{literal}
<style>

    .prntbl2 {
        padding:0px !important;
        width:95% !important;
        margin:0px auto !important;
    }.prntbl2 table{
        border-collapse: collapse !important;
        width:100% !important;
        margin:0px !important;
        padding:0px !important;
    }
    .prntbl2 table th {
        background-color: #2D2D2D !important;
        background: #2D2D2D !important;
        border:0px solid #000000 !important;
        border-width:0px 0px 1px 1px !important;
        font-size:15px !important;
        font-family:Arial !important;
        font-weight:bold !important;
        color: #FFFFFF !important;
        text-align: center !important;
    }.prntbl2 tr:hover td{

    }
    .prntbl2 tr:nth-child(odd){background-color: #E0E0E0 !important;}
    .prntbl2 tr:nth-child(even)    { background-color:#ffffff !important; }
    .prntbl2 td{
        border:1px solid #000000 !important;
        padding: 0px 3px !important;
        font-size: 13px !important;
        font-family: tahoma !important;
        color:#000000 !important;
        text-align: left !important;
    }


    .prntbl2 th, .prntbl2 tt, .prntbl2 td {
        line-height: 20px !important;
        padding: 1px 5px !important;


    }

    .prntbl2 span {
        font-weight: 700;
    }
    table {
        width: 100%;
    }

</style>

{/literal}


<div class="row">

    <!-- BEGIN EXAMPLE TABLE PORTLET-->

    <div class="portlet-title">
        <div class="caption">
            <h2 style="text-align:center">Sperm Freezing Report</h2>
        </div>
    </div>


    <!--Begin Semen-->


    <table>
        <tr>
            <td>
                <label>Husband Name :</label>

            </td>
            <td>
                {$husbandname}
            </td>


            <td>

                <label>Wife Name :</label>
            </td>

            <td>
                {$wifename}

            </td>
            <td>

                <label>Age :</label>
            </td>
            <td>
                {$husbandage}


            </td>
        </tr>
        <tr>
            <td>

                <label >Date :</label>
            </td>
            <td>
                {$editElement->date}


            </td>
        </tr>
        <tr>
            <td>

                <label >Ref. by Prof. Dr :</label>
            </td>
            <td>
                {$ref_by_dr_name}

            </td>
        </tr>
    </table>

    <hr>
    <div class="form-group ">
        <div class="col-md-6">

            <h3>
                Sperm Source
            </h3>
            <hr>

            {if $editElement->sperm_source eq 0}
            Ejaculate
            {else if $editElement->sperm_source eq 1}
            Test. Aspiration
            {else if $editElement->sperm_source eq 2}
            Epid. Aspiration
            {else}
            Test. Biopsy
            {/if}
        </div>
    </div>
    <div class="form-group ">
        <div class="col-md-12">
            <h3>
                Sperm Parameters
            </h3>
            <hr>
            <div class="col-md-8">
                <div class="col-md-12">
                    <label class="col-md-4 control-label" for="form_control_1">
                        Count:
                    </label>
                    {$editElement->count}
                </div>
                <div class="col-md-12">
                    <label class="col-md-4 control-label" for="form_control_1">
                        Motility:
                    </label>
                    {$editElement->motility}
                </div>
                <div class="col-md-12">
                    <label class="col-md-4 control-label" for="form_control_1">
                        (A+B):
                    </label>
                    {$editElement->a_plus_b}
                </div>
                <div class="col-md-12">
                    <label class="col-md-4 control-label" for="form_control_1">
                        Morphology(Abn.):
                    </label>
                    {$editElement->morphology_abn}
                </div>
                <div class="col-md-12">
                    <label class="col-md-4 control-label" for="form_control_1">
                        Comment:
                    </label>
                    {$editElement->comment}
                </div>
                <div class="col-md-12">
                    <label class="col-md-4 control-label" for="form_control_1">
                        No. Of Samples:
                    </label>
                    {$editElement->samples_no}
                </div>
                <div class="col-md-12">
                    <label class="col-md-4 control-label" for="form_control_1">
                        Freezing Media:
                    </label>
                    {$freezingmedia}
                </div>
                <div class="col-md-12">
                    <label class="col-md-4 control-label" for="form_control_1">
                        Freezing Protocol:
                    </label>
                    {$freezingprotocol}
                </div>
            </div>
        </div>
    </div>
    <div class="clearfix"></div>
    <hr>
    <div class="form-group ">
        <div class="col-md-6">
            <label class="col-md-4 control-label" for="form_control_1">
                Purpose Of Freezing:
            </label>
            {if $editElement->purpose_of_freezing eq 0}
            IUI
            {else if $editElement->purpose_of_freezing eq 1}
            ICSI
            {else}
            Preservation
            {/if}
        </div>
    </div>
    <div class="col-md-12">
        <label class="col-md-2 control-label" for="form_control_1">
            Location:
        </label>
        {$editElement->location}
    </div>
    <div class="col-md-12">
        <label class="col-md-2 control-label" for="form_control_1">
            Color Of Pen:
        </label>
        {$editElement->color_of_pen}
    </div>
    <hr>
    <div class="form-group ">
        <div class="col-md-12">


            <div class="col-md-12">
                <label class="col-md-2 control-label" for="form_control_1">
                    Embryologist : 
                </label>
                {$embryologist1_name}
            </div>
            <div class="col-md-12">
                <label class="col-md-2 control-label" for="form_control_1">
                    Consultant : 
                </label>
                {$embryologist2_name}

            </div>

        </div>
    </div>



</div>


<input type="hidden" id="spermfreez" value="1">