Professional Documents
Culture Documents
Lab Log
Lab Log
NC 1 8 3 0 1479 08 2022
Laboratory Medicine
Date: __________
DD/MONTH/YYYY Clinic or Agency Name: ___________________
Collector: ______________ External Collector Permit Number:______
Collector record number of specimens collected. Lab verify submission ( )
Time Time SST Serum Fluoride Citrate EDTA Urine Swab Other Lab
Patient Name and Gold Red Grey Lt. Blue Lavender Specify in
Collected Centrifuge Comments
Provincial Healthcare Number (If Applicable)
HH:MM
HH:MM
Number Number Number Number Number Number Number Number
10
1479 2022/11