{AJAXCONTENT}
Personal Details
Prefix: {PREFIXOPTIONS} FName: {FNAME} MName: {MNAME} LName: {LNAME}
CName:* {CLIENTOPTIONS} DOB: {DOBDD}-{DOBMM}-{DOBYYYY} ADate: {ADDD}-{ADMM}-{ADYYYY} Phone: {PHONE}
Mobile: {MOBILE} Hospital Refference No: {HOPITALREFNO}
File Details
Complete File: Yes No No Pages: {COMPPAGE} Summary File: Yes No No Pages: {SUMPAGE}
Radiology Images: Yes No No Pages: {RADPAGE} Other File: Yes No No Pages: {OTHPAGE}
Cds: Yes No No No.of: {NOOFCD} Removable disk: Yes No No No.of: {NOFOREM}
E-Mail: Yes No No No.of: {NOOFEMA}  
Comments: {COMMENTS}