eg HANH PHUC Bénh vién du tién th ee tid
ANH PHUC INTERNATIONAL HOSPITAL
‘et Dany Foes, Than An De Beh Dan Po Yun
at PHC INTERNATIONAL MEDICAL BUILDING | HANH PHUC ITERRATIONAL MEDICAL CENTRE
ayer Ra SL. Ds HOWE, Var | es Esa Pac Goa
SE
ingapore tal Vigt Nam
apte sand hosp in
Page ot
TOA THUOC
PRESCRIPTION
Nesical Suite 1
PAN 00189715 DOB: o4-1n-1065(S4Y 9M) Gender: FEMALE
(Ma sb bénh nhan) (Ngay sinh) (Giéi tinh)
Patient Name : BUI THI NGQC DIEM. Home Tel : 0909333403 ‘Weight : $4.3 kg
(Tén bénh nhan) (S6 dién thogi nha) (Can ngng)
NOK : PHAM THI PHUC (SISTER) Insurance No. ($6 BHYT):
‘Address : 77/2 Nh&t Chi Mai P 13 Q Tan Binh ‘Tp H8 Chi Minh
(Bia chi)
(agnosis: (023.1) Infections of bladder in pregnancy / Nhi8m khudn bang quang trong kh c6 thal
(Chén Goan)
Follow-up date: -
(Noay t8i ke)
Ttem Description Instruction Quantiyiuow Duration
(Tén Trude) (ttvéng Dan Si Dung) (S6 Luong) | (Thoi Gian BiBu TH)
Ziromax TAB 500mg - azithromycin -UONG MOT LAN 2 VIEN-MOT LIEU DUY [2 Tabiet
NHAT (UONG SAU AN)
Nate (Gh chi) Allorgy (Thong tn ng): KHONG
Home drug (Thude dang dang 6 nha): THUOC BO
Doctor's note (Loi dan}
Emergency consultation whenever pegnant women has any abnormal sg
ain, face swelling, vaginal bleeding, contraction pain, water breakin:
‘Tai kham ngay khi c6 7 trong céc du higu sau: nhure dau, dau th
an, ra mau am dao, ra nude &m dao, thal ed dong It
Doctor(Bée.s) : DrLEVANDUC
Date TNGy)—: 30-Oct-2019,
leadache, epigastric
reased fetal movement
ig Vi, phu mat, dau bung tingHanh Phuc International Hospital HANH PHUC
Clinical Laboratory Services Ho eeee iene
18 Binh Duong Boulevard ea ania
Thuan An Dist, Binh Duong Prov, Viewam
‘eol:02743786732
Fax02743786731
Orderer: Medical Suite 1 ‘Name: Bii Thj Nege Digm Request Date: 25/10/2019 11:25:24 AM
Gender: Female Lab No, 318499,
1.0.8. 04/01/1985 Doctor: Lé, Vin Die
Hospital ID: 00153715
Laboratory Report Print date: 28/10/2019 2:80:12PM Page tof 1
Unit Reference range
WHITE BLOOD CELLS (VAGINAL)
"HYPHAE (VAGINAL)
| CELLS (VAGINAL)
CLUE CELLS (VAGINAL)
) /AGINAL)
GONOCOCCI
‘Gram positive bacilli 3+
Gram positive cocci Occasional
‘URINE CULTURE
10°3 CFU/mL Lactobacillus sp
EMYCOPLA q ‘below
Method: Real-time PCR
Ureaplasma urealyticum: Positive (Detection limit: $x10°2 copies/ml)
Ureaplasma parvum: Positive (Detection limit: $x10°2 copiesiml)
Mycoplasma hominis: Negative (Detection limit: $x10°2 eopiesml)
Validators
(): MNHU 28/10/2019
| ¥ ff]
soon noftteaal
°| uest ‘Hanh Phuc intemational Hospital laboratory is managed by Quest Laboratories Pte Ltd,
2 ISO15189 and CAP (College of American Pathologists) accredited medical laboratory in Singapore.
Note: Some tests are performed at Referral Laboratories.