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  • Ruhi Clinic

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    Debebe Daniel
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    1. This document appears to be a medical record from Dr. Fuad Medium Clinic containing laboratory test requests and results for a patient named Tefara. 2. The record includes requests for hematology, urinalysis, chemistry, and serology tests as well as spaces to record results for various blood and urine parameters. 3. Contact information for the clinic is provided at the top including a telephone number.

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    1. This document appears to be a medical record from Dr. Fuad Medium Clinic containing laboratory test requests and results for a patient named Tefara. 2. The record includes requests for hematology, urinalysis, chemistry, and serology tests as well as spaces to record results for various blood and urine parameters. 3. Contact information for the clinic is provided at the top including a telephone number.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    9 views4 pages

    Ruhi Clinic

    Uploaded by

    Debebe Daniel
    1. This document appears to be a medical record from Dr. Fuad Medium Clinic containing laboratory test requests and results for a patient named Tefara. 2. The record includes requests for hematology, urinalysis, chemistry, and serology tests as well as spaces to record results for various blood and urine parameters. 3. Contact information for the clinic is provided at the top including a telephone number.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 4

    D.

    r FUAD MEDIUM CLINIC


    ዶ/ር ፉአድ መካከለኛ ክሊኒክ
    የሕሙማን መከታተያ ካርድ የካርድ ቁጥር፡- ----------------
    Tel:- 0949033623 Card N.o
    የህመምተኛ የህክምና ማህደር ቀን ----------------
    Patient Medical Record Date
    ስም --------------------------------------------------- ዕድሜ ------- ፆታ ------
    Name
    ተፈራ መካከለኛተፈራ ክሊኒክ መካከለኛ ክሊኒክ Age ተፈራ መካከለኛ ክሊኒክ Sex
    TEFERA
    TEFERA MEDIUM
    MEDIUM CILINIC
    CILINIC
    ክልል --------------------
    LAB-REQUEST
    LAB-REQUEST ወረዳ -------- ክ/ከተማ /ቀበሌ TEFERA ------------ MEDIUM ስልክ
    LAB-REQUEST
    ቁጥር
    CILINIC
    Name ---------------------------- Sex -----MRN --------- Date ------
    Hematology
    Hematology
    ------------
    Name ---------------------------- Sex -----MRN --------- Date ------
    Urinalysia
    Urinalysia Chemistry
    Chemistry Serology
    Serology
    Name ---------------------------- Sex -----MRN --------- Date ------
    Hematology Urinalysia Chemistry Serology
    WBC
    Region
    Color
    normal
    FBS/RB
    Woreda
    value
    normal value
    VDRL
    Town /Kebele Tel N.o normal value
    8 WBC Color FBS/RB VDRL
    Diff n--- % L Appearance SGOT HRSAC
    Diff n--- % L Appearance SGOT HRSAC
    -----%F --- Ph Alk phos HCV -----%F --- Ph Alk phos HCV
    %M----- SG Bilirubin(T) Widal:Hag %M----- SG Bilirubin(T) Widal:Hag
    %B-------% Protin Bilirubin(D) Widal:OAg %B-------% Protin Bilirubin(D) Widal:OAg
    High Sugar BUN Weil felix
    High Sugar BUN Weil felix
    Het Ketone Urea HCG
    Het Ketone Urea HCG
    ESR Bilirubin Creatinin H.pylori
    ESR Bilirubin Creatinin H.pylori
    Blood group Rh Urobilinogen Uric acid Bacteriology
    Blood group Rh Urobilinogen Uric acid Bacteriology
    Blood film Blood T.protin Grams stain
    Blood film Blood T.protin Grams stain
    Morphology Microscopy Cholesterol(total) AFB
    Morphology Microscopy Cholesterol(total) AFB

    Stool test Epit.cell HDL-C Wet film


    Stool test Epit.cell HDL-C Wet film
    o/p WBC LDL-C
    o/p WBC LDL-C

    RBC Triglyceride TG
    RBC Triglyceride TG
    Cast Sodium
    Cast Sodium
    Bacteria Potassium
    Bacteria Potassium

