<%%DETAIL_VIEW_TITLE%%>
Medical Records
Medical Records
ID
<%%VALUE(id)%%>
Last name
<%%TRANSLATION(*)%%>
First name
<%%TRANSLATION(*)%%>
Gender
<%%TRANSLATION(*)%%>
<%%COMBO(gender)%%>
Sexual orientation
<%%TRANSLATION(*)%%>
<%%COMBO(sexual_orientation)%%>
Birth date
<%%COMBO(birth_date)%%>
Age
Automatically calculated from birth date.
Image
Maximum file size allowed: 1000 KB.
Allowed file types: jpg, jpeg, gif, png
<%%UPLOADFILE(image)%%> <%%REMOVEFILE(image)%%>
State
<%%COMBO(state)%%>
Mobile
Tobacco usage
<%%TRANSLATION(*)%%>
<%%COMBO(tobacco_usage)%%>
Alcohol Intake
<%%TRANSLATION(*)%%>
<%%COMBO(alcohol_intake)%%>
History
<%%TRANSLATION(*)%%>
<%%COMBO(history)%%>
Surgical history
<%%VALUE(surgical_history)%%>
Obstetric history
<%%VALUE(obstetric_history)%%>
Genetic diseases
<%%VALUE(genetic_diseases)%%>
Contact person in case of Emergency
Other details
<%%VALUE(other_details)%%>
Comments
<%%HTMLAREA(comments)%%>
Filed
This field is automatically populated with the date and time when this record was created.
<%%VALUE(filed)%%>
Last modified
This field is automatically populated with the date and time when this record was last modified.
<%%VALUE(last_modified)%%>
<%%UPDATE_BUTTON%%>
<%%DESELECT_BUTTON%%> <%%DVPRINT_BUTTON%%> <%%DELETE_BUTTON%%>
<%%INSERT_BUTTON%%>