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    Rajarajeshwari Kommu
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    Dr. Grimes wrote a letter to Rajarajeshwari Kommu referring her for fasting blood tests at her local public hospital and included a laboratory requisition form. The form requests that blood tests be performed to monitor her hypothyroidism, including a full blood count, iron studies, ferritin, TSH, lipid profile, and Vitamin B12. The results are to be sent to Dr. Grimes or Dr. Sylvester Mooney at Dr. Grimes' address.

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    Blood test 2

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    Dr. Grimes wrote a letter to Rajarajeshwari Kommu referring her for fasting blood tests at her local public hospital and included a laboratory requisition form. The form requests that blood tests be performed to monitor her hypothyroidism, including a full blood count, iron studies, ferritin, TSH, lipid profile, and Vitamin B12. The results are to be sent to Dr. Grimes or Dr. Sylvester Mooney at Dr. Grimes' address.

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    © All Rights Reserved
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    12 views2 pages

    Blood Test 2

    Uploaded by

    Rajarajeshwari Kommu
    Dr. Grimes wrote a letter to Rajarajeshwari Kommu referring her for fasting blood tests at her local public hospital and included a laboratory requisition form. The form requests that blood tests be performed to monitor her hypothyroidism, including a full blood count, iron studies, ferritin, TSH, lipid profile, and Vitamin B12. The results are to be sent to Dr. Grimes or Dr. Sylvester Mooney at Dr. Grimes' address.

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    © All Rights Reserved
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    of 2

    Dr.

    Seán Grimes
    BSc MB BCh BAO PGDip MRCGP FRACGP
    14A Knockmeenagh Road
    Clondalkin, Dublin 22
    tel: 01 459 5132
    fax: 01 464 2916
    Date: 14/12/2021
    Consultation ID: 2021-12-14-TR1020811-AP283147

    RAJARAJESHWARI KOMMU
    1 WATERSIDE VIEW, WATERSIDE
    MALAHIDE
    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. Grimes 424482

    LABORATORY REQUISITION FORM

    Re: RAJARAJESHWARI KOMMU

    Date of Birth: 03/01/1997

    Age: 24
    Gender: Female

    Address: 1 Waterside View, Waterside,

    SPECIMEN TYPE: BLOOD

    PLEASE PERFORM AND REPORT ON THE FOLLOWING INVESTIGATIONS:

    FBC

    Iron studies

    Ferritin
    TSH

    Lipid profile

    VitB12

    CLINICAL NOTE:

    Monitoring hypoothyroidism.

    PLEASE SEND RESULTS TO ME AT MY ADDRESS AS DETAILED ABOVE OR TO DR


    SYLVESTER MOONEY (MCN: 10015) AT THE SAME ADDRESS

    Thank you.

    Yours sincerely
    Dr. Grimes 424482

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