{"id":9,"date":"2023-04-09T18:21:34","date_gmt":"2023-04-09T18:21:34","guid":{"rendered":"http:\/\/treatment.health24.tv\/index.php\/hospital-management-patient-registration-page\/"},"modified":"2024-01-30T12:33:56","modified_gmt":"2024-01-30T12:33:56","slug":"patient-registration","status":"publish","type":"page","link":"https:\/\/treatment.health24.tv\/index.php\/patient-registration\/","title":{"rendered":"Patient Registration"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"9\" class=\"elementor elementor-9\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2a5b4d2c e-flex e-con-boxed e-con e-parent\" data-id=\"2a5b4d2c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2af6d5a9 elementor-invisible elementor-widget elementor-widget-shortcode\" data-id=\"2af6d5a9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;slideInRight&quot;}\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\r\n\r\n\t\t<style>\r\n\r\n\t\t.ragistaion_message\r\n\r\n\t\t{\r\n\r\n\t\t\ttext-align: center!important;\r\n\r\n\t\t}\r\n\r\n\t\t.patient_registraion_form {\r\n\r\n\t \r\n\r\n\t  width: 100%;\r\n\r\n\t}\r\n\r\n\t.patient_registraion_form .form-group {\r\n\r\n\t  margin-bottom: 10px;\r\n\r\n\t  margin-top: 10px;\r\n\r\n\t}\r\n\r\n\t.patient_registraion_form .form-group .form-control {\r\n\r\n\t  font-size: 16px;\r\n\r\n\t}\r\n\r\n\t\t.patient_registraion_form .form-group,.patient_registraion_form .form-group .form-control{float:left;width:100%}\r\n\r\n\t\t.patient_registraion_form .form-group .require-field{color:red;}\r\n\r\n\t\t.patient_registraion_form select.form-control,.patient_registraion_form input[type=\"file\"] {\r\n\r\n\t  padding: 0.5278em;\r\n\r\n\t   margin-bottom: 5px;\r\n\r\n\t}\r\n\r\n\t.patient_registraion_form  .radio-inline {\r\n\r\n\t\tfloat: left;\r\n\r\n\t\tmargin-bottom: 10px;\r\n\r\n\t\t margin-right: 15px;\r\n\r\n\t}\r\n\r\n\t.patient_registraion_form  .radio-inline .tog {\r\n\r\n\t\tmargin-right: 5px;\r\n\r\n\t\ttop: 10px;\r\n\r\n\t}\r\n\r\n\t.patient_registraion_form .col-sm-2.control-label {\r\n\r\n\t  line-height: 48px;\r\n\r\n\t  text-align: right;\r\n\r\n\t}\r\n\r\n\t    .patient_registraion_form .form-group .col-sm-1.5 {width: 20.667%;}\r\n\r\n\t\t.patient_registraion_form .form-group .col-sm-2 {width: 24.667%;}\r\n\r\n\t\t.patient_registraion_form .form-group .col-sm-8 {     width: 66.66666667%;}\r\n\r\n\t\t.patient_registraion_form .form-group .col-sm-7{  width: 53.33333333%;}\r\n\r\n\t\t.patient_registraion_form .form-group .col-sm-6{  width: 39.667%;}\r\n\r\n\t\t.patient_registraion_form .form-group .col-sm-1{  width: 13.33333333%;}\r\n\r\n\t\t.patient_registraion_form .form-group .col-sm-8, .patient_registraion_form .form-group .col-sm-2,.patient_registraion_form .form-group .col-sm-7,.patient_registraion_form .form-group .col-sm-1{      \r\n\r\n\t\tpadding-left: 15px;\r\n\r\n\t\t padding-right: 15px;\r\n\r\n\t\tfloat:left;}\r\n\r\n\t\t.patient_registraion_form .form-group .col-sm-8, .patient_registraion_form .form-group .col-sm-2,.patient_registraion_form .form-group .col-sm-7{\r\n\r\n\t\t\tposition: relative;\r\n\r\n\t\tmin-height: 1px;   \r\n\r\n\t\t}\r\n\r\n\r\n\r\n\t\tdiv {\r\n\r\n\t\t\tmargin-bottom:2px;\r\n\r\n\t\t}\r\n\r\n\t\t \r\n\r\n\t\tinput{\r\n\r\n\t\t\tmargin-bottom:4px;\r\n\r\n\t\t}\r\n\r\n\t\t.patient_registraion_form .col-sm-offset-2.col-sm-8 {\r\n\r\n\t  float: left;\r\n\r\n\t  margin-left: 35%;\r\n\r\n\t  margin-top: 15px;\r\n\r\n\t}\r\n\r\n\t.patient_registraion_form .form-control {\r\n\r\n\t  line-height: 30px;\r\n\r\n\t}\r\n\r\n\t\r\n\r\n\t.datepicker{\r\n\r\n\t  width: 20%!important;\r\n\r\n\t}\r\n\r\n\t.mobile_form_group\r\n\r\n\t{\r\n\r\n\t\tdisplay: flex;\r\n\r\n\t}\r\n\r\n\t\t.student_reg_error .error{color:red;}\r\n\r\n\t\t\r\n\r\n\t.entry-content > *:not(.alignwide):not(.alignfull):not(.alignleft):not(.alignright):not(.is-style-wide) {\r\n\r\n        max-width: 700px !important; \r\n\r\n        width: calc(100% - 4rem)!important;\r\n\r\n    }\r\n\r\n\t.frontend_delete_button\r\n\r\n\t{\r\n\r\n\t\ttext-align: center!important;\r\n\r\n\t\tmargin-left: 95px;\r\n\r\n    \r\n\r\n\t}\r\n\r\n\t.diagnosis_div\r\n\r\n\t{\r\n\r\n\t\tdisplay: inline-flex;\r\n\r\n\t}\r\n\r\n\t@media (max-width: 420px){\r\n\r\n\t\t.patient_registraion_form .form-group .col-sm-2 {\r\n\r\n\t\t\twidth: 100%;\r\n\r\n\t\t\ttext-align: left;\r\n\r\n\t\t}\r\n\r\n\t\t.patient_registraion_form .form-group .col-sm-8, .patient_registraion_form .form-group .col-sm-1, .patient_registraion_form .form-group .col-sm-7{\r\n\r\n\t\t\twidth: 100%;\r\n\r\n\t\t}\r\n\r\n\t\t.patient_registraion_form .col-sm-offset-2.col-sm-8 {\r\n\r\n\t\t\tmargin: auto;\r\n\r\n\t\t}\r\n\r\n\t\t.mobile_form_group{\r\n\r\n\t\t\tdisplay: block;\r\n\r\n\t\t}\r\n\r\n\t\t#registration_form .form-group .radio-inline{\r\n\r\n\t\t\tdisplay: flex;\r\n\r\n\t\t}\r\n\r\n\t\t.datepicker {\r\n\r\n\t\t\twidth: auto !important;\r\n\r\n\t\t}\r\n\r\n\t}\r\n\r\n\t\t<\/style>\r\n\r\n\t\t\r\n\r\n\t\t<div class=\"patient_registraion_form\">\r\n\r\n\t\t<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/9\" method=\"post\" id=\"registration_form\" enctype=\"multipart\/form-data\">\r\n\t\t<!-- <script type=\"text\/javascript\"\tsrc=\"https:\/\/treatment.health24.tv\/wp-content\/plugins\/hospital-management\/assets\/js\/jquery-3-6-0.js\"><\/script>\t -->\r\n\r\n\t\t<script src=\"https:\/\/cdnjs.cloudflare.com\/ajax\/libs\/jquery\/3.6.0\/jquery.min.js\"><\/script>\r\n\r\n\t\t<link rel=\"stylesheet\"\ttype = \"text\/css\" href=\"https:\/\/treatment.health24.tv\/wp-content\/plugins\/hospital-management\/lib\/validationEngine\/css\/validationEngine-jquery.css\"\/>\t\t\r\n\r\n\t\t<link rel=\"stylesheet\"\ttype = \"text\/css\" href=\"https:\/\/treatment.health24.tv\/wp-content\/plugins\/hospital-management\/assets\/css\/datepicker-defualt.css\"\/>\t\t\r\n\r\n\t\t\r\n\t\t<script type=\"text\/javascript\"\tsrc=\"https:\/\/treatment.health24.tv\/wp-content\/plugins\/hospital-management\/lib\/validationEngine\/js\/languages\/jquery.validationEngine-en.js\"><\/script>\t\t\r\n\r\n\t\t<script type=\"text\/javascript\"\tsrc=\"https:\/\/treatment.health24.tv\/wp-content\/plugins\/hospital-management\/lib\/validationEngine\/js\/jquery-validationEngine.js\"><\/script>\r\n\r\n\t\t<script type=\"text\/javascript\"\tsrc=\"https:\/\/treatment.health24.tv\/wp-content\/plugins\/hospital-management\/assets\/js\/bootstrap-datepicker.js\"><\/script>\r\n\r\n\t\t<script type=\"text\/javascript\">\r\n\r\n\t\tfunction fileCheck(obj)\r\n\r\n\t\t{   \/\/FILE VALIDATION\r\n\r\n\t\t\t\"use strict\";\r\n\r\n\t\t\tvar fileExtension = ['pdf','doc','jpg','jpeg','png'];\r\n\r\n\t\t\tif (jQuery.inArray(jQuery(obj).val().split('.').pop().toLowerCase(), fileExtension) == -1)\r\n\r\n\t\t\t{\r\n\r\n\t\t\t\talert(\"Sorry, only JPG, JPEG, PNG, pdf, doc &amp; GIF files are allowed.