xt" id="al" name="al">
    <br>

    <label for="pcc">P.C.C : </label>
    <input type="text" id="pcc" name="pcc">
    <br>

    <label for="bgr">B.G.R: </label>
    <input type="text" id="bgr" name="bgr">
    <br>

    <label for="bu">B.U : </label>
    <input type="text" id="bu" name="bu">
    <br>

    <label for="sc">S.C : </label>
    <input type="text" id="sc" name="sc">
    <br>


    <label for="hemo">HEMO : </label>
    <input type="text" id="hemo" name="hemo">
    <br>

    <label for="pcv">PCV : 