{{ $DoctorName }} @if (isset(session()->get('doctor')['vCentralCode'])) {{ session()->get('doctor')['vCentralCode'] }} @endif
@if (isset(session()->get('doctor')['vCentralCode']))
Logout
@endif

{{ $ActivityTypeName }}

{{ $ActivityName }}

@csrf
@if (isset(session()->get('doctor')['vCentralCode']))
Back
@else
@endif

Survey Questionnaire

(To be filled only by physician)

Doctor’s Details

@if(isset(session()->get('doctor')['vCentralCode']))
@else
@endif

Diagnosis *

Physician’s Assessment at End of Treatment

  • What are the reasons for choosing Tamsulosin + Dutasteride combination over Silodosin + Dutasteride combination? *

  • What is rational of choosing medical therapy over surgical treatment? *

  • Any other comments: