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✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦
Other new launches:
Immunophenotyping of Leukemia & Lymphoma
Technological Advancement in: Liquid chromatography New tests to be launched shortly: Tandem mass spectrometry (LC- MS/MS) Now Available:
For effective & appropriate management of patients before,during, and after organ transplantation.
please turn over & refer the directory of services.
LC-MS/MS improves accuracy in results and reduces biascommon to immunoassays that cross-react with drug metabo-lites.
LC-MS/MS is considered the most sensitive, specific and pre-cise technology for monitoring immunosuppressants.
✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦
✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦✦
Investigations Price (INR) Cut off Schedule Reporting General Instructions
Add appropriate volume of 6N (50%) HCl to maintain pH
below 5. Record 24 hours urine volume on urine container & TRF
Collect urine with appropriate volume of 6N (50%) HCl to
maintain pH between 3-6. Record 24 hours urine volume on the
Sample should be collected in a sterile container.
Sample should be collected in a sterile container. If test
code is not specified in TRF, preference will be given to
radiometric method. Weekly reports issued.
Acid Fast Bacilli Susceptibility - 03 Drugs
Culture initiated, susceptibility test performed once culture is
positive; TAT is 8-9 weeks. Please specify the name of drugs.
Acid Fast Bacilli Susceptibility - 05 Drugs
Culture initiated, susceptibility test performed once culture is
positive; TAT is 8-9 weeks. 05 drugs include, Isoniazid,
Rifampicin, Streptomycin, Ethambutol, Pyrazinamide.
Acid Fast Bacilli Susceptibility - 05 Drugs
Culture initiated, susceptibility test performed once culture is
positive; TAT 12-13 weeks. 05 drugs include SIREP.
Acid Fast Bacilli Susceptibility - 10 Drugs
Culture initiated, susceptibility test performed once culture is
positive; TAT is 8-9 weeks. 10 drugs include Isoniazid,
Rifampicin, Streptomycin, Ethambutol, Pyrazinamide and
5 second line drugs of choice specified by customer
Acid Fast Bacilli Susceptibility - 13 Drugs
Culture initiated, susceptibility test performed once culture is
positive; TAT is 8-9 weeks. 10 drugs include Isoniazid,
Rifampicin, Streptomycin, Ethambutol, Pyrazinamide and
8 second line drugs of choice specified by customer
Acid Fast Bacilli Susceptibility (Amikacin)
Culture initiated, susceptibility test performed once
culture is positive; TAT is 8-9 weeks.
Acid Fast Bacilli Susceptibility (Capreomycin)
Culture initiated, susceptibility test performed once
culture is positive; TAT is 8-9 weeks.
Acid Fast Bacilli Susceptibility (Ciprofloxacin)
Culture initiated, susceptibility test performed once
culture is positive; TAT is 8-9 weeks. Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions
Acid Fast Bacilli Susceptibility (Cycloserine)
Culture initiated, susceptibility test performed once
culture is positive; TAT is 8-9 weeks.
Acid Fast Bacilli Susceptibility (Ethambutol)
Culture initiated, susceptibility test performed once
culture is positive; TAT is 8-9 weeks.
Acid Fast Bacilli Susceptibility (Ethionamide)
Culture initiated, susceptibility test performed once
culture is positive; TAT is 8-9 weeks.
Acid Fast Bacilli Susceptibility (Isoniazid)
Culture initiated, susceptibility test performed once
culture is positive; TAT is 8-9 weeks.
Acid Fast Bacilli Susceptibility (Pyrazinamide)
Culture initiated, susceptibility test performed once
culture is positive; TAT is 8-9 weeks.
Acid Fast Bacilli Susceptibility (Rifampicin)
Culture initiated, susceptibility test performed once
culture is positive; TAT is 8-9 weeks.
Acid Fast Bacilli Susceptibility (Streptomycin)
Culture initiated, susceptibility test performed once
culture is positive; TAT is 8-9 weeks.
