TEST REQUEST FORM

TRF ID : 1766VG10175 TRF Date : 18/07/2022 13:55:03

Client Code : C000129367 Collection Date & Time : 18/07/2022 01:05 PM

Client Name : FPSC NCR DIAGNOSTICS

Patient Details
Patient Id LALIM581911140 Mobile No 9873938255

First Name MR.LALITA Last Name

Address ,,
,,

Date Of Birth Email

Age 48 Years Gender Male
Height Weight Client Patient ID

Ref Doctor Name SELF Phlebotomist Name

Booking Agent Name - AWB No.

Patient History

Patient Remark

Product Details

8823 25 - HYDROXYVITAMIN D, SERUM

Specimen Details
SERUM