\");\r\n\r\n\t\t\t\tjQuery(obj).val('');\r\n\r\n\t\t\t}\t\r\n\r\n\t\t}\r\n\r\n\t\tfunction fileCheck_image(obj)\r\n\r\n\t\t{   \/\/FILE VALIDATION\r\n\r\n\t\t\t\"use strict\";\r\n\r\n\t\t\tvar fileExtension = ['jpg','jpeg','png'];\r\n\r\n\t\t\tif (jQuery.inArray(jQuery(obj).val().split('.').pop().toLowerCase(), fileExtension) == -1)\r\n\r\n\t\t\t{\r\n\r\n\t\t\t\talert(\"Sorry, only JPG, JPEG, PNG files are allowed.\");\r\n\r\n\t\t\t\tjQuery(obj).val('');\r\n\r\n\t\t\t}\t\r\n\r\n\t\t}\r\n\r\n\t\t<\/script>\r\n\r\n\t\t<script type=\"text\/javascript\">\r\n\r\n\t\tjQuery(document).ready(function($){\r\n\r\n\t\t\t\"use strict\";\r\n\r\n\t\t \r\n\t\t\t\t\t$('#registration_form').validationEngine({promptPosition : \"bottomRight\",maxErrorsPerField: 1});\r\n\r\n\t\t\t\t\t\r\n\t\t \/\/$('#registration_form').validationEngine({promptPosition : \"bottomRight\",maxErrorsPerField: 1});\r\n\r\n\r\n\r\n\t\t jQuery.fn.datepicker.defaults.format =\"yyyy-mm-dd\";\r\n\r\n\t\t jQuery('.birth_date').datepicker({\r\n\r\n\t\t\t\tendDate: '+0d',\r\n\r\n\t\t\t\tautoclose: true\r\n\r\n\t\t\t\t \r\n\r\n\t\t   }); \r\n\r\n\t\t   jQuery('body').on('click', '[data-toggle=dropdown]', function() {\r\n\r\n\t\t\tvar opened = $(this).parent().hasClass(\"open\");\r\n\r\n\t\t\tif (! opened) {\r\n\r\n\t\t\t$('.btn-group').addClass('open');\r\n\r\n\t\t\t$(\"button.multiselect\").attr('aria-expanded', 'true');\r\n\r\n\t\t\t} else {\r\n\r\n\t\t\t$('.btn-group').removeClass('open');\r\n\r\n\t\t\t$(\"button.multiselect\").attr('aria-expanded', 'false');\r\n\r\n\t\t\t}\r\n\r\n\t\t\t}); \r\n\r\n\t\t\t\r\n\r\n\t\t\t $(\"body\").on(\"click\", \".add_more_report\", function()\r\n\r\n\t\t\t{\r\n\r\n\t\t\t\t$(\".diagnosissnosis_div\").append('<div class=\"form-group diagnosis_div\"><label class=\"col-sm-2 control-label\" for=\"diagnosis\">Diagnosis Report<\/label><div class=\"col-sm-4\"><input type=\"file\" class=\"dignosisreport form-control file\" name=\"diagnosis[]\"><\/div><div class=\"col-sm-1 frontend_delete_button\"><input type=\"button\" value=\"Delete\" onclick=\"deleteParentElement(this)\" class=\"remove_cirtificate btn btn-default\"><\/div><\/div>');\r\n\r\n\t\t\t});\t\t\t\t\r\n\r\n\t\t\t$(\"body\").on(\"click\", \".remove_cirtificate\", function()\r\n\r\n\t\t\t{\r\n\r\n\t\t\t\talert(\"Do you really want to delete this record ?\");\r\n\r\n\t\t\t\t$(this).parent().parent().remove();\r\n\r\n\t\t\t});\r\n\r\n\t\t} );\r\n\r\n\t\t<\/script>\r\n\r\n\t  \r\n\t\t<input type=\"hidden\" name=\"action\" value=\"insert\" \/>\r\n\r\n\t\t<input type=\"hidden\" name=\"role\" value=\"patient\"  \/>\r\n\r\n\t\t<input type=\"hidden\" name=\"patient_type\" value=\"outpatient\" \/>\r\n\r\n\t\t\r\n\r\n\t\t<input type=\"hidden\" name=\"user_id\" value=\"\"  \/>\r\n\r\n\t\t<input id=\"patient_id\" type=\"hidden\" value=\"P190526\" name=\"patient_id\" \/>\r\n\r\n\t\t\r\n\r\n\t\t<div class=\"header\">\t\r\n\r\n\t\t\t<h3 class=\"first_hed\">Personal Information<\/h3>\r\n\r\n\t\t<\/div>\t\r\n\r\n\t\t\r\n\r\n\t\t<div class=\"form-group margin_top_40\">\r\n\r\n\t\t\t<label class=\"col-sm-2 control-label\" for=\"first_name\">First Name<span class=\"require-field\">*<\/span><\/label>\r\n\r\n\t\t\t<div class=\"col-sm-8\">\r\n\r\n\t\t\t\t<input id=\"first_name\" class=\"form-control validate[required,custom[onlyLetter_specialcharacter]] text-input\" maxlength=\"50\" type=\"text\" value=\"\" name=\"first_name\">\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t<\/div>\r\n\r\n\t\t<div class=\"form-group\">\r\n\r\n\t\t\t<label class=\"col-sm-2 control-label\" for=\"middle_name\">Middle Name<\/label>\r\n\r\n\t\t\t<div class=\"col-sm-8\">\r\n\r\n\t\t\t\t<input id=\"middle_name\" class=\"form-control validate[custom[onlyLetter_specialcharacter]]\" maxlength=\"50\" type=\"text\"  value=\"\" name=\"middle_name\">\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t<\/div>\r\n\r\n\t\t<div class=\"form-group\">\r\n\r\n\t\t\t<label class=\"col-sm-2 control-label\" for=\"last_name\">Last Name<span class=\"require-field\">*<\/span><\/label>\r\n\r\n\t\t\t<div class=\"col-sm-8\">\r\n\r\n\t\t\t\t<input id=\"last_name\" class=\"form-control validate[required,custom[onlyLetter_specialcharacter]] text-input\" maxlength=\"50\" type=\"text\"  value=\"\" name=\"last_name\">\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t<\/div>\r\n\r\n\t\t\r\n\r\n\t\t<div class=\"form-group\">\r\n\r\n\t\t\t<label class=\"col-sm-2 control-label\" for=\"gender\">Gender<span class=\"require-field\">*<\/span><\/label>\r\n\r\n\t\t\t<div class=\"col-sm-8\">\r\n\r\n\t\t\t\r\n\t\t\t\t<label class=\"radio-inline\">\r\n\r\n\t\t\t     <input type=\"radio\" value=\"male\" class=\"tog\" name=\"gender\"   checked='checked'\/>Male\r\n\t\t\t    <\/label>\r\n\r\n\t\t\t    <label class=\"radio-inline\">\r\n\r\n\t\t\t      <input type=\"radio\" value=\"female\" class=\"tog\" name=\"gender\"  \/>Female \r\n\r\n\t\t\t    <\/label>\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t<\/div>\r\n\r\n\t\t\r\n\r\n\t\t<div class=\"form-group\">\r\n\r\n\t\t\t<label class=\"col-sm-2 control-label\" for=\"birth_date\">Date of birth<\/label>\r\n\r\n\t\t\t<div class=\"col-sm-8\">\r\n\r\n\t\t\t\t<input id=\"birth_date\" class=\"form-control birth_date\" type=\"text\"  name=\"birth_date\"\r\n\r\n\t\t\t\tvalue=\"\" readonly>\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t<\/div>\t\t\r\n\r\n\r\n\r\n\t\t<div class=\"form-group mobile_form_group\">\r\n\r\n\t\t\t<label class=\"col-sm-2 control-label \" for=\"mobile\">Mobile<span class=\"require-field\">*<\/span><\/label>\r\n\r\n\t\t\t<div class=\"col-sm-1\">\r\n\r\n\t\t\t<input type=\"text\" value=\"+880\"  class=\"form-control  validate[required] onlynumber_and_plussign\" name=\"phonecode\" maxlength=\"5\">\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t\t<div class=\"col-sm-7\">\r\n\r\n\t\t\t\t<input id=\"mobile\" class=\"form-control validate[required,custom[phone_number]] text-input\" minlength=\"6\" maxlength=\"15\" type=\"text\" value=\"\" name=\"mobile\">\t\t\t\t\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t<\/div>\r\n\r\n\r\n\r\n\t\t<div class=\"header\">\t\r\n\r\n\t\t\t<h3 class=\"first_hed\">Login Information<\/h3>\r\n\r\n\t\t<\/div>\t\r\n\r\n\r\n\r\n\t\t<div class=\"form-group margin_top_40\">\r\n\r\n\t\t\t<label class=\"col-sm-2 control-label \" for=\"email\">Email<span class=\"require-field\">*<\/span><\/label>\r\n\r\n\t\t\t<div class=\"col-sm-8\">\r\n\r\n\t\t\t\t<input id=\"email\" class=\"form-control validate[required,custom[email]] text-input\" maxlength=\"100\" type=\"text\"  name=\"email\" \r\n\r\n\t\t\t\tvalue=\"\">\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t<\/div>\r\n\r\n\t\t\r\n\r\n\t\t<div class=\"form-group\">\r\n\r\n\t\t\t<label class=\"col-sm-2 control-label\" for=\"username\">User Name<span class=\"require-field\">*<\/span><\/label>\r\n\r\n\t\t\t<div class=\"col-sm-8\">\r\n\r\n\t\t\t\t<input id=\"username\" class=\"form-control validate[required,custom[username_validation]]\" type=\"text\"  name=\"username\" maxlength=\"30\"\r\n\r\n\t\t\t\tvalue=\"\" >\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t<\/div>\r\n\r\n\t\t<div