{literal}
<style>
    .prntbl2 {
        padding: 0px !important;
        width: 95% !important;
        margin: 0px auto !important;
    }

    .prntbl2 table {
        border-collapse: collapse !important;
        width: 100% !important;
        margin: 0px !important;
        padding: 0px !important;
    }

    .prntbl2 table th {
        background-color: #2D2D2D !important;
        background: #2D2D2D !important;
        border: 0px solid #000000 !important;
        border-width: 0px 0px 1px 1px !important;
        font-size: 15px !important;
        font-family: Arial !important;
        font-weight: bold !important;
        color: #FFFFFF !important;
        text-align: center !important;
    }

    .prntbl2 tr:hover td {}

    .prntbl2 tr:nth-child(odd) {
        background-color: #E0E0E0 !important;
    }

    .prntbl2 tr:nth-child(even) {
        background-color: #ffffff !important;
    }

    .prntbl2 td {
        border: 1px solid #000000 !important;
        padding: 0px 3px !important;
        font-size: 13px !important;
        font-family: tahoma !important;
        color: #000000 !important;
        text-align: left !important;
    }


    .prntbl2 th,
    .prntbl2 tt,
    .prntbl2 td {
        line-height: 20px !important;
        padding: 1px 5px !important;


    }

    .prntbl2 span {
        font-weight: 700;
    }

    table {
        width: 100%;
    }

    .center {
        display: block;
        margin-left: auto;
        margin-right: auto;
        width: 50%;
    }
</style>

{/literal}


<div class="row">

    <!-- BEGIN EXAMPLE TABLE PORTLET-->
    <div class="portlet-title">
        <div class="caption">
            <h2 style="text-align:center">Sperm Freezing Report</h2>
        </div>
    </div>
    <!--Begin Semen-->


    <table>
        <tr>
            <td>
                <label>Husband Name :</label>

            </td>
            <td>
                {$husbandname}
            </td>
            <td>

                <label>Age :</label>
            </td>
            <td>
                {$husbandage}
            </td>
            <td>
                <label>&nbsp; Date :</label>
            </td>
            <td>
                {$editElement->date}
            </td>
        </tr>
        <tr>
            <td>

                <label>Wife Name :</label>
            </td>

            <td>
                {$wifename}

            </td>

        </tr>
        <tr>
            <td>

                <label>Ref. by Prof. Dr :</label>
            </td>
            <td>
                {$ref_by_dr_name}

            </td>
        </tr>
    </table>
    <table style="border: 1px black solid;">
        <tr>
            <td>&nbsp; Sperm source: </td>
            <td><input type="checkbox" {if $editElement->sperm_source == 0}checked{/if}> Ejaculate</td>
            <td><input type="checkbox" {if $editElement->sperm_source == 2}checked{/if}> Epid. Aspiration</td>
        </tr>
        <tr>
            <td></td>
            <td><input type="checkbox" {if $editElement->sperm_source ==1}checked{/if}> Test. Aspiration</td>
            <td><input type="checkbox" {if $editElement->sperm_source == 3}checked{/if}> Test. Biopsy</td>
        </tr>
        <tr>
            <td>&nbsp; Sperm parameters: </td>
            <td> Count: </td>
            <td>{$editElement->count}</td>
            <td>Million/ml</td>
        </tr>
        <tr>
            <td></td>
            <td>Total Motility(PR+NP):</td>
            <td>{$editElement->motility}</td>
            <td>%</td>
        </tr>
        <tr>
            <td></td>
            <td>Progressive motility:</td>
            <td>{$editElement->a_plus_b}</td>
            <td>%</td>
        </tr>
        <tr>
            <td></td>
            <td>Sperm Morphology (Abn.):</td>
            <td>{$editElement->morphology_abn}</td>
            <td>%</td>
        </tr>
        <tr>
            <td></td>
            <td>Comment: </td>
            <td colspan="2">{$editElement->comment}</td>
        </tr>
        <tr>
            <td>&nbsp; No. Of Samples:</td>
            <td>{$editElement->samples_no}</td>
        </tr>
        <tr>
            <td>&nbsp; Freezing Media:</td>
            <td>{$freezingmedia}</td>
        </tr>
        <tr>
            <td>&nbsp; Freezing Protocol:</td>
            <td>{$freezingprotocol}</td>
        </tr>
        <tr>
            <td>&nbsp; Purpose of freezing:</td>
            <td><input type="checkbox" {if $editElement->purpose_of_freezing == 0}checked{/if}> IUI</td>
            <td><input type="checkbox" {if $editElement->purpose_of_freezing == 1}checked{/if}> ICSI</td>
            <td><input type="checkbox" {if $editElement->purpose_of_freezing == 2}checked{/if}> Preservation</td>
        </tr>
        <tr>
            <td>&nbsp; Location:</td>
            <td colspan="3">
                {if $programesetting->tanks_view == 1 }
                {foreach $cells as $cell}
                    Can {$cell.location}{$cell.btn_no}
                    ({$cell.rows_letter}{$cell.row_no} -
                    {$cell.col_no} -
                    cell{$cell.cell_no})
                {/foreach}
                {elseif $programesetting->tanks_view == 2 }
                {foreach $tank_cells as $cell}
                <label>{$cell.name}-{$cell.up_level_name}-{$cell.cell_name}</label>
                {/foreach}
                {foreach $tank_cells_2 as $cell}
                <label>{$cell.name}-{$cell.up_level_name}-{$cell.cell_name}-{$cell.cell_part_name}</label>
                {/foreach}
                {foreach $tank_cells_3 as $cell}
                <label>{$cell.name}-{$cell.up_level_name}-{$cell.cell_name}-{$cell.cell_part_name}</label>
                {/foreach}
                {/if}
            </td>
        </tr>
        <tr>
            <td>&nbsp; Color of pen:</td>
            <td>{$editElement->color_of_pen}</td>
        </tr>
    </table>

    <div class="clearfix"></div>

    <div class="form-group ">
        <div class="col-md-12">


            <div class="col-md-12">
                <label class="col-md-2 control-label" for="form_control_1">
                    Embryologist 1:
                </label>
                {$embryologist1_name}
            </div>
            <div class="col-md-12">
                <label class="col-md-2 control-label" for="form_control_1">
                    Embryologist II:
                </label>
                {$embryologist2_name}

            </div>

        </div>
    </div>



</div>


<input type="hidden" id="spermfreez" value="1">