Daily Investigation Reports

Name eGFR PGR

MR# Weight
Designed by Dr. Rafiq Resident Physician Medical A Ward KTH.

Date TLC N HB MCV PLT FBS Insulin/24

L HCT
Date TLC N HB MCV PLT FBS Insulin/24
L HCT
Date TLC N HB MCV PLT FBS Insulin/24
L HCT
P/Smear TLC N HB MCV PLT Retic HBA1c
L HCT
Designed by Dr. Rafiq Resident Physician Medical A Ward KTH.

Date Na Intake Output Urea Urine R/E

K Creat Pus cells
Date Na Intake Output Urea RBCs
K Creat Protien
Date Na Intake Output Urea Glucose
K Creat
Date Na Intake Output Urea 24 hr U-protien
K Creat
Designed by Dr. Rafiq Resident Physician Medical A Ward KTH.

Date Alt ALP T.Bili PT APTT INR

Direct
Indirect
Date Alt ALP T.Bili PT APTT INR
Direct
Indirect
Designed by Dr. Rafiq Resident Physician Medical A Ward KTH.

Calcium U/Sound: Histopath Echo

PO4 Ejection Fraction %:
PTH
TSH
T3
T4
ESR
LDH CT Scan: Date ABGS
ALB PH
HBsAg PCo2
Anti-HCV HCO3
Anti-HIV MRI Date: ABGS
PCR PH
PCo2
HCO3
Designed by Dr. Rafiq Resident Physician Medical A Ward KTH.

Fluids R/E Fluids R/E

TLC Glucose TLC Glucose
N Albumin N Albumin
L Protien L Protien
RBC ADH RBC ADH
Stain: Stain:

Designed by Dr. Rafiq & Yasir Resident Physicians Medical A Ward KTH.