Patient History

{if $ProgramesettingData->case_summary == 1 } Case Summary {/if}

{assign var=tabactive value=0} {if $ProgramesettingData->menstrual == 1 }

{if $tabactive < 1 } {capture assign=tabactive}{$tabactive+1}{/capture} {/if}

Menstrual H

Menarche

Duration

Length

Regularity

Amount

Dysmenorrhoea

LMP

{assign var=i value=1} {foreach $allphmenstrual as $myallphmenstrual}

{if $ProgramesettingData->displaydoctorname eq 1}

{$myallphmenstrual->username}

{/if}

{capture assign=i}{$i+1}{/capture} {/foreach}

{/if} {if $ProgramesettingData->contraception == 1 }

{if $tabactive < 1 } {capture assign=tabactive}{$tabactive+1}{/capture} {/if}

Contraception H

Type

Duration

Stopped

Note

{assign var=i value=1} {foreach $allcontract as $myallcontract}

{if $ProgramesettingData->displaydoctorname eq 1}

{$myallcontract->username}

{/if}

{capture assign=i}{$i+1}{/capture} {/foreach}

{/if} {if $ProgramesettingData->obstetric == 1 }

{if $tabactive < 1 } {capture assign=tabactive}{$tabactive+1}{/capture} {/if}

Obstetric H

Direct Values

Duration

Termination

Place

Date

Out Come

Name

Note

{assign var=i value=1} {foreach $allobsteric as $myallobsteric}

{if $ProgramesettingData->displaydoctorname eq 1}

{$myallobsteric->username}

{/if}

obstermination} eq 1 || {$myallobsteric->obstermination} eq 2 } style="display:block" {else} style="display:none" {/if}>

outcomeid eq 0 || $myallobsteric->outcomeid eq 1}style="display:none;"{/if}>

obstermination} eq 1 || {$myallobsteric->obstermination} eq 2 } style="display:none" {else} style="display:block" {/if}> no out come

obstermination} eq 1 || {$myallobsteric->obstermination} eq 2 } style="display:block" {else} style="display:none" {/if} >

outcomeid} > 1} style="display:block" {else} style="display:none" {/if}>

outcomeid} eq 3} style="display:block" {else} style="display:none" {/if}>

{capture assign=i}{$i+1}{/capture} {/foreach}

{/if} {if $ProgramesettingData->past == 1 }

{if $tabactive < 1 } {capture assign=tabactive}{$tabactive+1}{/capture} {/if}

Medical
Surgical
Gynecological
ART

{assign var=xtabactive value=0} {if $ProgramesettingData->medical == 1 }

{if $xtabactive < 1 } {capture assign=xtabactive}{$xtabactive+1}{/capture} {/if}

Medical

Disease

Note

Husband

{assign var=i value=1} {foreach $mypastmedical as $myallphpastmedical}

{if $ProgramesettingData->displaydoctorname eq 1}

{$myallphpastmedical->username}

{/if}

for_husband == 1 } checked {/if}>

{capture assign=i}{$i+1}{/capture} {/foreach}

{/if} {if $ProgramesettingData->surgical == 1 }

{if $xtabactive < 1 } {capture assign=xtabactive}{$xtabactive+1}{/capture} {/if}

Surgical

Operation

Year

Surgeon

Note

Husband

{assign var=i value=1} {foreach $pastsurgical as $myallpastsurgical}

{if $ProgramesettingData->displaydoctorname eq 1}

{$myallpastsurgical->username}

{/if}

for_husband == 1 } checked {/if}>

{capture assign=i}{$i+1}{/capture} {/foreach}

{/if} {if $ProgramesettingData->gynecological == 1 }

{if $xtabactive < 1 } {capture assign=xtabactive}{$xtabactive+1}{/capture} {/if}

Gynecological

Operation

Year

Surgeon

Note

{assign var=i value=1} {foreach $phpastgynecological as $myallpastgynecological}

{if $ProgramesettingData->displaydoctorname eq 1}

{$myallpastgynecological->username}

{/if}

{capture assign=i}{$i+1}{/capture} {/foreach}

{/if} {if $ProgramesettingData->art == 1 }

{if $xtabactive < 1 } {capture assign=xtabactive}{$xtabactive+1}{/capture} {/if}

ART

Type

Center

Year

Result

Note

{assign var=i value=1} {foreach $phpastart as $myallphpastart}

{if $ProgramesettingData->displaydoctorname eq 1}

{$myallphpastart->username}

{/if}

arttype eq 0} {else} style="display: none;"{/if}>

Ovum Pick Up

Embryo transfer

Freezing

arttype eq 3 || $myallphpastart->arttype eq 2} {else} style="display: none;"{/if}>

{capture assign=i}{$i+1}{/capture} {/foreach}

{/if}

{/if} {if $ProgramesettingData->family == 1 }

{if $tabactive < 1 } {capture assign=tabactive}{$tabactive+1}{/capture} {/if}

Family H

Disease

Relative

Note

Husband

{assign var=i value=1} {foreach $phfamily as $myallphfamily}

{if $ProgramesettingData->displaydoctorname eq 1}

{$myallphfamily->username}

{/if}

for_husband == 1 } checked {/if}>

{capture assign=i}{$i+1}{/capture} {/foreach}

{/if} {if $ProgramesettingData->sexual == 1 }

{if $tabactive < 1 } {capture assign=tabactive}{$tabactive+1}{/capture} {/if}

Sexual H

Type

Note

{assign var=i value=1} {foreach $phsexual as $myallphsexual}

{if $ProgramesettingData->displaydoctorname eq 1}

{$myallphsexual->username}

{/if}

{capture assign=i}{$i+1}{/capture} {/foreach}

{/if} {if $ProgramesettingData->personal == 1 }

{if $tabactive < 1 } {capture assign=tabactive}{$tabactive+1}{/capture} {/if}

Personal H

Evaluation

Wife

Special Habits

Pr . Marriage

Offspring's

History Of Drugs Reactions

drug_reaction == 0} checked {/if}> No

drug_reaction == 1}checked {/if} > Yes

Note

Husband

Special Habits

Pr . Marriage

Offspring's

History Of Drugs Reactions

hus_drug_reaction == 0} checked {/if}> No

hus_drug_reaction == 1}checked {/if} > Yes

Note

Others

Complaint

Note

{/if}