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Dr. Margaret McCarthy
MB Bch BAO DCH DObs MICGP FPC
14a Knockmeenagh Road
Clondalkin, Dublin 22
tel: 01 459 5132
fax: 01 464 2916
Date: 10/11/2021
Consultation ID: 2021-11-10-TR991273-AP48424
RAJARAJESHWARI KOMMU
1 WATERSIDE VIEW, SWORDS ROAD, MALAHIDE
DUBLIN
CO. DUBLIN
PATHOLOGY REQUISITION FORM
Dear Rajarajeshwari ,
Please contact the blood testing section of your local public hospital and arrange an appointment for
‘Fasting Bloods’
You must bring this letter with you when you attend the Hospital for these tests.
Yours sincerely
Dr. McCarthy 16412
LABORATORY REQUISITION FORM
Re: RAJARAJESHWARI KOMMU
Date of Birth: 03/01/1997
Age: 24
Gender:
Address: 1 Waterside View, Swords Road, MALAHIDE,
SPECIMEN TYPE: BLOOD/URINE/SWAB
PLEASE PERFORM AND REPORT ON THE FOLLOWING INVESTIGATIONS
FBC & Film; ESR CRP; Renal; LFTs; TFTs; Ferritin ; Vitamin B12; Folate levels; Vitamin D;
Bone Profile; Fasting Glucose and fasting Lipids; HBAlc
FSH &LH , Oestrogen progesterone Testosterone ; Prolactin;
CLINICAL NOTE: elevated cholesterol and_ irregular periods.
PLEASE SEND RESULTS TO ME AT MY ADDRESS AS DETAILED ABOVE OR TO DR
SYLVESTER MOONEY (MCN: 10015) AT THE SAME ADDRESS
M Inc. (atl
Yours sincerely
Thank you.
Dr. McCarthy 16412
