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  • Date Name Age Ref. by Sex Hospital Name Lab No Specimen Investigation Result Method

    Încărcat de

    Abhijeet Waghmare
    36 vizualizări4 pagini
    This document contains a laboratory test request form listing investigations for various specimen types including stool, urine, sputum, throat swab, pus, tracheotomy secretion, and blood sent from multiple hospitals and doctors. It includes fields for patient details, hospital and doctor information, specimen type, requested investigations, and results.

    Descriere originală:

    Report printing utility for microbiology lab

    Titlu original

    Lab Reporting Utility

    Drepturi de autor

    © Attribution Non-Commercial (BY-NC)

    Formate disponibile

    XLSX, PDF, TXT sau citiți online pe Scribd

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    This document contains a laboratory test request form listing investigations for various specimen types including stool, urine, sputum, throat swab, pus, tracheotomy secretion, and blood sent from multiple hospitals and doctors. It includes fields for patient details, hospital and doctor information, specimen type, requested investigations, and results.

    Drepturi de autor:

    Attribution Non-Commercial (BY-NC)
    Descărcați ca XLSX, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    36 vizualizări4 pagini

    Date Name Age Ref. by Sex Hospital Name Lab No Specimen Investigation Result Method

    Încărcat de

    Abhijeet Waghmare
    This document contains a laboratory test request form listing investigations for various specimen types including stool, urine, sputum, throat swab, pus, tracheotomy secretion, and blood sent from multiple hospitals and doctors. It includes fields for patient details, hospital and doctor information, specimen type, requested investigations, and results.

    Drepturi de autor:

    Attribution Non-Commercial (BY-NC)
    Descărcați ca XLSX, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    din 4

    First Name Ref.

    By Hospital Name Specimen INVESTIGATION Stool for Culture & Sensitivity Dr 1 1

    Middle

    Last

    Date Age Sex Lab No

    --------------------------------------- ------------------------------------------------------------------------------------------------------------------RESULT METHOD

    Hospital No

    Hospital Name

    Dr. Name

    Sample Type

    1 2 3 4 5 6 7 8 9

    H1 H2
    H3

    H4
    H5
    H6

    Dr 1 Dr 2 Dr 3 Dr 4

    Blood Urine Sputum Stool Throat Swab Pus

    Tracheotomy Secretion

    INVESTIGATION

    Salutation

    Urine for Culture & Sensitivity Urine for Culture & Sensitivity Stool for Microscopic Examination & Culture Sensitivity Thorat swab for Gram stain, AFB, Culture & Sensitivity Pus for Culture & Sensitivity Stool for Culture & Sensitivity Stool for Culture & Sensitivity Tracheotomy Secretion for Culture & Sensitivity Blood for Dengue IgG & IgM Blood for Leptospira IgG & IgM Blood for WIDAL

    Mr. Mrs. Ms. Dr.

    Sex Male Female Unknown

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