Exames Laboratoriais Tabela (SIH.ufu)

[ EXAMES COMPLEMENTARES ]
[mark memo="Insira as datas e os resultados" name="memo"]
------------- [text name="vdata1" default=""] ----------- [text name="vdata" default=""] ----------- [text name="data3" default=""]
Hg ............. [text name="variable_1" default=""] ............. [text name="variable_12" default=""] ............. [text name="variable_112" default=""]
Hc ............. [text name="variable_2" default=""] ............. [text name="variable_13" default=""] ............. [text name="variable_172" default=""]
Ht ............. [text name="variable_3" default=""] ............. [text name="variable_14" default=""] ............. [text name="variable_124" default=""]
Plaq ........... [text name="variable_4" default=""] ............. [text name="variable_15" default=""] ............. [text name="variable_129" default=""]
Lc ............. [text name="variable_5" default=""] ............. [text name="variable_16" default=""] ............. [text name="variable_126" default=""]
K .............. [text name="variable_6" default=""] ............. [text name="variable_17" default=""] ............. [text name="variable_127" default=""]
Na ............. [text name="variable_7" default=""] ............. [text name="variable_18" default=""] ............. [text name="variable_128" default=""]
P .............. [text name="variable_8" default=""] ............. [text name="variable_19" default=""] ............. [text name="variable_125" default=""]
Cl ............. [text name="variable_9" default=""] ............. [text name="variable_20" default=""] ............. [text name="variable_122" default=""]
Ur ............. [text name="variable_10" default=""] ............. [text name="variable_11" default=""] ............. [text name="variab2" default=""]
Cr ............. [text name="variable_11" default=""] ............. [text name="variable_21" default=""] ............. [text name="variable_212" default=""]
[ EXAMES COMPLEMENTARES ]
Insira as datas e os resultados
------------- ----------- -----------
Hg ............. ............. .............
Hc ............. ............. .............
Ht ............. ............. .............
Plaq ........... ............. .............
Lc ............. ............. .............
K .............. ............. .............
Na ............. ............. .............
P .............. ............. .............
Cl ............. ............. .............
Ur ............. ............. .............
Cr ............. ............. .............

Result - Copy and paste this output:

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