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  • Order 04 14 19 17 33

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    This document is a prescription from Dr. Soma Elhami, a general practitioner, for patient Ibrahim Elhami. It lists 17 lab tests including a complete urine analysis, measurements of blood urea, creatinine, lipids, electrolytes, thyroid and vitamin D levels, and a complete blood count. The prescription is dated January 25, 1402 and is valid for the patient's health insurance which expires on June 3, 1402.

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    This document is a prescription from Dr. Soma Elhami, a general practitioner, for patient Ibrahim Elhami. It lists 17 lab tests including a complete urine analysis, measurements of blood urea, creatinine, lipids, electrolytes, thyroid and vitamin D levels, and a complete blood count. The prescription is dated January 25, 1402 and is valid for the patient's health insurance which expires on June 3, 1402.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    7 views1 page

    Order 04 14 19 17 33

    Uploaded by

    soma.elhami
    This document is a prescription from Dr. Soma Elhami, a general practitioner, for patient Ibrahim Elhami. It lists 17 lab tests including a complete urine analysis, measurements of blood urea, creatinine, lipids, electrolytes, thyroid and vitamin D levels, and a complete blood count. The prescription is dated January 25, 1402 and is valid for the patient's health insurance which expires on June 3, 1402.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    ‫ﺍﻃﻼﻋﺎﺕ ﺗﺠﻮﯾﺰ ﮐﻨﻨﺪﻩ‬

    ‫‪176286‬‬ ‫ﺷﻤﺎﺭﻩ ﻧﻈﺎﻡ‪:‬‬ ‫ﺩﮐﺘﺮ ﺳﻮﻣﺎ ﺍﻟﻬﺎﻣﯽ )ﭘﺰﺷﮏ ﻋﻤﻮﻣﯽ(‬ ‫ﻧﺎﻡ ﺗﺠﻮﯾﺰ ﮐﻨﻨﺪﻩ‪:‬‬

    ‫‪84869‬‬ ‫ﺷﻨﺎﺳﻪ ﺭﻫﮕﯿﺮﯼ‪:‬‬ ‫‪1402/01/25‬‬ ‫ﺗﺎﺭﯾﺦ ﺗﺠﻮﯾﺰ‪:‬‬

    ‫ﺍﻃﻼﻋﺎﺕ ﺑﯿﻤﺎﺭ‬

    ‫‪2938611994‬‬ ‫ﮐﺪ ﻣﻠﯽ‪:‬‬ ‫ﺍﺑﺮﺍﻫﯿﻢ ﺍﻟﻬﺎﻣﯽ‬ ‫ﻧﺎﻡ ﻭ ﻧﺎﻡ ﺧﺎﻧﻮﺍﺩﮔﯽ‪:‬‬

    ‫ﮐﺎﺭﮐﻨﺎﻥ ﺩﻭﻟﺖ‬ ‫ﻧﻮﻉ ﺻﻨﺪﻭﻕ‪:‬‬ ‫ﺑﯿﻤﻪ ﺳﻼﻣﺖ‬ ‫ﺳﺎﺯﻣﺎﻥ ﺑﯿﻤﻪ ﮔﺮ‪:‬‬

    ‫‪1402/06/03‬‬ ‫ﺗﺎﺭﯾﺦ ﺍﻋﺘﺒﺎﺭ ﺑﯿﻤﻪ‪:‬‬ ‫ﺳﺮﭘﺮﺳﺖ‬ ‫ﻧﺴﺒﺖ ﺑﺎ ﺳﺮﭘﺮﺳﺖ‪:‬‬

    ‫ﺗﻌﺪﺍﺩ ﺩﻓﻌﺎﺕ ﺗﮑﺮﺍﺭ‬ ‫ﻧﺎﻡ ﺧﺪﻣﺖ‬ ‫ﮐﺪ ﺧﺪﻣﺖ‬

    ‫ﺁﺯﻣﺎﯾﺶ ﮐﺎﻣﻞ ﺍﺩﺭﺍﺭ ﺑﺎ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻧﻮﺍﺭ ﺍﺩﺭﺍﺭﯼ ﯾﺎ ﻗﺮﺹﻫﺎﯼ ﺩﺍﺭﻭﯾﯽ ﺑﺮﺍﯼ ﺗﻌﯿﯿﻦ ﻗﻨﺪ‪،‬‬
    ‫ﻭﺯﻥ ﻣﺨﺼﻮﺹ‪ ،‬ﺍﻭﺭﻭﺑﯿﻠﯿﻨﻮﮊﻥ ﻭ ﻏﯿﺮﻩ ‪، PH،‬ﻫﻤﻮﮔﻠﻮﺑﯿﻦ‪ ،‬ﮐﺘﻮﻥﻫﺎ‪ ،‬ﻟﻮﮐﻮﺳﯿﺖﻫﺎ‪ ،‬ﻧﯿﺘﺮﯾﺖ‬
    ‫‪1‬‬ ‫‪800200‬‬
    ‫ﺑﻪ ﺻﻮﺭﺕ ﻣﺎﮐﺮﻭﺳﮑﻮﭘﯽ ﺑﺎ ﯾﺎ ﺑﺪﻭﻥ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺩﺳﺘﮕﺎﻩ ﺧﻮﺩﮐﺎﺭ ﺷﺎﻣﻞ ﮔﺰﺍﺭﺵ ﻭﯾﮋﮔﯽ‬
    ‫;‪;UA;U/A‬ﻫﺎﯼ ﻣﺎﮐﺮﻭﺳﮑﻮﭘﯽ ﻭ ﺗﺠﺴﺲ ﻣﯿﮑﺮﻭﺳﮑﻮﭘﯽ‬
    ‫‪1‬‬ ‫ﺍﻧﺪﺍﺯﻩ ﮔﯿﺮﯼ ﮐﻤّﯽ ﺍﻭﺭﻩ ﺧﻮﻥ‪/‬ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ‬ ‫‪800415‬‬