class=\"form-group\">\r\n\r\n\t\t\t<label class=\"col-sm-2 control-label\" for=\"password\">Password<span class=\"require-field\">*<\/span><\/label>\r\n\r\n\t\t\t<div class=\"col-sm-8\">\r\n\r\n\t\t\t\t<input id=\"password\" class=\"form-control validate[required,minSize[8]]\" type=\"password\"  name=\"password\" maxlength=\"12\" value=\"\">\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t<\/div>\t\t\r\n\r\n\r\n\r\n\t\t<div class=\"header\">\t\r\n\r\n\t\t\t<h3 class=\"first_hed\">Address Information<\/h3>\r\n\r\n\t\t<\/div>\t\r\n\r\n\r\n\r\n\t\t<div class=\"form-group margin_top_40\">\r\n\r\n\t\t\t<label class=\"col-sm-2 control-label\" for=\"address\">Address<span class=\"require-field\">*<\/span><\/label>\r\n\r\n\t\t\t<div class=\"col-sm-8\">\r\n\r\n\t\t\t\t<input id=\"address\" class=\"form-control validate[required,custom[address_description_validation]]\" type=\"text\" maxlength=\"150\"  name=\"address\" \r\n\r\n\t\t\t\tvalue=\"\">\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t<\/div>\r\n\r\n\t\t\r\n\r\n\t\t<div class=\"form-group\">\r\n\r\n\t\t\t<label class=\"col-sm-2 control-label\" for=\"city_name\">City<\/label>\r\n\r\n\t\t\t<div class=\"col-sm-8\">\r\n\r\n\t\t\t\t<input id=\"city_name\" class=\"form-control validate[custom[city_state_country_validation]]\" type=\"text\"  name=\"city_name\" maxlength=\"50\"\r\n\r\n\t\t\t\tvalue=\"\">\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t<\/div>\r\n\r\n\t\t<div class=\"form-group\">\r\n\r\n\t\t\t<label class=\"col-sm-2 control-label\" for=\"state_name\">State<\/label>\r\n\r\n\t\t\t<div class=\"col-sm-8\">\r\n\r\n\t\t\t\t<input id=\"state_name\" class=\"form-control validate[custom[city_state_country_validation]]\" type=\"text\"  name=\"state_name\" maxlength=\"50\"\r\n\r\n\t\t\t\tvalue=\"\">\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t<\/div>\r\n\r\n\t\t<div class=\"form-group\">\r\n\r\n\t\t\t<label class=\"col-sm-2 control-label\" for=\"state_name\">Country<\/label>\r\n\r\n\t\t\t<div class=\"col-sm-8\">\r\n\r\n\t\t\t\t<input id=\"country_name\" class=\"form-control validate[custom[city_state_country_validation]]\" type=\"text\"  name=\"country_name\" maxlength=\"50\"\r\n\r\n\t\t\t\tvalue=\"\">\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t<\/div>\r\n\r\n\t\t<div class=\"form-group\">\r\n\r\n\t\t\t<label class=\"col-sm-2 control-label\" for=\"zip_code\">Zip Code<\/label>\r\n\r\n\t\t\t<div class=\"col-sm-8\">\r\n\r\n\t\t\t\t<input id=\"zip_code\" class=\"form-control  validate[custom[onlyLetterNumber]]\" type=\"text\" maxlength=\"15\"  name=\"zip_code\" \r\n\r\n\t\t\t\tvalue=\"\">\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t<\/div>\r\n\r\n\t\t\r\n\r\n\t\t<div class=\"form-group\">\r\n\r\n\t\t\t<label class=\"col-sm-2 control-label \" for=\"phone\">Phone<\/label>\r\n\r\n\t\t\t<div class=\"col-sm-8\">\r\n\r\n\t\t\t\t<input id=\"phone\" class=\"form-control validate[custom[phone_number]] text-input\" minlength=\"6\" maxlength=\"15\" type=\"text\" value=\"\" name=\"phone\">\t\t\t\t\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t<\/div>\r\n\r\n\r\n\r\n\t\t<div class=\"header\">\t\r\n\r\n\t\t\t<h3 class=\"first_hed\">Other Information<\/h3>\r\n\r\n\t\t<\/div>\r\n\r\n\r\n\r\n\t\t<div class=\"form-group margin_top_40\">\r\n\r\n\t\t\t<label class=\"col-sm-2 control-label\" for=\"blood_group\">Blood Group<\/label>\r\n\r\n\t\t\t<div class=\"col-sm-8\">\r\n\r\n\t\t\t\t\r\n\t\t\t\t<select id=\"blood_group\" class=\"form-control \" name=\"blood_group\">\r\n\r\n\t\t\t\t<option value=\"\">Select Blood Group<\/option>\r\n\r\n\t\t\t\t\r\n\t\t\t\t\t\t<option value=\"O+\" >O+ <\/option>\r\n\r\n\t\t\t\t\r\n\t\t\t\t\t\t<option value=\"O-\" >O- <\/option>\r\n\r\n\t\t\t\t\r\n\t\t\t\t\t\t<option value=\"A+\" >A+ <\/option>\r\n\r\n\t\t\t\t\r\n\t\t\t\t\t\t<option value=\"B+\" >B+ <\/option>\r\n\r\n\t\t\t\t\r\n\t\t\t\t\t\t<option value=\"A-\" >A- <\/option>\r\n\r\n\t\t\t\t\r\n\t\t\t\t\t\t<option value=\"B-\" >B- <\/option>\r\n\r\n\t\t\t\t\r\n\t\t\t\t\t\t<option value=\"AB+\" >AB+ <\/option>\r\n\r\n\t\t\t\t\r\n\t\t\t\t\t\t<option value=\"AB-\" >AB- <\/option>\r\n\r\n\t\t\t\t\r\n\t\t\t<\/select>\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t<\/div>\r\n\r\n\t\t\r\n\t\t\t<div class=\"form-group\">\r\n\r\n\t\t\t\t<label class=\"col-sm-2 control-label\" for=\"symptoms\">Symptoms<\/label>\r\n\r\n\t\t\t\t<div class=\"col-sm-8\">\r\n\r\n\t\t\t\t\t\t<select class=\"form-control symptoms_list \" multiple=\"multiple\" name=\"symptoms[]\" id=\"symptoms\">\t\t\t\t\t\r\n\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"705\">AAA_Later<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"581\">Abscess<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"326\">Achalasia Cardia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"393\">Acid Reflux<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"362\">Acne<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"424\">Acquired Immune Deficiency Syndrome (AIDS)<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"577\">Acromegaly<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"479\">Acute and Chronic Pancreatitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"169\">Acute Appendicitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"576\">Acute Renal Failure<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"575\">Addisons Disease<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"574\">Adenoid Hypertrophy<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"170\">Adrenal Fatigue<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"571\">Agalactia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"569\">Alcohol Addiction<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"570\">Alcoholism<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"32\">Allergy<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"568\">Alopecia Areata<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"392\">Alzheimers Disease<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"567\">Amenorrhea<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"341\">Amnesia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"339\">Amoebiasis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"527\">Anal Fissure<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"566\">Anemia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"565\">Angina Pectoris<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"590\">Ankle Sprain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"564\">Ankylosing Spondylitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"562\">Anorexia Nervosa<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"308\">Anosmia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"561\">Anthrax<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"307\">Anuria<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"212\">Anxiety<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"128\">Anxiety