{% trans "Submit Explanation" %}

{% trans "Submit Your Explanation" %}

{% if error %}

{% endif %}

{% trans "Complaint Details" %}

{% trans "Reference:" %} #{{ complaint.id }}

{% trans "Title:" %} {{ complaint.title }}

{% trans "Severity:" %} {{ complaint.get_severity_display }}

{% trans "Priority:" %} {{ complaint.get_priority_display }}

{% if complaint.patient %}

{% trans "Patient:" %} {{ complaint.patient.get_full_name }} (MRN: {{ complaint.patient.mrn }})

{% endif %}

{% trans "Description:" %}

{% csrf_token %}

{% trans "Your Explanation" %} *

{% trans "Please provide your perspective about the complaint mentioned above. Your explanation will help us understand the situation better." %}

{% trans "Attachments (Optional)" %}

{% trans "You can attach relevant documents, images, or other files to support your explanation." %}

{% trans "Accepted file types: PDF, DOC, DOCX, JPG, PNG, etc. Maximum file size: 10MB." %}

{% trans "Important Note:" %} {% trans "This link can only be used once. After submitting your explanation, it will expire and cannot be used again." %}

{% trans "PX360 Complaint Management System" %}