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  • Lab - Urinalysis

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    Errol Llanes
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    This document contains a medical report template from the Municipal Health Office of San Ildefonso in the province of Bulacan in the Philippines. The template includes sections for a patient's name, address, age, gender, blood sugar levels, hemoglobin levels, blood type, hepatitis B test results, urinalysis results including color, transparency, pH, specific gravity, protein, glucose, and microscopic examination findings. The report is to be examined and signed by a licensed medical technologist.

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    Lab- urinalysis

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    This document contains a medical report template from the Municipal Health Office of San Ildefonso in the province of Bulacan in the Philippines. The template includes sections for a patient's name, address, age, gender, blood sugar levels, hemoglobin levels, blood type, hepatitis B test results, urinalysis results including color, transparency, pH, specific gravity, protein, glucose, and microscopic examination findings. The report is to be examined and signed by a licensed medical technologist.

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    © All Rights Reserved
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    6 views2 pages

    Lab - Urinalysis

    Uploaded by

    Errol Llanes
    This document contains a medical report template from the Municipal Health Office of San Ildefonso in the province of Bulacan in the Philippines. The template includes sections for a patient's name, address, age, gender, blood sugar levels, hemoglobin levels, blood type, hepatitis B test results, urinalysis results including color, transparency, pH, specific gravity, protein, glucose, and microscopic examination findings. The report is to be examined and signed by a licensed medical technologist.

    Copyright:

    © All Rights Reserved
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    Flag for inappropriate content
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    of 2

    Republic of the Philippines

    Province of Bulacan
    Municipal Government of San Ildefonso
    MUNICIPAL HEALTH OFFICE

    Date:
    Name: Blood Sugar: mg/dL __FBS __RBS
    Address: Hemoglobin: g/dL
    Age/Gender: Blood type: _ HBsAg Rapid Test: _______
    URINALYSIS
    PHYSICAL CHARACTERISTICS RESULTS
    Color
    Transparency
    CHEMICAL CHARACTERISTICS
    pH
    Specific Gravity
    Protein
    Glucose
    MICROSCOPIC EXAMINATION
    Red Blood Cells /HPF
    White Blood Cells /HPF
    Epithelial Cells
    Amorphous urates/phosphates
    Mucus Threads
    Bacteria
    Others
    Examined by:

    PATRICIA GILYN S. ANABO,RMT


    Lic. No.: 0070715
    Medical Technologist

    Republic of the Philippines


    Province of Bulacan
    Municipal Government of San Ildefonso
    MUNICIPAL HEALTH OFFICE

    Date:
    Name: Blood Sugar: mg/dL __FBS __RBS
    Address: Hemoglobin: g/dL
    Age/Gender: Blood type: HBsAg Rapid Test: _______
    URINALYSIS
    PHYSICAL CHARACTERISTICS RESULTS
    Color
    Transparency
    CHEMICAL CHARACTERISTICS
    pH
    Specific Gravity
    Protein
    Glucose
    MICROSCOPIC EXAMINATION
    Red Blood Cells /HPF
    White Blood Cells /HPF
    Epithelial Cells
    Amorphous urates/phosphates
    Mucus Threads
    Bacteria
    Others
    Examined by:
    PATRICIA GILYN S. ANABO,RMT
    Lic. No.: 0070715
    Republic of the Philippines
    Province of Bulacan
    Municipal Government of San Ildefonso
    MUNICIPAL HEALTH OFFICE

    Medical Technologist

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