Disorders<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"559\">Appendicitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"371\">Appendicitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"445\">Arm Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"558\">Arteriosclerosis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"107\">Arthritis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"108\">Arthritis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"323\">Ascites<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"367\">Aspergers Syndrome<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"283\">Asthenopia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"142\">Asthma<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"306\">Astigmatism<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"406\">Attention deficit hyperactivity disorder<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"573\">Attention Deficit Hyperactivity Disorder (ADHD)<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"121\">Autism<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"407\">Autism<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"588\">Back Injuries<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"141\">Back Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"359\">Bacterial Vaginosis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"586\">Benign Prostate Hypertrophy (BPH)<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"238\">Beta Thalessemia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"372\">Bipolar Disorder<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"327\">Birth Defects<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"216\">Bladder Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"282\">Blepharitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"237\">Blood in Urine<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"556\">Boils<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"555\">Bone Diseases<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"281\">Bone Fracture Healing<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"215\">Bone Marrow Transplant<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"213\">Bowel Incontinence<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"553\">Brain Diseases<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"280\">Brain Fag<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"294\">Brain Tumor<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"155\">Breast Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"552\">Breast Diseases<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"444\">Breast Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"218\">Breathing Difficulties<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"310\">Bronchiectasis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"551\">Bronchitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"193\">Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"214\">Cancer of Esophagus<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"430\">Cancer Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"285\">Candida<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"550\">Candidiasis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"549\">Carbuncles<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"279\">Cardiac Arrest<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"404\">Cardiomegaly Enlargement of the Heart<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"358\">Celiac Disease<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"423\">Cellulite<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"426\">Cellulitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"277\">Cephalohematoma<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"205\">Cerebral Ischemic Stroke<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"403\">Cerebral Palsy Symptoms<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"560\">Cerebral Stroke<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"368\">Cervical Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"305\">Chagas disease<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"446\">Chest Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"548\">Chicken Pox<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"547\">Chikungunya Fever<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"546\">Chilblains<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"192\">Childhood Obesity<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"357\">Chlamydia Infection<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"116\">Chloasma<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"545\">Cholera<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"356\">Cholesterol Problems<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"544\">Chorea<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"361\">Chronic Fatigue Syndrome<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"355\">Chronic obstructive pulmonary disease (COPD)<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"236\">Chronic Pain Syndrome<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"543\">Chronic Renal Failure<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"541\">Cold and Flu<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"112\">Cold Sores<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"542\">Colic<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"171\">Colicky Baby<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"422\">Colitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"366\">Colon Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"412\">Colon Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"276\">Color Blindness<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"275\">Colorectal Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"340\">Conjunctivitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"540\">Constipation<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"274\">Contact Dermatitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"539\">Corns<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"132\">Crohn Disease<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"538\">Croup<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"172\">Croup<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"375\">Cystic Fibrosis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"391\">Cystitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"313\">Dandruff<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"153\">Dehydration<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"537\">Delirium<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"273\">Delirium Tremens<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"390\">Dementia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"124\">Dengue