세포유전학검사 의뢰서 등록

가족력

염색체검사 의뢰서 주요증상(필수) 주요증상(기타입력)

<line id="line6" class="line_1" style="x1:0px; y1:157px; x2:490px; y2:157px; "/>
			<select id="checkbox1" ref="/root/main/reqfrm/reqfrmtbl/reqfrminfo/reqcnts" overflow="visible" appearance="full" cellspacing="100" cols="2" sep="," style="left:0px; top:46px; width:490px; height:64px; border-style:none; ">
				<choices>
					<item>
						<label>성장지연</label>
						<value>성장지연</value>
					</item>
					<item>
						<label>발달지연</label>
						<value>발달지연</value>
					</item>
					<item>
						<label>선천성기형</label>
						<value>선천성기형</value>
					</item>
					<item>
						<label>다운증후군</label>
						<value>다운증후군</value>
					</item>
					<item>
						<label>Turner 증후군</label>
						<value>Turner 증후군</value>
					</item>
					<item>
						<label>Klinefelter 증후군</label>
						<value>Klinefelter 증후군</value>
					</item>
					<item>
						<label>기타</label>
						<value>기타</value>
					</item>
				</choices>
			</select>
			<caption id="caption1" class="tit_2" style="left:0px; top:265px; width:152px; height:13px; ">요구사항</caption>
			<textarea id="textarea1" ref="/root/main/reqfrm/reqfrmtbl/reqfrminfo/claim" style="left:0px; top:282px; width:490px; height:108px; "/>
			<line id="line3" class="line_1" style="x1:0px; y1:278px; x2:490px; y2:278px; "/>
			<input id="input1" ref="/root/main/reqfrm/reqfrmtbl/reqfrminfo/family" style="left:70px; top:110px; width:420px; height:19px; "/>
			<select id="checkbox2" ref="/root/main/reqfrm/reqfrmtbl/reqfrminfo/famchk" overflow="visible" appearance="full" style="left:0px; top:112px; width:70px; height:15px; border-style:none; ">
				<choices>
					<item>
						<label>가족력</label>
						<value>가족력</value>
					</item>
				</choices>
			</select>
		</group>
		<group id="group3" style="left:0px; top:405px; width:500px; height:27px; ">
			<line id="line2" class="line_2" style="x1:0px; y1:0px; x2:490px; y2:0px; "/>
			<button id="btn_close" class="btn4_letter2" style="left:434px; top:5px; width:56px; height:22px; ">
				<caption>닫기</caption>
				<script type="javascript" ev:event="DOMActivate">
					<![CDATA[
						fSetClose();
					]]>
				</script>
			</button>
			<button id="btn_save" class="btn4_letter2" style="left:375px; top:5px; width:56px; height:22px; ">
				<caption>확인</caption>
				<script type="javascript" ev:event="DOMActivate">
					<![CDATA[
						fExeClinicSave();
					]]>
				</script>
			</button>
		</group>
	</xhtml:body>
</xhtml:html>