(‫ )ﭘﺎﯾﮕﺎﻩ ﺳﻌﺎﺩﺕ‬19 ‫ﻣﺮﮐﺰ ﻣﻨﺘﺨﺐ ﻣﺒﺎﺭﺯﻩ ﺑﺎ ﮐﻮﻭﯾﺪ‬

(29795) 3579672088 :‫ﮐﺪ ﻣﻠﯽ‬ ‫ ﺭﯾﺤﺎﻧﻪ ﺑﺤﺮﺍﻧﯽ‬:‫ﻧﺎﻡ ﻭ ﻧﺎﻡ ﺧﺎﻧﻮﺍﺩﮔﯽ‬

1403/01/05 11:26 :‫ﺗﺎﺭﯾﺦ ﭘﺬﯾﺮﺵ‬ 78159 (8) :‫ﺷﻤﺎﺭﻩ ﭘﺬﯾﺮﺵ‬
1403/01/05 00:00:‫ﺗﺎﺭﯾﺦ ﺍﻋﻼﻡ ﻧﺘﯿﺠﻪ‬ 1353/11/09 :‫ﺗﺎﺭﯾﺦ ﺗﻮﻟﺪ‬
‫ ﺁﺯﺍﺩ‬:‫ ﻗﺮﺍﺭﺩﺍﺩ‬/ ‫ﺑﯿﻤﻪ‬ :‫ﻧﺎﻡ ﺩﺭﺧﻮﺍﺳﺖ ﮐﻨﻨﺪﻩ‬

Hematology - Hematology
Test Result Units Reference Range Differential
WBC ............................................
7.4 10*3/uL
RBC ............................................
5.5 H 10*6/uL 4.1-5.4
Hgb ............................................
14.9 g/dL 12-16
HCT ............................................
46 % 36-48
MCV ............................................
83.64 fL 80-96
MCH ............................................
27.09 pg 27-33
MCHC ............................................
32.39 L % 33-36
PLT ............................................
333 10*3/uL
RDW- CV ............................................
13.5 % 11.5-14.5
Hematology
Test Result Units Reference Range
ESR (1h) .................................................................
20 mm 0-20

Biochemistry
Test Result Units Reference Range
Serum albumin .................................................................
3.8 g/dL
Fasting Blood Sugar .................................................................
77 mg/dL 60-110
Urea ................................................................. 25 mg/dL 15-45
cratinine .................................................................
0.9 mg/dL
Cholesterol .................................................................
161 mg/dL Normal: <200
Borderline: 200-239
High: >240
Triglyceride .................................................................
160 mg/dL 40-160
35-135
HDL-Cholesterol .................................................................
47 mg/dL 45-60
LDL-Cholesterol .................................................................
101 mg/dL 50-140
Uric acid .................................................................
3.7 mg/dL 2.5-6.8
Calcium .................................................................
10 mg/dL 8.5-10.5
Phosphorous .................................................................
3 mg/dL 2.5-5
SGOT(AST) .................................................................
12 U/L 5-31
SGPT(ALT) .................................................................
11 U/L Up to 32
ALP ................................................................. 152 U/L 98-279

Serology
Test Result Units Reference Range
CRP .................................................................Negative
Reumatoid arthritis factor (Qualitative) .................................................................
Negative

Urine Analysis
MACROSCOPIC MICROSCOPIC
color ................................................................. yellow WBC/hpf .................................................................
0-1
Appearance .................................................................
Clear RBC/hpf .................................................................
0-1
Specific gr. .................................................................
1.025 Epithelial/hpf .................................................................
1-2
PH ................................................................. 5 Bacteria .................................................................
Negative
Protien .................................................................
Negative Mucous .................................................................
Negative

Page 1 of 2 L:Low H:High *:Rechecked

 (‫ )ﭘﺎﯾﮕﺎﻩ ﺳﻌﺎﺩﺕ‬19 ‫ﻣﺮﮐﺰ ﻣﻨﺘﺨﺐ ﻣﺒﺎﺭﺯﻩ ﺑﺎ ﮐﻮﻭﯾﺪ‬
(29795) 3579672088 :‫ﮐﺪ ﻣﻠﯽ‬ ‫ ﺭﯾﺤﺎﻧﻪ ﺑﺤﺮﺍﻧﯽ‬:‫ﻧﺎﻡ ﻭ ﻧﺎﻡ ﺧﺎﻧﻮﺍﺩﮔﯽ‬
1403/01/05 11:26 :‫ﺗﺎﺭﯾﺦ ﭘﺬﯾﺮﺵ‬ 78159 (8) :‫ﺷﻤﺎﺭﻩ ﭘﺬﯾﺮﺵ‬
1403/01/05 00:00:‫ﺗﺎﺭﯾﺦ ﺍﻋﻼﻡ ﻧﺘﯿﺠﻪ‬ 1353/11/09 :‫ﺗﺎﺭﯾﺦ ﺗﻮﻟﺪ‬
‫ ﺁﺯﺍﺩ‬:‫ ﻗﺮﺍﺭﺩﺍﺩ‬/ ‫ﺑﯿﻤﻪ‬ :‫ﻧﺎﻡ ﺩﺭﺧﻮﺍﺳﺖ ﮐﻨﻨﺪﻩ‬

Urine Analysis
MACROSCOPIC MICROSCOPIC
Blood .................................................................
Negative
Glucose .................................................................
Negative
Keton .................................................................
Negative
Bilirubin .................................................................
Negative
Nitrit .................................................................Negative
Microbiology
Test Result
Culture (Main organism) .................................................................
No growth after 48 hours

Page 2 of 2 L:Low H:High *:Rechecked