Fever<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"456\">Dental Caries and Dental Abscess<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"536\">Dentition<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"369\">Depression<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"235\">Depression and Suicide<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"219\">Diabetes<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"217\">Diabetes Mellitus<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"110\">Diarrhea<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"136\">Diarrhea<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"535\">Diphtheria<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"521\">Diseases of Glands<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"211\">Diverticulitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"289\">Domestic Violence and Abuse<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"534\">Drooling<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"181\">Drooling<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"501\">Dropsical Affections or Oedema<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"210\">Dry Mouth<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"209\">Duodenal Ulcer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"287\">During Pregnancy and Labour<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"533\">Dysentery<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"421\">Dyslexia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"532\">Dysmenorrhoea<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"304\">Dyspareunia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"316\">Dysuria<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"531\">Ear Diseases<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"365\">Ear Infection<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"229\">Early signs of pregnancy<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"498\">Easy Labour, Delivery<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"563\">Eating Disorders<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"180\">Eating Disorders<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"144\">Eczema<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"127\">Egg Allergy<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"301\">Elephantiasis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"270\">Endocarditis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"269\">Endometriosis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"234\">Enlarged Heart<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"554\">Enlarged Prostate<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"268\">Eosinophilia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"354\">Epilepsy<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"530\">Epistaxis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"389\">Erectile Dysfunction<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"503\">Erectile Dysfunction<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"183\">Erectile Dysfunction (ED)<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"529\">Erysipelas, Cellulitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"303\">Erythema Nodosum<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"267\">Exophthalmos<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"528\">Eyes Diseases<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"317\">Fatty Liver<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"266\">Felon<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"353\">Fetal Alcohol Syndrome<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"137\">Fever<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"208\">Fibroid Removal<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"152\">Fibromyalgia Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"318\">Filariasis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"692\">Fistula<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"168\">Flu or Influenza<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"233\">Food Allergy<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"232\">Food Poisoning<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"443\">Foot Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"319\">Frost Bite<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"591\">Frostbite Hypothermia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"526\">Frozen Shoulder<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"278\">Furuncle<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"231\">Gallbladder diseases<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"525\">Ganglion Cyst in Wrist<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"524\">Gangrene<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"420\">Gas<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"429\">Gas Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"102\">Gastric<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"523\">Gastritis, Flatulence, Indigestion<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"522\">Genital Herpes<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"139\">Genital Warts<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"320\">Giardiasis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"402\">Gingivitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"520\">Gleet, Gonorrhea<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"519\">Glomerulonephritis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"518\">Goitre<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"517\">Gonorrhea<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"120\">Gout<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"328\">Graves Disease<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"428\">Groin Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"207\">Gum Disease<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"173\">Haemophilia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"515\">Haemorrhage<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"145\">Hair Loss<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"325\">Hairy Tongue<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"514\">Hay Fever, Allergic Rhinitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"405\">Hayfever<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"352\">Head Injury<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"111\">Headache<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"290\">Heart Affections<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"321\">Heart Attack<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"131\">Heart Burn or Pyrosis or Reflux<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"512\">Heart