Acid Fast Bacilli Susceptibility (Vancomycin)
Culture initiated, susceptibility test performed once
culture is positive; TAT is 8-9 weeks.
Add 1 drop (30ul) 5% Acetic Acid to Serum
Activated Partial Thromboplastin Time (APTT)
Culture initiated, susceptibility test performed once
culture is positive; TAT is 8-9 weeks.
Culture initiated, susceptibility test performed once
culture is positive; TAT is 8-9 weeks.
Do not use alcohol wipes. Collection tube or
container to be tightly sealed immediately after
Labile analyte. Collect specimen after the patient
Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions
samples not accepted. Samples should reach the
Any Specimen (except sputum/BAL, urine, Anaerobic Culture
Should be collected in fluid thioglycolate broth *
Anti - thrombin III (At - 111) (Antigenic)
Separate Plasma Immediately, ensure Platelet poor plasma
Anti ds DNA Antibody titer (Quantitative)
Anti Hepatitis A virus - IgM Antibodies (Anti-HAV IgM)
Anti Hepatitis A virus - Total Antibodies (Anti-HAV Total)
Anti Hepatitis B core antigen - IgM Antibodies (Anti-HBcIgM)
Anti Hepatitis B core antigen -Total Antibodies (Anti
Anti Hepatitis B envelope Antigen - Total (Anti-HBe)
Anti Hepatitis B surface Antigen - Total Antibodies
Anti Hepatitis E Virus - IgG Antibodies (Anti-HEV IgG)
Anti Hepatitis E Virus - IgM Antibodies (Anti-HEV IgM)
Anti Mitochondrial Antibodies with Titers
Anti Neutrophil Cytoplasmic Antibodies (ANCA)
Anti Neutrophil Cytoplasmic Antibodies with Titers
Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions
Anti Smooth Muscle Antibodies with Titers
Anti TPO (anti thyroperoxidase/microsomal)
Auromine Rhodamine Stain for AFB(AR Stain)
Clinical History especially site,X-ray is required.
Clinical History especially site,X-ray is required.
Clinical History especially site,X-ray is required. Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions
Clinical history required. Collect blood in
only. There is separate bottle for adult and
Send Peripheral smear along with clinical history
Labile Analyte.Overnight fasting is preferred
Collect Urine with 25mL 06 N HCL to maintain
pH below 3.0. Record 24 hours urine volume on
Recommended specimen: Just before the next
Collect 24-hrs urine with appropriate vol of 6N
Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions
each) or haparinised harvested Cells (2mL)
Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions
Sample collection by strict aseptic method.Pl. follow
instruction as given in instruction manual.In case of culture
growth failure,fresh sample/back up sample may be required
Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions
Collect urine with 10g of Boric acid,record 24
hours urine volume on sample container and TRF
Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions
Do not use SST gel barrier tubes.Separate serum within
2 hours of collection.Trough:Just before the next dose is
due at steady state. Peak:6 - 8 hours after dose.
Echinicoccus IgG Antibodies (Hydatid Serology)
Ensure platelet poor Plasma.Labile Analyte
Ensure platelet poor Plasma.Labile Analyte
Ensure platelet poor Plasma.Labile Analyte
Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions
Fluid Culture & Sensitivity (Pleural, Peritoeal, Synovial,
Sample should be collected in sterile container
CSF, Pericardial, Aqueous humur, bile, bone marrow)
Clinical History & sample transportation as in
Urine sample need to be refrigerated.Weekly
2 hours after meal (rich in carbohydrates)
Collect fasting baseline plasma and urine specimen(0 hour).
Administer 75g Glucose orally. Collect additional plasma and
urine samples at 30 minutes, 60minutes, 90minutes, 120minutes
and 150minutes. Note time drawn on each tube,urine vial and
Body fluids in a sterile screw capped container.
Hemoglobinopathy by HPLC (Hb Elecrophoresis)
Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions
Hepatitis C virus - Total Antibodies (HCV)
Clinical history & sample Transport as in
Duly signed consent from must accompany the TRF
Separate serum within 40 min of collection.
