2A-2D 2nd Floor, Ayala Abreeza Malls, J.

P Laurel Avenue
Brgy. 20-B Poblacion, Davao City, 8000

Last name: Patient No.:

Middle name: Queue No.:
First name: Requested by:
Age / Gender: Date Received:
Birthdate:
IMMUNOSEROLOGY
DATE OF COLLECTION:

TIME OF COLLECTION:

EXAMINATION RESULTS REMARKS

ASO
CRP
RA FACTOR

Processed By: Validated By:

THEA BIANCA ELLAINE T. PANGOLIBAY, RMT

License# 0085593 CHRISTIAN V. VASQUEZ, RMT JOHN PATRICK C. PADILLA, MD,FPSP
License# 0059891 License# 0089855
MEDICAL TECHNOLOGIST
MEDICAL TECHNOLOGIST PATHOLOGIST

Generated on August 1, 2023, 2:55 pm

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