Disease<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"179\">Heat Exhaustion and Heat Stroke<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"230\">Heat Rash<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"431\">Heel Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"302\">Hemochromatosis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"119\">Hemorrhoids<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"388\">Hepatitis A<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"387\">Hepatitis B<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"343\">Hepatitis B Infection<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"345\">Hepatitis B Virus Infection<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"386\">Hepatitis C<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"346\">Hepatitis C Virus Infection<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"344\">Hepatitis CInfection<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"342\">Hepatitis Infection<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"186\">Hernia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"511\">Herpes Simplex<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"510\">Herpes Zoster or Shingles<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"419\">High Blood Pressure<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"442\">Hip Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"401\">Hives<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"509\">Hydrocephalus<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"508\">Hydrocoele<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"418\">Hypermesis Graviderum<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"507\">Hypertension<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"506\">Hyperthyroidism<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"417\">Hypoglycemia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"557\">Hypotension, Low Blood Pressure<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"505\">Hypothyroidism<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"504\">Hysteria<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"349\">Impotence<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"114\">Increasing Breast Milk<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"400\">Indigestion<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"255\">Infant Colic<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"126\">Ingrown Toenail<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"502\">Injuries<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"587\">Insanity<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"178\">Insanity<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"583\">Insomnia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"174\">Insomnia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"265\">Intercostal Neuralgia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"500\">Intertrigo<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"264\">Intestinal Obstruction<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"206\">Intestinal Problems<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"300\">Iron Deficiency Anemia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"228\">Itchy Skin<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"259\">Jaundice<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"432\">Jaw Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"143\">Joint Pains<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"499\">Juvenile Rheumatoid Arthritis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"204\">Kawasaki<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"122\">Keloid Scar<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"203\">Keratosis Pilaris<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"350\">Kidney Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"104\">Kidney Disease<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"433\">Kidney Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"133\">Kidney Stone<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"447\">Knee Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"572\">Labor Afterpains<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"263\">Labyrinthitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"399\">Laryngitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"441\">Left Sided Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"158\">Leg Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"165\">Leucorrhea<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"497\">Lichen Planus<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"262\">Lichen Simplex Chronicus<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"416\">Liver Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"347\">Liver Carcinoma<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"164\">Liver Cirrhosis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"496\">Locomotor Ataxia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"202\">Loose Stools<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"415\">Low Blood Pressure<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"414\">Low Blood Sugar<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"434\">Lower Abdominal Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"188\">Lumbar Spondylosis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"413\">Lung Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"106\">Lung Infection<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"201\">Lupus Nephritis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"427\">Lyme<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"385\">Lymphoma<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"227\">Macular Dystrophy<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"167\">Malaria<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"495\">Marasmus<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"494\">Measles<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"493\">Meningitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"309\">Menopause<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"163\">Menopause<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"162\">Menorrhagia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"589\">Menstrual Cramps<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"176\">Menstrual Cramps<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"492\">Mental Problems<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"248\">Metabolic Acidosis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"261\">Metabolic Alkalosis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"513\">Migraine Headache<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"226\">Milk Allergy<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"579\">Miscarriage<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"271\">Mitral