Patient No : [PatientNo] Invoice No. : [InvoiceNo]
Name : [Name] Invoice Date : [InvoiceDate]
Gender/ Age : [GenderAge] Sample Date : [SampleDate]
Referred By : [RefBy] Result Ready : [ResultReady]
[IP #] [:] [IpNo] [Bed #] [:] [BedNo]
Dept./Unit : [Dept] Result Verified : [ResultVerified]
LABORATORY REPORT
[TestGroup]

 

Test   :  [TestName]
Investigation   :  [InvestigationName]
Specimen   :  [SpecimenName]
Smear/Deposit   :  [GramStain]
Organisms Isolated :
[Organisms] 		Growth :
[Growth]
ANTIBIOTIC SENSITIVITY

[MicrobiologyResult]
Antibiotic Organism Min.Zone
1 2 3 4
*Sensitivity Code :- R-Resistive,S-Sensitive,MS-Moderately Sesitive.
End of Report
[PrintedTime]
PRINTED TIME 		[PrintedBy]
PRINTED BY 		[PreparedBy]
PREPARED BY 		[AuthorizedBy]
AUTHORIZED BY 		[LabTechnician] LAB TECHNICIAN