Blank Form
This document was uploaded by user and they confirmed that they have the permission to share it. If you are author or own the copyright of this book, please report to us by using this DMCA report form. Report DMCA
Overview
Download & View Blank Form as PDF for free.
More details
- Words: 130
- Pages: 3
F/3, P.C.COLONY,KANKARBAGH, PATNA-800 020
Dr. Kamlesh Sharm M.B.B.S., F.C.G.P
Patient Name
Mr AMIT KUMAR
Date
Refd. By
Dr. A.P.Sinha, M.S, F.I.M.S
:
20/09/2007
BLOOD EXAMINATION REPORT
INVESTIGATION TOTAL COUNT leucocytes DIFFERENTIAL COUNT Neutrophils Lymphocyts Eosinophils Monocytes Basophils Others Haemoglobin(100%=14.5gms) Blood Sugar Fasting Blood Sugar P.P
RESULT
NORMAL RANGE
7800 / Cumm
4000-11000/Cu mm
25 35 8 3 1
% % % % %
(55-70) (25-35) (2-7) (1-5) (0-1)
12
gms.
108 78
Mg/dl Mg/dl
13%
% % % % %
100%=14.5gm 65-100 80-150
Mg/dl Mg/dl
Pathologist Note : Please Co-Relate the Findings Clinically. This is not meant for Medico- Legal Purpose
mlesh Sharma
Name of the Doctors Dr. A.P.Sinha, M.S, F.I.M.S Dr. Sujata Murty Samal, M.B.B.S, M.S, F.I.C.S, F.I.C.O.G Dr. S.P.Singh, M.D, D.C.H, M.C.H, F.C.G.P Dr. Shailendra Kumar, M.B.B.S, M.D
Dr. Kamlesh Sharm M.B.B.S., F.C.G.P
Patient Name
Mr AMIT KUMAR
Date
Refd. By
Dr. A.P.Sinha, M.S, F.I.M.S
:
20/09/2007
BLOOD EXAMINATION REPORT
INVESTIGATION TOTAL COUNT leucocytes DIFFERENTIAL COUNT Neutrophils Lymphocyts Eosinophils Monocytes Basophils Others Haemoglobin(100%=14.5gms) Blood Sugar Fasting Blood Sugar P.P
RESULT
NORMAL RANGE
7800 / Cumm
4000-11000/Cu mm
25 35 8 3 1
% % % % %
(55-70) (25-35) (2-7) (1-5) (0-1)
12
gms.
108 78
Mg/dl Mg/dl
13%
% % % % %
100%=14.5gm 65-100 80-150
Mg/dl Mg/dl
Pathologist Note : Please Co-Relate the Findings Clinically. This is not meant for Medico- Legal Purpose
mlesh Sharma
Name of the Doctors Dr. A.P.Sinha, M.S, F.I.M.S Dr. Sujata Murty Samal, M.B.B.S, M.S, F.I.C.S, F.I.C.O.G Dr. S.P.Singh, M.D, D.C.H, M.C.H, F.C.G.P Dr. Shailendra Kumar, M.B.B.S, M.D
Related Documents
Blank Form
November 2019 15
Class Notes - Blank Form
October 2019 23
Consent Form - Blank
May 2020 9
Acr Blank Form
June 2020 5
Blank Order Form
November 2019 10