Morning shift

ISLAMABAD DIAGNOSTIC CENTER Doc. No. BOM-F-16/00

Burewala
( PVT) LIMITED ) TO Branch Multan
Record Format Rev. Date 18-07-2023
Branch Sample Transportation Sheet Page No. Page 1 of 1

From Branch
Date 10-12-2023
PIN Number Test to be performed
Rep. Time
EDTA GEL Grey URN Hep CIT OTHER
2312-01-059383 2 URE,URC 8:00 PM
11-12-2023
2312-01-059374 2 URE,URC 08:00PM
11-12-2023
2312-01-059338 2 2 1 GR,CR,LFT,ESR, 11-12-2023
CP,ANTIB,BC,TS 8:00PM
H,FT4
2312-01-060707 1 Urea,creat 11-12-2023
8:00am
2312-01-059373 1Sputum 11-12-2023
8:00pm

Raza Iqbal
Courier Name: Courier Initials:
Samples Handed Over Ramzan
by: (Staff) Staff Initials:
5:00pm 18
Sending Time: Box Temperature:

Received by: Initials

Receiving Time: Box Temperature:

Remarks:
Morning shift

This document is internal and confidential.

The format and version of this document is controlled, in case of any need for
amendment please coordinate with Functional Quality Leader and QA Team