Prescribe{% endblock %}
{% block content %}

    <p>
        Please enter your prescribed treatment level. The amount can be between 0 and 10, inclusive.
        You may refer to the table below for the equivalent patient benefits and payment.
    </p>

    {% formfields %}

    <button class="otree-btn-next btn btn-primary">Confirm treatment level</button>

    <table class="table">

        <tr>
            <th>Treatment Level</th>
            <th>Equivalent Patient Benefit</th>
            <th>Payment You Get Without Penalty(Experimental Dollars)</th>
            <th>Payment You Get With Penalty (Experimental Dollars)</th>
        </tr>

        <tr>
            <th>0</th>
            <th>50</th>
            <th>0</th>
            <th>-</th>

        </tr>

        <tr>
            <th>1</th>
            <th>60</th>
            <th>19</th>
            <th>-</th>
        </tr>

        <tr>
            <th>2</th>
            <th>70</th>
            <th>36</th>
            <th>-</th>
        </tr>

        <tr>
            <th>3</th>
            <th>80</th>
            <th>51</th>
            <th>-</th>
        </tr>

        <tr>
            <th>4</th>
            <th>90</th>
            <th>64</th>
            <th>-</th>
        </tr>

        <tr>
            <th>5</th>
            <th>100</th>
            <th>75</th>
            <th>-</th>
        </tr>

        <tr>
            <th>6</th>
            <th>100</th>
            <th>84</th>
            <th>66</th>
        </tr>

        <tr>
            <th>7</th>
            <th>100</th>
            <th>91</th>
            <th>59</th>
        </tr>

        <tr>
            <th>8</th>
            <th>100</th>
            <th>96</th>
            <th>54</th>
        </tr>

        <tr>
            <th>9</th>
            <th>100</th>
            <th>99</th>
            <th>51</th>
        </tr>

        <tr>
            <th>10</th>
            <th>100</th>
            <th>100</th>
            <th>50</th>
        </tr>

    </table>

{% endblock %}