Patient Name :	{$husbandname}	Date :	{$semen_processing.semen_date}
Wife Name :	{$wifename}	Referred Dr :	{$ref_dr}

Parameter	Value	Reference
Volume	{$semen_processing.volume} ml	2-6 ml
PH	{$semen_processing.ph}	7.2-7.6
Liquefaction	{$semen_processing.liquefaction}
Viscosity	{$semen_processing.viscosity}	Average

{if $semen_processing.grade_a} {/if} {if $semen_processing.grade_b} {/if} {if $semen_processing.grade_ab} {/if} {if $semen_processing.grade_c} {/if} {if $semen_processing.grade_d} {/if} {if $semen_processing.morphology} {/if}

Parameter	Value	Reference value: WHO 2010
Sperm Count (mill/ml)	{$semen_processing.sperm_count}	15mill/ml
Total Motility (PR+NP,%)	{$semen_processing.mobility} %	≥ 40 %
Progressive Motility (PR,%)	{$semen_processing.pr_motility} %	≥ 32 %
Grade A (%)	{$semen_processing.grade_a}%	>25 %
Grade B (%)	{$semen_processing.grade_b}%	>25 %
Grade A+B (%)	{$semen_processing.grade_ab}%	>50 %
Grade C (%)	{$semen_processing.grade_c}%
Grade D (%)	{$semen_processing.grade_d}%
Morphology (Nor. %)	{$semen_processing.morphology}%	>15 %
Abnornmal forms (%)	{$semen_processing.abnormal_forms} %	≤ 96 %
Agglutination	{if $semen_processing.agglutination} {$semen_processing.agglutination} {else}NIL{/if}	≤ 10 %
Pus Cells (HPF)_	{$semen_processing.pus_cells}	2-3
Spermatogenic Cells (HPF)	{$semen_processing.spermatogenic}	1-2

{if $semen_processing.swim eq 1} {/if} Swim up   {if $semen_processing.mini_swim eq 1} {/if} Mini Swim up   {if $semen_processing.sperm_gradient eq 1} {/if} Sperm gradient   {if $semen_processing.sperm_wash eq 1} {/if} Sperm wash

Media:

{$freezingmedia}

Catheter:

{$catheterName}

Volume	Count (mill/ml)	Motility (%)	Progressive motility%
{$semen_processing.volume_after}	{$semen_processing.count_after} million	{$semen_processing.motility_after} %	{$semen_processing.pr_motility_after} +

Climician: dr/ {$semen_processing.clinician_name}
Embryologist: dr/ {$semen_processing.embryologist_name}
Signature