You are on page 1of 1

Daily Investigation Reports

Date CBC TLC N HBG MCV PLT Urea Creat Na K FBS Insulin required
L
Date CBC TLC N HBG MCV PLT Urea Creat Na K FBS Insulin required
L
Date CBC TLC N HBG MCV PLT Urea Creat Na K FBS Insulin required
L
Date CBC TLC N HBG MCV PLT Urea Creat Na K FBS Insulin required
L

Weight eGFR HBA1c


Date: Date Date Date Date
ALT PT
ALP APTT Date Intake Output
T.Bili INR
Alb Q-CRP: Date Intake Output
Ca+ Special Investigations:
Po4 U/protien Date Intake Output
PTH
TSH Date Intake Output
T4
T3 Date Intake Output
ESR
LDH Date: Echo/ECG
HCV Date: PCR
HBV
HIV
Date: Ultrasound: Date: CT: Date: Xray:

You might also like