Unit G01-G02 San Jose Bldg. Sta. Rosa Estates Comm'l Strip Tagaytay Rd. Sta.

Rosa Laguna

Name : BASA, GINA SOLON Lab. Number : 2133027610

PID : SR061361 Birthdate : 10-09-1973
Age : 47 Sex :FEMALE Dispatch : PICK-UP
Source : INSULAR HEALTH CARE, INC. (INLIFE- Page : 1 of 3 3
HMO)APE/PEME
Clinician : N/A
Date Requested : 08-21-2021 07:31 AM Received : 08-24-2021 01:01Received
PM : 08-24-2021 01:01 PM

Result (SI Unit) Result (Conv. Unit)

TEST Reference Interval Reference Interval

HEMATOLOGY
CBC and Platelet
White Blood Cells 8.55 X10^9/L 8.55 X10^3/mm^3
3.98~10.04 3.98~10.04
Red Blood Cells 4.69 X10^12/L 4.69 X10^6/mm^3
3.93~5.22 3.93~5.22
Hemoglobin 124.00 g/L 12.40 g/dL
112.00~157.00 11.20~15.70
Hematocrit 0.38 Vol.Fraction 38.00 %
0.34~0.45 34.00~45.00
Mean Corpuscular Volume 80.60 fL 80.60 u^3
79.40~94.80 79.40~94.80
Mean Corpuscular Hb 26.40 pg 26.40 pg
25.60~32.20 25.60~32.20
Mean Corpuscular Hb Conc. 32.80 % 32.80 g/dL
32.20~35.50 32.20~35.50
RBC Distribution Width 12.30 % 12.30 %
11.60~14.60 11.60~14.60
Platelet Count 349.00 X10^9/L 349.00 X10^3/mm^3
150.00~450.00 150.00~450.00
Mean Platelet Volume 10.80 fL 10.80 fL
6.50~12.00 6.50~12.00
Differential Count
Neutrophils 59.00 % 59.00 %
34.00~71.00 34.00~71.00
Lymphocytes 31.00 % 31.00 %
19.00~52.00 19.00~52.00
Monocyte 4.40 % 4.40 %
5.00~12.00 5.00~12.00
Eosinophil 5.00 % 5.00 %
1.00~7.00 1.00~7.00
Basophil 0.60 % 0.60 %
0.00~1.00 0.00~1.00

LEGEND: - High - Alert Value High - Low - Alert Value Low

HM:

REGISTERED MEDICAL TECHNOLOGIST QUALITY CONTROL PATHOLOGIST

** Report Electronically Signed Out **
HPD
 Unit G01-G02 San Jose Bldg. Sta. Rosa Estates Comm'l Strip Tagaytay Rd. Sta. Rosa Laguna

Name : BASA, GINA SOLON Lab. Number : 2133027610

PID : SR061361 Birthdate : 10-09-1973
Age : 47 Sex :FEMALE Dispatch : PICK-UP
Source : INSULAR HEALTH CARE, INC. (INLIFE- Page : 2 of 3 3
HMO)APE/PEME
Clinician : N/A
Date Requested : 08-21-2021 07:31 AM Received : 08-24-2021 01:01Received
PM : 08-24-2021 01:01 PM

SI Conventional
TEST RESULT UNIT Reference Interval RESULT UNIT Reference Interval

CLINICAL MICROSCOPY
Urinalysis
Date of Collection 08-24-21
Time of Collection 12:14 PM
Physical / Macroscopic
Color LIGHT YELLOW
Transparency CLEAR
Urine Chemical
Sp. Gravity 1.010 1.005~1.025
pH 8.00 5.00~7.00
Protein NEGATIVE NEGATIVE
Glucose NEGATIVE NEGATIVE
Bilirubin NEGATIVE NEGATIVE
Blood (ERY/Hb) ++ NEGATIVE
Comment/s:
Results may be affected by RBC lysis, high concentrations of ascorbic
acid, nitrites and protein, dehydration, exercise microbial
peroxidase activities in UTI.

Leukocytes NEGATIVE NEGATIVE

Nitrite NEGATIVE NEGATIVE
Urobilinogen NEGATIVE NEGATIVE
Ketone NEGATIVE NEGATIVE
Microscopic
RBC 1-3 /hpf 0~3
WBC 1-2 /hpf 0~5
Epithelial Cells FEW
Bacteria FEW
Mucus Threads FEW

LEGEND: - High - Alert Value High - Low - Alert Value Low

CM:

REGISTERED MEDICAL TECHNOLOGIST QUALITY CONTROL PATHOLOGIST

** Report Electronically Signed Out **
HPD
 Unit G01-G02 San Jose Bldg. Sta. Rosa Estates Comm'l Strip Tagaytay Rd. Sta. Rosa Laguna

Name BASA, GINA SOLON

: Lab. Number : 2133027610
PID SR061361
: Birthdate : 10-09-1973
Age :
47 Sex :FEMALE Dispatch : PICK-UP
Source :
INSULAR HEALTH CARE, INC. (INLIFE- Page : 3 of 3 3
HMO)APE/PEME
Clinician : N/A
Date Requested : 08-21-2021 07:31 AM Received : 08-24-2021 01:01Received
PM : 08-24-2021 01:01 PM

Test Result Unit

Routine Fecalysis
Date of Collection 08-24-21
Time of Collection 12:14 PM
Physical Exam
Color BROWN
Consistency SEMI FORMED
Microscopic Examination
White Blood Cell NONE SEEN
Red Blood Cell NONE SEEN
Ova & Parasite NO INTESTINAL
PARASITE SEEN
NOTE : The results are best interpreted by a healthcare professional and are not intended to be used as the sole means
for diagnosis or management.
Specimen rechecked, result/s verified.

LEGEND: - High - Alert Value High - Low - Alert Value Low

CM:

REGISTERED MEDICAL TECHNOLOGIST QUALITY CONTROL PATHOLOGIST

** Report Electronically Signed Out **
HPD