IVF Sheet

---

Archive ICSI

Evaluation	male female

Infertility			ICSI Trial
Type	Duration		AMH	N	Type	Protocol	E2d2
place			TTT			Notes

LMP

LMP

{foreach $ovst as $single} {/foreach}

OV. ST.
CD	Date	Ag/Antag	HMG	F 10 11 12 13 14 15 16 17 18 19 20 N	E	E2	Note
				R L

TOO			OPU				Semen				F/E D2
CD	Date	Drug	Date	N	Diff N	Notes					N	Diff N
					Mll Ml GV At ?...							A B C

S . S		ET						FR			Outcome
N of T.E	Result	CD	Date	N	G	Notes	Cancel	CD	ST	EN		HCG	TVS	Del
											Date Result

{foreach $eprep as $single} {/foreach}

E Prep						Cancel	Lps		Thawing
CD	Date	TTT	E	RO	LO	Cancel	CD	L P S	Date	ST.N	EN

S . S		ET						Re Fr	Outcome
N of T.E	Result	CD	Date	N	G	Notes	Cancel	EN		HCG	TVS	Del
									Date Result