Report 10 TORO
DEPARTMENT OF HEALTH
HOA BIOLAB AND DIAGNOSTIC CLINIC
ASTIN ST., SANTISSIMO ROSARIO POR. (SANTO ROSA), NAVAL (CAPITAL) BILIRAN
Phone Numbef (55) 500-3005
DRUG TEST REPORT
OK011598
53
CCF No 202203100012 ‘Transaction Date Time: 3/40/2022 10'58:008M
Name: GALAN, JOAN MARAMARA, Report Date Time: 3nior2022 11-00-03AM
Birthdate: 12/18/1908 Age: 23 Gender: F
Test Method = TEST KIT
Purpose Requesting Parties
Private Employment mpc
This is a DOH-DDB IDTOMIS generated reportHQA BIOLAB and DIAGNOSTIC CLINIC
Castin st, Bray. Smo. Rosario, Naval, Biliran
(053) 500-3095
hqabioleb2015@yahoo.com
HEMATOLOGY RESULT
NORMAL VALUES NORMAL VALUES,
Hemoglobin 150 M:135-180¢/di Platelet: 150-500 x 10°9/Ut
F:120-160 g/dl
Hematocrit 42.0% _— M:44-54% Clotting Time 5-10 mins
F:38-45% Bleeding Time. 14 mins
wec B1B_—4-10x109/L_ ESR M: 0-20 mm/ne
GRA% 57.3% 40-70% F:0-30 mm/he
LYMP % 36.8% 20-50%
MID% 5.9% 3-10% ‘RBC 430 3-8 x10*9/ul
MCHC 357 320-360 g/t
MCH 348 32t0 36 pg,
mcv __975 —-80t0 1001
MA. CECILIA D. SAMOSA, MD, DPSP
Pathologist
Lic #0085607HQA BIOLAB and DIAGNOSTIC CLINIC
Castin st, Bray. Smo. Rosario, Naval, Biliran
<>) (053) 500-3095
is. ymail.com
URINALYSIS REPORT
PHYSICAL ANALYSIS
Color YELLOW
Transparency CLOUDY
(CHEMICAL ANALYSIS:
pH 60 Ketone NEGATIVE
Specific Gravity 1015. Nitrite NEGATIVE
Glucose NEGATIVE Leukocytes @)
Protein NEGATIVE Bilirubin NEGATIVE
Blood ®
‘MICROSCOPIC EXAMINATION RESULT CONVENTIONAL UNIT
wec 5-10 /HPE
RBC 3-6 /HPF
Epithelial Cells MANY /HPF
Bacteria MODERATE /HPF
Mucus Thread ‘/HPF
‘Amorphous Urates /HPF
Calcium Oxalate Crystal 7HPE
. ose
RHEA QUIN MA. CECILIA D. SAMOSA, MD,DPSP
Medical t&Xhnologist PATHOLOGIST
Lic # 0093460 ‘Lic#008S607Republic ofthe Philippines
Province of Leyte
Municipality of San tsidro
Office of the Municipal Health
MEDICAL CERTIFICATE
TO WHOM IT MAY CONCERN:
THIS TO CERTIFY that JOAN M.
Age: _23 YEARS OLD ‘Sex:_ FEMALE Civil Status: SINGLE __
Nationality:_FILIPINO.
Address: BRGY. HACIENDA MARIA, SAN ISIDRO LEYTE
ee
Appeared before the undersigned on: 27,2022 for_ MEDICAL
EXAMINATION.
With the following findings:
—____ Physically and mentally fittowork,
BP: 100/61 mmHg PR: 64 bpm
WT: _67.5 kg. HT: 156.5 cm
Remarks:
This CERTIFICATION is issued upon the request of interested
party for whatever purpose it may serve.
Given this 27 September 2022 at_San Isidro, Leyte. Za