Stenosis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"491\">Moles or Naevus<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"490\">Molluscum Contagiosum<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"489\">Mood Disorders<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"161\">Morning Sickness<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"322\">Motion Sickness<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"488\">Mouth Disease<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"395\">Multiple Sclerosis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"487\">Mumps<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"157\">Muscle Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"486\">Myasthenia Gravis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"260\">Myocarditis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"449\">Nasal Polyps<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"398\">Nausea<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"154\">Neck and Shoulder Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"450\">Nephrotic Syndrome<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"484\">Neuralgia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"485\">Neurasthenia, Weakness, Prostration<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"483\">Neuritis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"258\">Neutropenia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"360\">Nicotine Use Disorders<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"286\">Nocturnal Emissions<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"115\">Nose Bleed<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"118\">Obesity<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"482\">Obesity<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"481\">Obsessive Compulsive Disorder (OCD)<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"333\">Optic Nerve Atrophy<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"480\">Orchitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"384\">Osteoporosis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"370\">Ovarian Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"160\">Ovarian Cyst<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"257\">Pacemaker Syndrome<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"256\">Pagets disease<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"476\">Pain in Feet, Soles, Heel<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"348\">Pain in Ribs<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"225\">Pains in Chest<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"383\">Pancreatic Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"411\">Pancreatitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"478\">Paralysis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"288\">Parkinsonism<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"582\">Parkinsons Disease<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"332\">Patent Ductus Arteriosus<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"254\">Pellagra<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"477\">Peptic Ulcers<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"410\">Perimenopause<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"224\">Perioral Dermatitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"223\">Peripheral Neuropathy<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"200\">Perirectal Abscess<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"159\">Peritonitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"253\">Pernicious Anemia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"373\">Phobia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"252\">Photophobia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"379\">Pica<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"135\">Piles<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"331\">Pilonidal Sinus (Pilonidal cyst)<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"314\">Pink Eye (Conjunctivitis)<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"298\">Pityriasis Rosea<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"330\">Placenta Previa<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"329\">Pleurisy<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"475\">Pleurisy<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"474\">Pleurodynia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"380\">PMS or Premenstrual Syndrome<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"184\">Pneumonia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"473\">Pneumonia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"472\">Polycystic Kidney Disease<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"190\">Polycystic Ovarian Disease (PCOD)<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"471\">Potts Disease<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"175\">Premenstrual Syndrome (PMS)<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"336\">Presbycusis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"578\">Prevent Abortion<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"580\">Prevent Abortion or Miscarriage<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"469\">Problems After PREGNANCY<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"468\">Problems During PREGNANCY<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"251\">Proctitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"364\">Prostate Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"177\">Prostate Enlargement<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"467\">Prostatitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"199\">Protein Deficiency<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"250\">Pruritus Ani<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"249\">Pruritus Vulva<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"129\">Psoriasis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"222\">Pulmonary Fibrosis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"221\">Pulmonary Hypertension<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"297\">Rabies<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"296\">Rashes<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"334\">Repetitive Stress Injury (RSI)<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"374\">Restless Legs Syndrome<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"466\">Rheumatic Fever<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"151\">Rheumatoid Arthritis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"156\">Right Side Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"397\">Ring Worm<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"191\">Salivary