CYTOGENETIC SECTION

Barcode No: Lab No: Type of Sample:

Audit TAT (mm/yyyy):..

Peripheral Blood

Bone Marrow

Others

No 1 2 3 4

5 6 7 8 9 10

Procedure Receiving Data entry Sampel cultured a) Add Thymidine Harvest a) Add DOC b) Colcemide Banding Capture Analysis Furthertest/analysis Verification Result despatch

Date

Time

Initial

Comment

CHECK LIST: PATIENTS DATA

Report by:

Verify by:

. Name Sex Age I/C Karyotype (Male/ Female) FISH test/ PCR Test To ensure all details on: 1. Request forms 2. Results 3. Reports are correct