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ISLAMABAD DIAGNOSTIC CENTER Doc. No.

BOM-F-16/00
BUREWALA
( PVT) LIMITED ) TO Branch MULTAN
Record Format Rev. Date 18-07-2023
Branch Sample Transportation Sheet Page No. Page 1 of 1

From Branch
Date 12-12-2023
PIN Number Test to be performed
Rep. Time
EDTA GEL GRAY URN STL CIT OTHER
2312-01-078178 1 2 1 1 CBCP,RFT,LFT, 8:30PM
14-12-2023
HBVS,HCVS,
URE,GR,
2312-01-078829 1 CBCP 8:30PM
14-12-2023
2312-01-078846 1 CBCP 8:30PM
14-12-2023
2312-01-079455 1 CAL 8:30PM
15-12-2023
2312-01-080113 1 tpha 16-10-2023
8:00pm

RAZA IQBAL
Courier Name: Courier Initials:
Samples Handed Over SABA
by: (Staff) Staff Initials:
SADIQUE
5:00pm 18
Sending Time: Box Temperature:

Received by: Initials

Receiving Time: Box Temperature:


Remarks:
This document is internal and confidential.
The format and version of this document is controlled, in case of any need for
amendment please coordinate with Functional Quality Leader and QA Team

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