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International Sciences Laboratory

National Highway Balian, Pilian Laguna 4018

Name:
Time: Age/Sex:
Patient ID:
Ordering Dr: Physician Copy for:

SPEC #: Collection Date/Time:


Received Date/Time:
SPECIMEN:
ORDERED:
QUERIES:

Test Normal Abnormal


COMPLETE BLOOD COUNT
White Blood Cell (WBC)
Red Blood Cell (RBC)
Hemoglobin (HB/Hgb)
Hematocrit
Mean Cell Volume (MCV)
Mean Cell Hemoglobin (MCH)
Mean Cell Hb Conc (MCHC)
Red Cell Dist Width (RDW)
Platelet count
Mean Platelet Volume

WBC DIFFERENTIAL

Neutrophil
Lymphocyte (Lymph)
Monocyte (Mono)
Eosinophil (Eos)
Basophil (Baso)
Neutrophil, Absolute
Lymphocyte, Absolute
Monocyte, Absolute
Eosinophil , Absolute
Basophil, Absolute

Flag Key:

Comment:
**END OF REPORT**
boratory
Laguna 4018

Date:
DOB:
Status:
Physician Copy for:

Flag Units Reference Range

K/mcL 4.8-10.8
K/mcL 4.7-6.1
g/dL 14.0-18.0
% 42-52
fL 80-100
pg 27.0-32.0
g/dL 32.0-36.0
% 11.5-14.5
K/mcL 150-450
fL 7.5-11.0

% 33-73
% 13-52
% 0-10
% 0-5
% 0-2
K/mcL 1.8-7.8
K/mcL 1.0-4.8
K/mcL 0-0.8
K/mcL 0-0.45
K/mcL 0-0.2

**

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