| <%%SELECT%%><%%VALUE(last_name)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(first_name)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(gender)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(sexual_orientation)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(age)%%><%%ENDSELECT%%> |
%%>&t=patients&f=image&v=tv) |
<%%SELECT%%><%%VALUE(state)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(mobile)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(tobacco_usage)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(alcohol_intake)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(history)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(surgical_history)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(obstetric_history)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(genetic_diseases)%%><%%ENDSELECT%%> |