{php}html_header_show();{/php} {literal} {/literal}

Well Child Visit

WT: HT: BP: TEMP: Years: Months:
WT%: HT%:


{foreach name=loops item=headings key=title from=$checks} {if $title eq "Genitalia"} {else} {/if} {/foreach}
{$title}{$title} {foreach item=row key=row_title from=$headings} {if !is_numeric($row_title)} {else} {/if}
   {$row_title} {html_checkboxes name="checks" options=$row selected=$well_child->checks separator="   "} {if $row_title eq "Male"} Tanner Stage: {html_options name="male_tanner" selected=$well_child->get_male_tanner() options=$well_child->tanner_stage_array} {elseif $row_title eq "Female"} Tanner Stage: {html_options name="female_tanner" selected=$well_child->get_female_tanner() options=$well_child->tanner_stage_array} {/if} {html_checkboxes name="checks" options=$row selected=$well_child->checks separator="   "} {if $title eq "Breast:(FEMALE)"} Tanner Stage: {html_options name="breast_tanner" selected=$well_child->get_breast_tanner() options=$well_child->tanner_stage_array} {/if}
{/foreach}


History:
Drug Allergy:
School Development:


Additional or Abnormal Findings
Assesment/Diagnosis
{/foreach}
{foreach name=loops item=headings key=title from=$checks2}
{$title} {foreach item=row key=row_title from=$headings} {if !is_numeric($row_title)} {else} {/if} {/foreach}
{$row_title} {html_checkboxes name="checks2" options=$row selected=$well_child->checks2 separator="   "} {html_checkboxes name="checks2" options=$row selected=$well_child->checks2 separator="   "}
PPD: UA DIP: HCT: LEAD:
RX
RTC


Vision Corrected Uncorrected
OU 20/ 20/
OD 20/ 20/
OS 20/ 20/
Audio Frequency (HZ)
1000 2000 4000
Right Ear
Left Ear
{/foreach}
{foreach name=loops item=headings key=title from=$checks3}
{$title} {foreach item=row key=row_title from=$headings} {if !is_numeric($row_title)} {else} {/if} {/foreach}
{$row_title} {html_checkboxes name="checks3" options=$row selected=$well_child->checks3 separator="   "} {html_checkboxes name="checks3" options=$row selected=$well_child->checks3 separator="   "}
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