BYU Idaho Student Health Center 525 S Center St Stop 2010 Rexburg, !D 83460-2010 November 17, 2017 Phone: 2084969330 Fax: 2084969333 Lab Report KATIE ALLRED AGE: 22 Years Old Gender: Female DOB: 08/14/1995 Ph: (480) 310-6008 Cell: Insurance: Idaho Private (IPR!) Insurance ID: 921107969 MRN:921107696 09/16/2016 - Lab Report: Tuberculin Purified Protein Derivative (Mantoux) Provider: External | Doctor Location of Care: All Patient: KATIE ALLRED 1D: Orchard 642518 Note: All result statuses are Final unless otherwise noted. ‘Tests: (1) Tuberculin Purified Protein Derivative (Mantoux) (i66580) 1 ipPD 0 mn ilnterp Negative Reactions are interpreted based on current CDC guidlines. The interpretation of a positive reaction depends on the age, immune status, and the risk factors of the person tested. 2 Note: An exclamation mark (!) indicates a result that was not dispersed into the flowsheet. Document Creation Date: 09/19/2016 11:49 AM (2) Order result status: Final lection or observation date-time: 09/16/2016 16:40:22