Past History
Medical
Disease Note Husband
{assign var=i value=1} {foreach $mypastmedical as $myallphpastmedical} {capture assign=i}{$i+1}{/capture} {/foreach}
for_husband == 1 } checked {/if}>
Surgical
Operation Note Husband
{assign var=i value=1} {foreach $pastsurgical as $myallpastsurgical} {capture assign=i}{$i+1}{/capture} {/foreach}
for_husband == 1 } checked {/if}>
Contraception
Type Duration Stopped Note
{assign var=i value=1} {foreach $allcontract as $myallcontract} {capture assign=i}{$i+1}{/capture} {/foreach}
Y Y
Drug Sensitivity
Blood transfusion