Proceduce Details Procedure Date : Boost Dose : Entry Date : id : User : Clear filters Procedure Date Type Of Entry Patient Name Male Procedure Female Procedure Boost Dose Lot Numbers Estradiol 6mg Estradiol 10mg Estradiol 12.5mg Estradiol 15mg Estradiol Dosage Testosterone 12.5mg Testosterone 25mg Testosterone 37.5mg Testosterone 50mg Testosterone 87.5mg Testosterone 100mg Testosterone 200mg Testosterone Dosage Received Estradiol 6mg Received Estradiol 10mg Received Estradiol 12.5mg Received Estradiol 15mg Received Testosterone 12.5mg Received Testosterone 25mg Received Testosterone 37.5mg Received Testosterone 50mg Received Testosterone 87.5mg Received Testosterone 100mg Received Testosterone 200mg Billed Entry Date id User Procedure Date Boost Dose Entry Date id User ∑ = ∑ = ∑ = ∑ = ∑ = ∑ = ∑ = ∑ = ∑ = ∑ =