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Republic of the Philippines

Province of La Union
Municipality of San Juan
HEMATOLOGY

Republic of the Philippines


Province of La Union
Municipality of San Juan
HEMATOLOGY

Lab No.: _______________ Date: ________________


Name: ________________________________________
Address: ___________________ Age/Sex:
__________
Complete Blood Count
Reference Value
Result
Hemoglobin Male: 140-170g/L
_____________
Female: 120-150g/L _____________
Hematocrit
Male: 0.40-0.50
_____________
Female: 0.37-0.47
_____________
WBC Count 5-10x109/L
_____________
WBC Differential Count
Segmenters 0.50-0.75
_____________
Eosinophils 0-0.05
_____________
Basophils
0-0.1
_____________
Monocytes
0-0.0.7
_____________
Stab
0-0.07
_____________
Lymphocytes 0.20-0.40
_____________

Lab No.: _______________ Date: ________________


Name: ________________________________________
Address: ___________________ Age/Sex:
__________
Complete Blood Count
Reference Value
Result
Hemoglobin Male: 140-170g/L
_____________
Female: 120-150g/L _____________
Hematocrit
Male: 0.40-0.50
_____________
Female: 0.37-0.47
_____________
WBC Count 5-10x109/L
_____________
WBC Differential Count
Segmenters 0.50-0.75
_____________
Eosinophils 0-0.05
_____________
Basophils
0-0.1
_____________
Monocytes
0-0.0.7
_____________
Stab
0-0.07
_____________
Lymphocytes 0.20-0.40
_____________

Platelet Count 150-400x109/L


Blood Type
ABO:_________

Platelet Count 150-400x109/L


Blood Type
ABO:_________

_____________
Rh: _________

GREMA T. TAPANGCO, RMT


Medical Technologist
Lic. No.: 0019746

_____________
Rh: _________

GREMA T. TAPANGCO, RMT


Medical Technologist
Lic. No.: 0019746

Republic of the Philippines


Province of La Union
Municipality of San Juan
HEMATOLOGY

Republic of the Philippines


Province of La Union
Municipality of San Juan
HEMATOLOGY

Lab No.: _______________ Date: ________________


Name: ________________________________________
Address: ___________________ Age/Sex:
__________
Complete Blood Count
Reference Value
Result
Hemoglobin Male: 140-170g/L
_____________
Female: 120-150g/L _____________
Hematocrit
Male: 0.40-0.50
_____________
Female: 0.37-0.47
_____________
WBC Count 5-10x109/L
_____________
WBC Differential Count
Segmenters 0.50-0.75
_____________
Eosinophils 0-0.05
_____________
Basophils
0-0.1
_____________
Monocytes
0-0.0.7
_____________
Stab
0-0.07
_____________
Lymphocytes 0.20-0.40
_____________

Lab No.: _______________ Date: ________________


Name: ________________________________________
Address: ___________________ Age/Sex:
__________
Complete Blood Count
Reference Value
Result
Hemoglobin Male: 140-170g/L
_____________
Female: 120-150g/L _____________
Hematocrit
Male: 0.40-0.50
_____________
Female: 0.37-0.47
_____________
WBC Count 5-10x109/L
_____________
WBC Differential Count
Segmenters 0.50-0.75
_____________
Eosinophils 0-0.05
_____________
Basophils
0-0.1
_____________
Monocytes
0-0.0.7
_____________
Stab
0-0.07
_____________
Lymphocytes 0.20-0.40
_____________

Platelet Count 150-400x109/L


Blood Type
ABO:_________

Platelet Count 150-400x109/L


Blood Type
ABO:_________

_____________
Rh: _________

GREMA T. TAPANGCO, RMT


Medical Technologist
Lic. No.: 0019746

_____________
Rh: _________

GREMA T. TAPANGCO, RMT


Medical Technologist
Lic. No.: 0019746

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