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  • Requesition Slip Requesition Slip

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    jmmos207064
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    The document contains four requisition slips that request laboratory tests including blood tests such as FBS, lipid profile, liver profile, BUN, creatinine, calcium, and cholesterol. It also requests urine analysis, stool examination, and tests for complete blood count, platelets, hemoglobin, blood typing, coagulation profile, and pregnancy. The requisition slips include fields for patient name, address, date, sex, and age.

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    requisition slip laboratory training phlebotomy

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    Requesition Slip

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    The document contains four requisition slips that request laboratory tests including blood tests such as FBS, lipid profile, liver profile, BUN, creatinine, calcium, and cholesterol. It also requests urine analysis, stool examination, and tests for complete blood count, platelets, hemoglobin, blood typing, coagulation profile, and pregnancy. The requisition slips include fields for patient name, address, date, sex, and age.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    46 views2 pages

    Requesition Slip Requesition Slip

    Uploaded by

    jmmos207064
    The document contains four requisition slips that request laboratory tests including blood tests such as FBS, lipid profile, liver profile, BUN, creatinine, calcium, and cholesterol. It also requests urine analysis, stool examination, and tests for complete blood count, platelets, hemoglobin, blood typing, coagulation profile, and pregnancy. The requisition slips include fields for patient name, address, date, sex, and age.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    REQUESITION SLIP

    NAME:
    ADDRESS:

    DATE:
    SEX: AGE:

    LABORATORY
    FBS/RBS
    LIPID PROF
    HDL
    LDL
    Triglycerides
    Total
    Cholesterol
    BUN
    CREA
    BUA
    Liver Profile
    SGPT / ALT
    SGOT / AST
    Total Protein
    Bilirubin
    Calcium
    Chroride

    REQUESITION SLIP
    NAME:
    ADDRESS:
    LABORATORY

    CBC
    PLATELET CNT
    ESR
    Hemoglobin
    Blood Typing
    CTBT
    PTPA/PROTIME
    Peripheral BS
    Urinalysis
    Micral Test
    Stool Exam
    Occult blood
    Pregnancy Exam
    VDR / RPR
    Others

    FBS/RBS
    LIPID PROF
    HDL
    LDL
    Triglycerides
    Total
    Cholesterol
    BUN
    CREA
    BUA
    Liver Profile
    SGPT / ALT
    SGOT / AST
    Total Protein
    Bilirubin
    Calcium
    Chroride

    REQUESITION SLIP
    NAME:
    ADDRESS:

    DATE:
    SEX: AGE:

    LABORATORY
    FBS/RBS
    LIPID PROF
    HDL
    LDL
    Triglycerides
    Total
    Cholesterol
    BUN
    CREA
    BUA
    Liver Profile
    SGPT / ALT
    SGOT / AST
    Total Protein
    Bilirubin
    Calcium
    Chroride

    DATE:
    SEX: AGE:

    CBC
    PLATELET CNT
    ESR
    Hemoglobin
    Blood Typing
    CTBT
    PTPA/PROTIME
    Peripheral BS
    Urinalysis
    Micral Test
    Stool Exam
    Occult blood
    Pregnancy Exam
    VDR / RPR
    Others

    REQUESITION SLIP
    NAME:
    ADDRESS:

    DATE:
    SEX: AGE:

    LABORATORY
    CBC
    PLATELET CNT
    ESR
    Hemoglobin
    Blood Typing
    CTBT
    PTPA/PROTIME
    Peripheral BS
    Urinalysis
    Micral Test
    Stool Exam
    Occult blood
    Pregnancy Exam
    VDR / RPR
    Others

    FBS/RBS
    LIPID PROF
    HDL
    LDL
    Triglycerides
    Total
    Cholesterol
    BUN
    CREA
    BUA
    Liver Profile
    SGPT / ALT
    SGOT / AST
    Total Protein
    Bilirubin
    Calcium
    Chroride

    CBC
    PLATELET CNT
    ESR
    Hemoglobin
    Blood Typing
    CTBT
    PTPA/PROTIME
    Peripheral BS
    Urinalysis
    Micral Test
    Stool Exam
    Occult blood
    Pregnancy Exam
    VDR / RPR
    Others

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