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Mr. Syed Md. Nazmul Haque
708 East Manikdy, Cantonment
Police Station-Cantonment
District-DHAKA
Post Code-1206
LB-149850

, 14th '
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' ' -
,
(WHO)

, , 16 May 2014

DONOR BLOOD SCREENING REPORT

Donor's Name: Mr. Syed Md. Nazmul Haque
Donor's Blood Group: AB Positive

Screening Tests Results

Donation No. LB-149850

Age: 28 Yrs.

Sex: Male

Date: 16/01/2014

Anti-HIV 1, 2

Non-Reactive

HBsAg

Non-Reactive

Anti-HCV

Non-Reactive

[Above three tests are done by Immunochromatographic Assay Test]

VDRL

Non-Reactive

TPHA

Non-Reactive

MP

Not Found

Signature of Doctor / Consultant

Quantum Lab

Medical Lab Personnel

Quantum Lab

"N. B: This is a system generated report and requires no signature."

17-Jan-14 5:02 PM