Scrapings from tissue/cervical scrape/swab
from ulcer base/ scrapings from ulcer to be
Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions
IHC Estrogen Progestetrone Recptor (ERPR)
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no
Clinical history,Site of biopsy,Doctors phone no. Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions
Labile Analyte.Collect sample without applying
tourniquet,separate plasma within 15 minutes of
Do not use preservatives.Record 24 hours urine
Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions
Mono spot test for infectious mononucleosis
Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions
Do not use SSt gel barrier tubes.Recommended
specimen:Jest before the next dose is due at steady state
Do not use SSt gel barrier tubes.Recommended
specimen:Jest before the next dose is due at steady state
Clinical History as in instruction manual
Do not use preservatives.Record 24 hours urine
Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions
Separate serum from cells within 30 minutes of collection
Do not draw sample with in 7 days of Digital rectal
Examination (DRE) or Rectal Prostatic Ultrasonography
Do not draw sample with in 7 days of Digital rectal
Examination (DRE) or Rectal Prostatic Ultrasonography
Ensure Platelet Poor Plasma.Labile Analyte
Ensure Platelet Poor Plasma. Labile Analyte
Sample should be collected in sterile container
Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions
Smear for fungal element - Fungal staining
Hard tissue sample like nail may take more time
for digestion which may result in delayed reporting
Do not use preservative.Record 24 hours urine
Clinical history,Site of biopsy,Doctors phone no
Sample should be collected in a sterile container
and transported in a refrigerated condition.
Clinical history,Site of biopsy,Doctors phone no
Send sample in Cary - Blair transport medium
Total Count & Differential Count (TC&DC)
Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions
Fasting sample required. Avoid Iron supplements
for minimum 7 days prior to specimen collection.
Treponema Pallidum Hemagglutination (TPHA)
Do not use preservatives.Record 24 hours urine
Do not use preservatives.Record 24 hours urine
Urine to be collected in sterile container (send
refrigerated). Urine Vacutainer with preservaties
Specimen type to be mentioned.Doctors number if available
Specimen type to be mentioned.Doctors number if available
Specimen type to be mentioned.Doctors number if available
Do not use SST gel barrier tubes. Recommended
specimen: Just before the next dose is due at steady state
Collect urine with appropriate volume of 6N
HCl (50%) to maintain pH between 4 - 5. Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions
Vitamin D (25 Hydroxy Cholecalciferol)-Vit D
Vitamin D3 (1,25 Dihydroxy Cholecalciferol)
Duly signed consent form must accompany the TRF. ELISA
results of the patient should be provided. Acute Leukemia Comprehensive panel #
Acquisition/gating strategy, viability and
marker (CD61), Erythroid marker (Glycophorin
A), Maturation and prognostic markers (CD10,