    ‫‪1‬‬ ‫ﺍﻧﺪﺍﺯﻩ ﮔﯿﺮﯼ ﮐﻤّﯽ ﮐﺮﺍﺗﯿﻨﯿﻦ ﺧﻮﻥ‪/‬ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ‬ ‫‪800420‬‬

    ‫‪1‬‬ ‫ﺍﻧﺪﺍﺯﻩ ﮔﯿﺮﯼ ﮐﻤّﯽ ﺗﺮﯼﮔﻠﯿﺴﯿﺮﯾﺪ ﺩﺭ ﺧﻮﻥ‪/‬ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ‬ ‫‪800430‬‬

    ‫‪1‬‬ ‫ﺍﻧﺪﺍﺯﻩ ﮔﯿﺮﯼ ﮐﻤّﯽ ﮐﻠﺴﺘﺮﻭﻝ ﺩﺭ ﺧﻮﻥ‪/‬ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ‬ ‫‪800435‬‬

    ‫‪1‬‬ ‫ﺩﺭ ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ ‪ HDL-CHOLESTEROL‬ﺍﻧﺪﺍﺯﻩﮔﯿﺮﯼ ﮐﻤّﯽ‬ ‫‪800440‬‬

    ‫‪1‬‬ ‫ﺩﺭ ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ ‪ LDL- CHOLESTEROL‬ﺍﻧﺪﺍﺯﻩﮔﯿﺮﯼ ﮐﻤّﯽ‬ ‫‪800445‬‬

    ‫‪1‬‬ ‫ﺍﻧﺪﺍﺯﻩ ﮔﯿﺮﯼ ﮐﻤّﯽ ﮐﻠﺴﯿﻢ ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ‬ ‫‪800485‬‬

    ‫‪1‬‬ ‫ﺍﻧﺪﺍﺯﻩ ﮔﯿﺮﯼ ﮐﻤّﯽ ﻓﺴﻔﺮ ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ‬ ‫‪800495‬‬

    ‫‪1‬‬ ‫ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ ‪ (THYROID STIMULATING HORMONE (TSH‬ﺍﻧﺪﺍﺯﻩ ﮔﯿﺮﯼ ﮐﻤّﯽ‬ ‫‪801415‬‬


    ‫)‪ D (25-HYDROXY VITAMIN D‬ﺍﻧﺪﺍﺯﻩﮔﯿﺮﯼ ﮐﻤّﯽ ‪-25‬ﻫﯿﺪﺭﻭﮐﺴﯽ ﻭﯾﺘﺎﻣﯿﻦ‬
    ‫‪1‬‬ ‫‪801510‬‬
    ‫ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ‬
    ‫ﻫﻤﻮﮔﻠﻮﺑﯿﻦ‪ ،‬ﻫﻤﺎﺗﻮﮐﺮﯾﺖ‪ ،‬ﺷﻤﺎﺭﺵ ﮔﻠﺒﻮﻝ ﻗﺮﻣﺰ ﻭ ﺳﻔﯿﺪ ﻭ ﭘﻼﮐﺖ‪ CBC (،‬ﺁﺯﻣﺎﯾﺶ‬
    ‫‪1‬‬ ‫‪802000‬‬
    ‫ﺍﻧﺪﯾﺲﻫﺎﯼ ﺳﻠﻮﻟﯽ( ﻭ ﺷﻤﺎﺭﺵ ﺍﻓﺘﺮﺍﻗﯽ ﮔﻠﺒﻮﻟﻬﺎﯼ ﺳﻔﯿﺪ‬
    ‫‪1‬‬ ‫)ﻧﺎﺷﺘﺎ( ‪ -FBS‬ﺍﻧﺪﺍﺯﻩ ﮔﯿﺮﯼ ﮐﻤّﯽ ﮔﻠﻮﮐﺰ ﺧﻮﻥ‪/‬ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ‬ ‫‪8004000‬‬
    ‫ﻣﻬﺮ ﻭ ﺍﻣﻀﺎ‬
    ‫‪HID:202F20DL8D‬‬

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