| <%%SELECT%%><%%VALUE(nom_prenom)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(nni)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(phone)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(provenance)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(sexe)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(groupe_sanguin)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(age)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(diagnostic)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(tiers_payant)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(chirurgien)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(anesthesiste)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(date_entree)%%><%%ENDSELECT%%> |
<%%SELECT%%><%%VALUE(validation)%%><%%ENDSELECT%%> |