#1 design form

[http://www.livansh.com.np]

We are a non profit making organization working to
change the health situation of the nepalese poor
people around the remote village of Nepal. We are a
group of doctors, totally working as voluenteerly in
this research program. We have diagnosed no. of poor
peoples and now wanted to creat their medical report
through electrical database.

Firstly we have added an patiend . Now we need to
enter the details data of the following
fields/categories and wanted to prepare computer
printed report also:

Urine:
sugar
Albumin
Bilharziasis

Stool:
Helminthes
Giardia
Biharziasis

Blood:
Blood Group
Heamoglobin
Malaria Parasite
Micro Filaria
F.B.S.
L.F.T.S. bil.
SGPT
SGOT
Creatinine
Serology
VDRL
TPHA
HIV 1,2
HBs Ag
HCV

Systemic Examination
Cardio Pulse BP
Vascular Heart
Respiratory System
Lungs
Chest X-Ray
Gastrontestinal
Abdomen
Others
Hernia
Varicose Veins
Extremities
Deformities
Skin
Vernereal Deases
Clinical

Pregnancy Test

EYE
RT LT

EAR
RT LT

Please help us to design this type of form and
preparig report

Bishnu