markers (Cytoplasmic CD3, Cytoplasmic 79a)
Acute Leukemia Screening Panel #
Acquisition/gating strategy, viability and monocytic
markers(CD45, CD14), T cell markers(CD5, CD7), B cell
markers (CD19, CD22), Myeloid markers (CD13, CD33),
Maturation and prognostic markers (CD10, HLA-DR, CD34)
Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions ALL Characterization #
Acquisition/gating strategy, viability and
AML Characterization #
Acquisition/gating strategy, viability and
Erythroid marker (Glycophorin A), Maturation
ANA Blot Capsule - I ANA Blot Capsule - II Anemic Capsule Ante Natal Cappsule ( ABO&RH, CBP, Anti Cardiolipin Capsule (IgA,IgG,IgM) - Anti Phospholid Antibody Capsule Anti Thyroid Antibodies (AMA+ATG) Capsule Arthritis Capsule (ASP, ANA, C4, CRP, AutoHep (AMA, ANA, ASMA, Lkm-1) Basic lymphoma/Hodgkins lymphoma
Clinical history,Site of biopsy,Doctors phone no
Panel ( LCA (CD45, CD3, CD20, CD15, CD30) Blood Coagulation Capsule (PT, APTT,
Ensure Platelet Poor Plasma, For walk in patients
Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions Carcinoma-lymphoma Panel
Clinical history,Site of biopsy,Doctors phone no
Cardiac Capsule - I ( SGOT,CPK,LDH) CLPD Basic: Acquisition/gating strategy,
markers (CD19, CD79b), Differentiation and
CD38, CD103, FMC7, KAPPA/LAMBDA) # CLPD Comprehensive: Acquisition/gating
strategy, viability and monocytic markers
Differentiation and prognostic markers (CD10,
Collagen Capsule (ANA, ds_DNA, ANCA, Custom Panel - 1 (Any 5 Markers) # Custom Panel - 2 (Any 7 Markers) # CUSTOM PANEL 3 (Any 6 Markers) # Diabetic Capsule - IV (Lipid Profile, UA, Dialysis Capsule - II (PRO_T, ALB, ALKP,
Ca, P, UA, Creat, BUN, Electrolytes, GLU,
DNA PLOIDY AND S PHASE FRACTION DNA PLOIDY AND S PHASE FRACTION DNA PLOIDY AND S PHASE FRACTION Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions DNA PLOIDY AND S PHASE FRACTION Executive Health Check Capsule (CBC, ESR,
signed consent form must accompany the TRF
BIL_ID, Hb A1c, UA, PRO_T, ALB, TRIG, CHOL,
HDL, LDL, GGT, ALKP, AMY, UR, Stool Routine)
Clinical History, Site of Biopsy, Doctors
Executive Health Check Capsule (CBC, Fertility Capsule - I Fertility Capsule - II Fertility Capsule - III ( AFP, Fertility Capsule - IV ( LH, FSH, Fertility Capsule - V Fever Capsule - II (CBC, CUE, Widal, MP,
WB - EDTA(3 mL), Serum(1 mL), Refer individual tests
Fever Capsule (CBC, ESR, Widal, Blood GLUCAP - VI (Glucose F/PP, HbA1c, Lipid
WB - EDTA(3 mL), Serum(2 mL), Refer individual tests
Profile, Microalbumin, Creat, Electrolytes,
Hemo Check (LDH, Ferritin, Creatinine,
Reticcount, Coombs test, Hb electrophoresis)
Hemophilia Capsule (APTT, Factor VIII and IX) Hepatitis Capsule - II (HCV RNA PCR & Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions Hepatitis Capsule - I (HbeAg, HAVM, HBsAg, Hir Check - I (LH, FSH, PRL, DHEAS, HIV - Capsule - I ( HIV I & II Serology, HIV - Capsule - II ( CD3/CD4/CD8 ,Viral IMMUNE PROFILE EXTENDED Immunoglobin Capsule (IgG,IgM,IgA) Infertility Capsule (Chromosomal analysis
Male : N.Heparin Sample Only"Female: Na.
