Sperm Extraction Report
{if isset($is_add)}
save
{/if}
Show
Previous Diagnosis :
Viral Screenig :
History:
Marital Status
Radiology
Drug Regimen
Operations
Varic
choose
{foreach $varic_select as $one}
id}selected{/if}>{$one->name}
{/foreach}
Delete
{$sperm_extract.radiology}
{$sperm_extract.drug_regimen}
Asp.
choose
{foreach $asp_select as $one}
id}selected{/if}>{$one->name}
{/foreach}
Delete
No. of Children
TB
choose
{foreach $tb_select as $one}
id}selected{/if}>{$one->name}
{/foreach}
Delete
mTB
choose
{foreach $mtb_select as $one}
id}selected{/if}>{$one->name}
{/foreach}
Delete
History of ICSI trials :
Sample Type :
Right
Left
Bilateral
Epid. Aspiration :
Test. Aspiration
Test. Biopsy
Micro Test. Biopsy
No. Of Samples :
Examination :
+
-
Notes :
Histopathology :
Yes
No
No. Of frozen Samples :
Surgeon :
Embryologist :
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