    Others Rheumatoid
    Others Rheumatoid

    Requested by ----------------- Reported by ------------- Date------- Requested by ----------------- Reported by ------------- Date-------

    ተፈራ መካከለኛ ክሊኒክ


    ተፈራ መካከለኛ ክሊኒክ
    TEFERA MEDIUM CILINIC
    TEFERA MEDIUM CILINIC
    LAB-REQUEST
    LAB-REQUEST
    Name ---------------------------- Sex -----MRN --------- Date ------
    Name ---------------------------- Sex -----MRN --------- Date ------
    Hematology Urinalysia Chemistry Serology
    Hematology Urinalysia Chemistry Serology
    normal value
    normal value
    WBC Color FBS/RB VDRL
    WBC Color FBS/RB VDRL
    Diff N--- % L Appearance SGOT HRSAC
    Diff n--- % L Appearance SGOT HRSAC
    -----%F --- Ph Alk phos HCV
    -----%F --- Ph Alk phos HCV
    %M----- SG Bilirubin(T) Widal:Hag %M----- SG Bilirubin(T) Widal:Hag
    %B-------% Protin Bilirubin(D) Widal:OAg %B-------% Protin Bilirubin(D) Widal:OAg
    High Sugar BUN Weil felix
    High Sugar BUN Weil felix
    Het Ketone Urea HCG
    Het Ketone Urea HCG
    ESR Bilirubin Creatinin H.pylori
    ESR Bilirubin Creatinin H.pylori
    Blood group Urobilinogen Uric acid Bacteriology
    Blood group Rh Urobilinogen Uric acid Bacteriology
    Rh
    Blood film Blood T.protin Grams stain
    Blood film Blood T.protin Grams stain
    Morphology Microscopy Cholesterol(total) AFB
    Morphology Microscopy Cholesterol(total) AFB

    Stool test Epit.cell HDL-C Wet film


    Stool test Epit.cell HDL-C Wet film
    o/p WBC LDL-C
    o/p WBC LDL-C
    D.r FUAD MEDIUM CLINIC
    ዶ/ር ፉአድ መካከለኛ ክሊኒክ
    የሕሙማን መከታተያ ካርድ የካርድ ቁጥር፡- ----------------
    Tel:- 0949033623 Card N.o
    የህመምተኛ የህክምና ማህደር ቀን ----------------
    Patient Medical Record Date
    ስም --------------------------------------------------- ዕድሜ ------- ፆታ ------
    Name Age Sex
    ክልል --------------------ወረዳ -------- ክ/ከተማ /ቀበሌ ------------ስልክ ቁጥር
    ------------
    Region Woreda Town /Kebele Tel N.o
    C Date Clinical Notes
    D.r FUAD MEDIUM CLINIC
    ዶ/ር ፉአድ መካከለኛ ክሊኒክ
    የሕሙማን መከታተያ ካርድ የካርድ ቁጥር፡- ----------------
    Tel:- 0949033623 Card N.o
    የህመምተኛ የህክምና ማህደር ቀን ----------------
    Patient Medical Record Date
    ስም --------------------------------------------------- ዕድሜ ------- ፆታ ------
    Name Age Sex
    ክልል --------------------ወረዳ -------- ክ/ከተማ /ቀበሌ ------------ስልክ ቁጥር
    ------------
    Region Woreda Town /Kebele Tel N.o
    D.r FUAD MEDIUM CLINIC
    ዶ/ር ፉአድ መካከለኛ ክሊኒክ
    የሕሙማን መከታተያ ካርድ የካርድ ቁጥር፡- ----------------
    Tel:- 0949033623 Card N.o
    የህመምተኛ የህክምና ማህደር ቀን ----------------
    Patient Medical Record Date
    ስም --------------------------------------------------- ዕድሜ ------- ፆታ ------
    Name Age Sex
    ክልል --------------------ወረዳ -------- ክ/ከተማ /ቀበሌ ------------ስልክ ቁጥር
    ------------
    Region Woreda Town /Kebele Tel N.o

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