| |
|
while($rs=mysql_fetch_array($result))
{
?>
|
| Patient
Name |
|
|
| Age |
|
|
| Sex |
|
|
| Father’s
Name |
|
|
| Mother’s
Name |
|
|
| Address |
|
|
| Contact Number |
|
|
| Is the patient
earning member of the family?
|
|
|
| Family Member |
|
|
| Yearly Income |
|
|
| Duration
of Dialysis |
|
|
| No. of Dialysis
per week |
|
|
| Yearly expenses
for Dialysis purpose |
|
|
| Note |
|
|
}
?> |
|
 |
|
 |
 |
 |
| |
| |
|
|
|
|
| |
|