Gland Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"150\">Scabies<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"125\">Scarlet fever<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"585\">Schizophrenia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"185\">Schizophrenia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"284\">Sciatica<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"149\">Sciatica Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"363\">Scoliosis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"463\">Sea Sickness<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"462\">Sebaceous Cysts<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"337\">Seborrheic Dermatitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"461\">Septicemia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"465\">Severe Acute Respiratory Syndrome (SARS)<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"134\">Shingles<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"440\">Shoulder Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"439\">Side Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"460\">Sjogrens Syndrome<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"376\">Skin Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"437\">Skin Disease<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"396\">Sleep Apnoea<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"584\">Sleeplessness<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"351\">Sleeplessness<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"140\">Slipped Disk<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"459\">Smallpox Eruptions<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"148\">Sore Throat<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"425\">Spine Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"324\">Splenomegaly or Enlarged Spleen<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"338\">Stomach Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"438\">Stomach Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"194\">Stomach Pain in Children<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"182\">Stomach Ulcers<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"435\">Stress<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"220\">Suicidal Thoughts<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"147\">Sunstroke and Heatstroke<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"516\">Swine flu<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"458\">Synovitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"457\">Syphilis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"272\">Teeth Affections<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"377\">Testicular Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"455\">Tetanus<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"299\">Thalassemia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"315\">Threadworms<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"198\">Throbbing Headache<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"195\">Thrombophilia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"197\">Thrombophilia<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"105\">Thyroid<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"335\">Thyroid Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"448\">Thyroid Disorders<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"123\">Tinnitus<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"189\">Tobacco Craving<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"109\">Tonsil<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"409\">Toothache<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"113\">Tubercular Lymphadenopathy<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"464\">Tuberculosis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"470\">Tuberculosis of Spine<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"247\">Tympanitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"312\">Type 1 Diabetes<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"311\">Type 2 Diabetes<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"103\">Ulcer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"382\">Ulcerative Colitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"293\">Ulcers Around Stoma<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"292\">Ulcers in Mouth<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"291\">Ulcers in Throat<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"130\">Urinary Tract Infection (UTI)<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"454\">Urticaria<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"295\">Uterine Prolapse<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"394\">Vaginitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"246\">Valvular Heart<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"245\">Vasculitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"146\">Vertigo<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"378\">Viral Hepatitis<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"408\">Vitamin B12 Deficiency<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"166\">Vitiligo or Leucoderma<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"240\">Vocal Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"242\">Vocal Cord Cancer<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"241\">Vocal Cord Cyst<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"239\">Vocal Cord Polyp<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"196\">Volvulus of Intestine<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"453\">Vomiting<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"138\">Warts<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"243\">Weakness and Fatigue<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"117\">Weight Loss<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"244\">Wet Dreams<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"187\">Whooping Cough<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"452\">Worms<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"381\">Wound Healing<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"436\">Wrist Pain<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<option value=\"451\">Yellow Fever<\/option>\r\n\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t\t<\/select>\r\n\r\n\t\t\t\t\t\t<br>\t\t\t\t\t\r\n\r\n\t\t\t\t\t<\/div>\t\t\t\t\t\r\n\r\n\t\t\t<\/div>\t\r\n\r\n\t\t<div class=\"diagnosissnosis_div\">\r\n\r\n\t\t\t<div class=\"form-group\">\r\n\r\n\t\t\t\t<label class=\"col-sm-2 control-label\" for=\"diagnosis\">Diagnosis Report<\/label>\r\n\r\n\t\t\t\t<div class=\"col-sm-8\">\r\n\r\n\t\t\t\t\t<input type=\"file\" class=\"form-control file dignosisreport\" onchange=\"fileCheck(this);\" 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