SenzaiCells Patient Profile Form

Full Name

Age

Height (cm)

Weight (kg)

Sex

Blood Pressure (mmHg)

Blood Sugar (mg/dL)

Oxygen Saturation (SpO2)

Pulse Rate

Body Temperature

Diet Type

Sleep Quality

Stress Level

Physical Activity

Smoking

Alcohol Use

Patient Complaints or Current Symptoms

FBS

Hemoglobin

WBC

Platelet

Creatinine

BUN

ALT (SGPT)

AST (SGOT)

Triglycerides

Cholesterol

HDL

LDL

Urine pH

Urine Protein

Urine Sugar

Almost done! Please review all details above and click the button below to generate your secure patient code.

You will receive a unique code that allows the SenzaiCells LBA Operator to import your data into the clinic system.