UNIVERSIDAD AUTÓNOMA DE TAMAULIPAS

Facultad de Medicina de Tampico

“Dr. Alberto Romo Caballero”

LICENCIATURA EN MÉDICO CIRUJANO

INGLÉS INTERMEDIO II
LEARNING PRODUCT 3

Estudiantes: Rigoberto Lara de la Torre (2203310062)

Samantha Ker Ontiveros (2203310058)

Fecha: febrero 2022

Semestre: 4° “E”

Docente: García Morlet Patricia Yolanda

Paul p.harris 102, fracc vista hermosa Contact info:(833) 464-8860 Email: servicioaclientes@lister.com.mx
 Laboratory tests request Form Department of Health
Tamaulipas
Dr. Samuel Lara Ontiveros, MD.
(834) 318 6320
Nephrology
License << 0621837 >> specialist license <<0031835>>
Graduate: Medical school “Dr. Alberto Romo Caballero”
UAT Campus Tampico
UAT University Hospital
Postgraduate degree in Internal Medicine: Medical School UNAM

NAME: Mario Orozco Balderas DATE: 14/02/22

HEIGHT: 170 cm WEIGHT: 70 kg AGE: 42 years old SEX: .Male

Material Request Form

Name of the Professional: Samuel Lara Ontiveros
Laboratory: Lister Laboratories
Institution: LISTER LABORATORIOS DE REFERENCIA SA DE CV
Address: Paul p.harris 102, fraccionamiento vista hermosa tampico, tamaulipas c.p. 89110
Telephone: (833) 464-8860
Email: servicioaclientes@lister.com.mx
Diabetes Panel:
- Fasting Blood Sugar
- Hemoglobin A1C
- Insulin
- Homocystein
- C Reactive Protein (CRP)
- General urine test (Urinalysis)
Tumor Marker Panel:
- Seric Thyroglobulin
- Prostatic antigen
- Carcinoembryonic antigen (CEA)
- Alpha-fetoprotein (AFP)
- Human chorionic gonadotropin (HCG)
Cardiovascular Disease Panel:
- Cholesterol test

Briefly describe how do you plan to use this material:

These materials may be used only for non-clinical or non-commercial research and only within the scientist’s
lab located at the institution

__________________________
SIGNATURE
Paul p.harris 102, fracc vista hermosa Contact info:(833) 464-8860 Email: servicioaclientes@lister.com.mx
Paul p.harris 102, fracc vista hermosa Contact info:(833) 464-8860 Email: servicioaclientes@lister.com.mx