(1 mL)/ Na Citrate Plasma (1 mL) Coagulometry/ELISA
Iron Capsule (Iron, TIBC, Ferritin, Iron Kidney Capsule (UR, Cre, UA, CHO_T,
LGL Panel (CD45, CD14, CD3, CD16+56) # Lipid Profile (Chol-T, LDL, HDL, LDL/HDL, TRIG) Liver Capsule (SGOT, SGPT, GGT, Bil-D, LUPOCARE (APA Total, ACA Screen, Lupus Lupus Anticoagulant Capsule (LA, APTT, PT) Malignant round cell tumor Panel
Clinical history,Site of biopsy,Doctors phone no
Melanoma Panel (S100, HMB45, Vimentin)
Clinical history,Site of biopsy,Doctors phone no
MENARCHE - I (LH, FSH, PRL, T3, T4,
TSH, E2, Testoterone-Free, Testoterone-Total)
Neuroendocrine carcinoma Panel (PanCK,
Clinical history,Site of biopsy,Doctors phone no
NK CELL PANEL (CD3, CD16+56) # Non Hodgkins lymphoma B cell panel
Clinical history,Site of biopsy,Doctors phone no
Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions MENARCHE -- II (LH, FSH, PRL, TSH, T3, OB - KARE Capsule (APLA, ACLA Screen, Obesity Capsule (T3, T4, TSH, Lipid Profile, Pre Op - III (CBC,Blood Grouping,
Serum(2 mL),NaF Plasma(1 mL), Cell Counter, Spectro, CLIA, ^ RIT
Creatinine, FBS, HIV 1&2, HBsAg, HCV)
Pre operative Capsule - I (PT, APTT, Pre operative Capsule - II (CBC, ABO &
NaF Plasma(1 mL), Serum(2 mL) Agglutination
Regular Health Check Capsule (CBC, Renal Cell Carcinoma/Endometrial
Clinical history,Site of biopsy,Doctors phone no
Carcinoma Panel (PanCK, Vimentin) SLE Capsule (CBP, ESR, Cre, RA, ASO, Soft tissue sarcoma panel (S100, Vimentin,
Clinical history,Site of biopsy,Doctors phone no
Spindle cell tumor Panel (PanCK, LCA,
Clinical history,Site of biopsy,Doctors phone no
SYNOCAP (CBP, ESR, Protein Electro, Thalcheck (Hb Electrophoresis,Total Iron, Thrombophilia Capsule ( AT III, PC,PS) Thyroid Capsule - III (T3,T4,TSH,FT3,FT4) Thyroid Capsule - I (T3,T4,TSH) Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Investigations Price (INR) Cut off Schedule Reporting General Instructions Thyroid Capsule - II (T3,T4,TSH,PRL) Thyroid Capsule - IV (T3, T4, TSH, LH, Thyroid Capsule - V (FT3,FT4,TSH) Torch Capsule - 4 IgG Torch Capsule - 10 (IgG & IgM) Torch Capsule - 4 IgM Torch Capsule - 5 IgG Torch Capsule - 5 IgM Torch Capsule - 8 (IgG & IgM) Triple Marker Capsule ( b-HCG,AFP,E3)
Clinical History as in instruction manual
Tuberculosis Capsule (IgA, IgG, IgM) ULTICOX TB (MRNA PCR,BACTEC)
Weekly reports will be issued for radiometric
culture.Sample should be collected in a sterile
container. Tissue samples in formalin are not
Undifferentiated tumor -Panel I (PanCK,
Clinical history,Site of biopsy,Doctors phone no
Undifferentiated tumor - Panel II (PanCK,
Clinical history,Site of biopsy,Doctors phone no
Urine Drugs Screen Panel (Amphetamines, Effective date: 1st October 2008, Version:Ro Cut Off Time will be on the same day or a day prior depending on the schedule for testing.Date of conception: Additional Information: Date of Ultrasound: Ultrasound Data: Date of Sampling: No.of Fetuses/ Smoker/Non Smoker: Normal/IVF: Diabetic/Non Diabetic: Maternal Date of Birth: Patient’ evious Histor REQUEST FORM FOR TRIPLE MARKER TEST eight (on date of sampling): _______ Kgs y of Down’
Age as per Ultrasound : ________weeks + ______days
egnancy : risomy 21) or Edward’ risomy 18) Syndr
Name of the Drug Company Name Date of Issue Date of Expire License No. Renewal Date from/to Name of the Drug Company Name Date of Issue Date of Expire License No. Renewal Date from/to Zecuf Hony and Lemen Blavear ABC Pharma Services (Pvt) Name of the Drug Company Name Date of Issue Date of Expire License No. Renewal Date from/to Name of the D
Enduring Power of Attorney Of WillExpert Sample This is the Enduring Power of Attorney of me, WillExpert Sample, of Anyplace, Alberta. Applicable Law I make this Enduring Power of Attorney according to the Powers of Attorney Act ofAlberta. Revocation of Previous Powers of Attorney I revoke any powers of attorney that I have already given. Powers to Endure The powers I gi