<table summary="" class="data">
	<tr>
		<td class="left">Paraprotein type:</td><td class="gray">&nbsp;</td>
		<td class="left">Pp level:</td><td class="gray">[g/L]</td>
	</tr>
	<tr>
		<td class="left">Urine FLC type:</td><td class="gray"></td>
		<td class="left">Serum kappa:</td><td class="gray">[mg/L]</td>
	</tr>
	<tr>
		<td class="left">Serum FLC type:</td><td class="gray"></td>
		<td class="left">Serum lambda:</td><td class="gray">[mg/L]</td>
	</tr>
	<tr>
		<td class="left">Bone disease:</td><td class="long">&nbsp;</td>
		<td class="left">Kappa:Lambda ratio:</td><td class="long">&nbsp;</td>
	</tr>
	<tr>
		<td class="left">Bone lesions:</td><td class="gray">[0-99]</td>
		<td class="left">&beta;<sub>2</sub>m:</td><td class="short">[mg/L]</td>
	</tr>
	<tr>
		<td class="left">MRI scan:</td><td class="gray">[Y/N]</td>
		<td class="left">Creatinine:</td><td class="gray">[&micro;mol/L]</td>
	</tr>
	<tr>
		<td class="left">Skeletal survey:</td><td class="gray">[Y/N]</td>
		<td class="left">Hb:</td><td class="gray">[g/dL]</td>
	</tr>
	<tr>
		<td class="left">Immunoglobulins:</td><td class="gray">[ normal / suppressed ]</td>
		<td class="left">Albumin:</td><td class="gray">[g/dL]</td>
	</tr>
	<tr>
		<td class="left">ECOG:</td><td class="short">[0 - 4]</td>
		<td class="left">Calcium:</td><td class="gray">[ mmol/L ]</td>
	</tr>
    <tr>
		<td class="left">Platelets:</td><td class="gray">[x10<sup>9</sup>/L]</td>
		<td class="left">WBC:</td><td class="gray">[x10<sup>9</sup>/L]</td>
    </tr>
    <tr>
		<td class="left">Neutrophils:</td><td class="gray">[x10<sup>9</sup>/L]</td>
		<td class="left">PCV:</td><td class="gray">%</td>
    </tr>
    <tr>
		<td class="left">Monocytes:</td><td class="gray">[x10<sup>9</sup>/L]</td>
		<td class="left">Lymphocytes:</td><td class="gray">[x10<sup>9</sup>/L]</td>
    </tr>
</table>

<h4>Comments:</h4>
