[HeaderStart]
[IPOPDIND]
Patient ID : [PatientNo]   [MLC]   [Insured] Invoice No. : [InvoiceNo]
Name : [Name] Invoice Date : [InvoiceDate]
Gender/ Age : [GenderAge] Sample Date : [SampleDate]
Sample # : [SampleNo] Referred By : [RefBy]
Result Ready : [ResultReady] Result Verified [:] [ResultVerified]
[IP #] [:] [IpNo] [Bed #] [:] [BedNo]
Dept./Unit : [Dept] Patient Type : [PatientType]
[PatientSid] [:] [TokenNo] [Ward] [:] [WardName]
[DOB] [dob:] [dob]      
[HeaderEnd]
LABORATORY REPORT
[TestGroup]

 

[GrowthReport]
Test : [TestName]
Investigation : [InvestigationName]
Specimen : [SpecimenName]
Lab No : [LabNo]
[tdsmear] [tdcolsmear] [GramStain]
[tdfluidtype] [tdcolfluidtype] [datafluidtype]
[tdrmrks] [tdcolrmrks] [Remarks]

Organisms Isolated :
[Organisms] 		Growth :
[Growth] 		Remarks :
[GrowthRemarks]
[AntibioticSensitivity] *Sensitivity Code :- R-Resistive,S-Sensitive,I/MS-Intermediate Sensitive.
End of Report

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PRINTED TIME

[PrintedBy]

PRINTED BY

[PreparedBy]

PREPARED BY

[Signature]

[ApprovedBY]

[ApprovDocDesignation]

AUTHORIZED BY

[LabTechnician]

[LabTechQualification]

[LabTechDesig]

LAB TECHNICIAN