#Currency:

#Clinic Details

#Patient Details

This field is required

{{ serviceOrderLineGroup.Name.Default }}

{{ getServiceOrderLineTotal(serviceOrderLine) }}

andre

{{ model.Form.SelectedCurrency.Symbol }}

#Next Steps

#Consultation Total

{{ total }}

Terms and conditions apply. Please see our website for details. Please note: Clinical criteria applies to all IVF treatments. Any questions call +45 33 33 71 01 or vitanova.dk/kontakt

{{ translations.PersonalTreatmentPlan }}

logo

{{ translations.PatientName }}: {{ model.Form.PatientName.Value }}
{{ translations.PatientNumber }}: {{ model.Form.PatientNumber.Value }}
{{ translations.Date }}: {{ (new Date()).toLocaleDateString() }}
{{ translations.Consultant }}: {{ model.Form.Consultant.Value?.Name }}

{{ translations.ConsultationOverview }}:

{{ model.Form.ConsultationOverview.Value.Name.Translations[model.Form.SelectedLanguage.Name] }}

Supplerende bemærkninger:

{{ model.Form.AdditionalComment.Value }}


{{ serviceOrderLineGroup.Name.Translations[model.Form.SelectedLanguage.Name] }}

{{ translations.Quantity }}
{{ translations.Cost }}
{{ serviceOrderLine.Service.Name.Translations[model.Form.SelectedLanguage.Name] }}
{{ serviceOrderLine.Quantity }}
{{ getServiceOrderLineTotal(serviceOrderLine) }}

{{ additional.Name }}
{{ additional.Quantity}}
{{ model.Form.SelectedCurrency.Symbol }} {{ formatPrice(additional.Price)}}

{{ translations.ConsultationTotal }}

{{ total }}
{{ translations.NextSteps }}

{{ model.Form.NextStep.Value.Name.Translations[model.Form.SelectedLanguage.Name] }}