[header_text]
[surgery_text]  [yes_text]  [no_text]
[age_text]   
[gender_text]  [male_text]  [female_text]
[totalchol_text]  [mmol/L_text] [chl_unknown_text]
[hdl_text]  [mmol/L_text]
[systolic_text]  [mmHg_text] [bp_unknown_text]
[diastolic_text]  [mmHg_text]
[bpmed_text]    [yes_text]  [no_text]
[diabetes_text]  [yes_text]  [no_text]
[cigs_text]  [yes_text]  [no_text]
[weight_text]  [kg_text]  [ [or_text] ]   [lbs_text]
[height_text]  [cm_text]  [ [or_text] ]   [ft_text] + [in_text]


       
[copyright_text]