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VETERANS REGIONAL HOSPITAL

Bayombong, Nueva Vizcaya


Laboratory Request

Date :
Patient Name: LAMSIS, CORAZON MAGASTINO PHIC Category :
Hospital No: Gender: Birthdate: Age:
Address:

Physician: Ward/Room/Bed:
Admission
Diagnosis:

Order Number Examination Priority


LAB190113115 HBA1C

Date Time Printed: 13 Jan 2019 04:37:22 PM


Date Time Extracted:
Date Time Done:

iHOMIS Generated

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