Lab Result Form Clinical Micros

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2A-2D 2nd Floor, Ayala Abreeza Malls, J.

P Laurel Avenue
Brgy. 20-B Poblacion, Davao City, 8000

Last name: Patient No.:


Middle name: Queue No.:

First name: Requested by:

Age / Gender: Date Received:

Birthdate:

CLINICAL MICROSCOPY

URINALYSIS RESULTS
Date of Collection

Time of Collection
Physical / Macroscopic
Color
Transparency
Urine Chemical
Specific Gravity
pH
Protein
Glucose
Microscopic
RBC
WBC
Epithelial Cells
Mucus Threads
Bacteria

Processed By: Validated By:

EARL VIC G. AMBORGO, RMT


CHRISTIAN V. VASQUEZ, RMT JOHN PATRICK C. PADILLA, MD,FPSP
License# 0075464
License# 0059891 License# 0089855
MEDICAL TECHNOLOGIST PATHOLOGIS
MEDICAL TECHNOLOGIST

Generated on August 1, 2023, 2:55 pm

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2A-2D 2nd Floor, Ayala Abreeza Malls, J.P Laurel Avenue
Brgy. 20-B Poblacion, Davao City, 8000

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