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Issue No.

: 1
Urine Analysis
Revision No: 3
F01P01.23.T Issue date: Dec. 2017

Day : Date:

Patient Acc. Reacti Urobilin Pus Red Epitheli amorph Other


Patient name Volume Color Aspect Odor Sp. Gr. Albumin Glucose ketones Bilirubin nitrites
al cells
crystals
ous casts
ID No. on (pH) ogen cells cells findings

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