| ABSTINANCE DAYS : |
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TIME OF COLLECTION : |
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MACROSCOPIC EXAMINATION : |
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| Liquifaction time : |
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Colour : |
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| Volume : |
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Reaction : |
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| Odour : |
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MICROSCOPIC EXAMINATION : |
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| Total Sperm Count : |
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Motility : |
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| DURATION : |
ACTIVELY MOTILE : |
SLUGGISHLY MOTILE : |
NON-MOTILE : |
| At 15 min : |
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| 1st hour : |
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| 2nd hour : |
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| Morphology of sperm |
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| Normal shape : |
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Abnormal shape : |
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| Pus Cells : |
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Red cells : |
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| Epithelial cells : |
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