Unit 101-103 G/F GOP Bldg.

, McArthur Hi-way, Dolores, City of San Fernando, Pampanga

Name : SESE, JHAN PRINCE PAOLO DELA CRUZ Lab. Number : 2130030526
PID : SF084174 Birthdate : 01-14-1999
Age : 22 Sex :MALE Dispatch : PICK-UP
Source : REFERRAL Page : 1 of 4 4
Clinician : N/A
Date Requested : 07-15-2021 07:46 AM Received : 07-15-2021 09:00Received
AM : 07-15-2021 09:00 AM

Result (SI Unit) Result (Conv. Unit)

TEST Reference Interval Reference Interval

HEMATOLOGY
CBC and Platelet
White Blood Cells 9.71 X10^9/L 9.71 X10^3/mm^3
4.23~9.07 4.23~9.07
Red Blood Cells 4.70 X10^12/L 4.70 X10^6/mm^3
4.63~6.08 4.63~6.08
Hemoglobin 138.00 g/L 13.80 g/dL
137.00~175.00 13.70~17.50
Hematocrit 0.42 Vol.Fraction 42.00 %
0.40~0.51 40.00~51.00
Mean Corpuscular Volume 90.20 fL 90.20 u^3
79.00~92.20 79.00~92.20
Mean Corpuscular Hb 29.40 pg 29.40 pg
25.70~32.20 25.70~32.20
Mean Corpuscular Hb Conc. 32.50 % 32.50 g/dL
32.30~36.50 32.30~36.50
RBC Distribution Width 13.50 % 13.50 %
11.60~14.60 11.60~14.60
Platelet Count 396.00 X10^9/L 396.00 X10^3/mm^3
150.00~450.00 150.00~450.00
Mean Platelet Volume 8.60 fL 8.60 fL
6.50~12.00 6.50~12.00
Differential Count
Neutrophils 66.80 % 66.80 %
34.00~68.00 34.00~68.00
Lymphocytes 22.10 % 22.10 %
22.00~53.00 22.00~53.00
Monocyte 7.00 % 7.00 %
5.00~12.00 5.00~12.00
Eosinophil 3.40 % 3.40 %
1.00~7.00 1.00~7.00
Basophil 0.70 % 0.70 %
0.00~1.00 0.00~1.00

LEGEND: - High - Alert Value High - Low - Alert Value Low

HM:

REGISTERED MEDICAL TECHNOLOGIST QUALITY CONTROL PATHOLOGIST

** Report Electronically Signed Out **
HPD
 Unit 101-103 G/F GOP Bldg., McArthur Hi-way, Dolores, City of San Fernando, Pampanga

Name : SESE, JHAN PRINCE PAOLO DELA CRUZ Lab. Number : 2130030526
PID : SF084174 Birthdate : 01-14-1999
Age : 22 Sex :MALE Dispatch : PICK-UP
Source : REFERRAL Page : 2 of 4 4
Clinician : N/A
Date Requested : 07-15-2021 07:46 AM Received : 07-15-2021 09:00Received
AM : 07-15-2021 09:00 AM

Test Results Unit Reference Interval

CLINICAL MICROSCOPY
Complete Urinalysis
Date of Collection 07-15-21
Time of Collection 8:25 AM
Physical / Macroscopic
Color YELLOW
Transparency CLEAR
Urine Chemical
Sp. Gravity 1.020 1.005~1.025
pH 5.00 5.00~7.00
Protein NEGATIVE NEGATIVE
Glucose NEGATIVE NEGATIVE
Bilirubin NEGATIVE NEGATIVE
Blood (ERY/Hb) NEGATIVE NEGATIVE
Leukocytes NEGATIVE NEGATIVE
Nitrite NEGATIVE NEGATIVE
Urobilinogen NEGATIVE NEGATIVE
Ketone NEGATIVE NEGATIVE
Microscopic
RBC 1-3 /hpf 0~3
WBC 1-2 /hpf 0~5
Bacteria FEW
Routine Fecalysis
Date of Collection 07-15-21
Time of Collection 8:50 AM
Physical Exam
Color BROWN
Consistency SOFT
Microscopic Examination

CM:

REGISTERED MEDICAL TECHNOLOGIST QUALITY CONTROL PATHOLOGIST

** Report Electronically Signed Out **
HPD
 Unit 101-103 G/F GOP Bldg., McArthur Hi-way, Dolores, City of San Fernando, Pampanga

Name : SESE, JHAN PRINCE PAOLO DELA CRUZ Lab. Number : 2130030526
PID : SF084174 Birthdate : 01-14-1999
Age : 22 Sex :MALE Dispatch : PICK-UP
Source : REFERRAL Page : 3 of 4 4
Clinician : N/A
Date Requested : 07-15-2021 07:46 AM Received : 07-15-2021 09:00Received
AM : 07-15-2021 09:00 AM

Test Results Unit Reference Interval

White Blood Cell NONE SEEN

Red Blood Cell NONE SEEN
Ova & Parasite NO INTESTINAL
PARASITE SEEN

CM:

REGISTERED MEDICAL TECHNOLOGIST QUALITY CONTROL PATHOLOGIST

** Report Electronically Signed Out **
HPD
 Unit 101-103 G/F GOP Bldg., McArthur Hi-way, Dolores, City of San Fernando, Pampanga

Name : SESE, JHAN PRINCE PAOLO DELA CRUZ Lab. Number : 2130030526
PID : SF084174 Birthdate : 01-14-1999
Age : 22 Sex :MALE Dispatch : PICK-UP
Source : REFERRAL Page : 4 of 4 4
Clinician : N/A
Date Requested : 07-15-2021 07:46 AM Received : 07-15-2021 09:00Received
AM : 07-15-2021 09:00 AM

Test Results Unit Reference Interval

DRUG TESTING
MET AND THC (IDTOMIS)
MET/Shabu (IDTOMIS) NEGATIVE NEGATIVE
THC/Marijuana (IDTOMIS) NEGATIVE NEGATIVE
NOTE : The results are best interpreted by a healthcare professional and are not intended to be used as the sole means
for diagnosis or management.
Specimen rechecked, result/s verified.

DT:

REGISTERED MEDICAL TECHNOLOGIST QUALITY CONTROL PATHOLOGIST

** Report Electronically Signed Out **
HPD