‫‪1402/08/10‬‬ ‫ﺗﺎﺭﯾﺦ ﺻﺪﻭﺭ ‪:‬‬ ‫ﺳﺎﻣﺎﻧﻪ ﻧﺴﺨﻪ ﺍﻟﮑﺘﺮﻭﻧﯿﮏ‬

‫‪1402/08/10‬‬ ‫ﺗﺎﺭﯾﺦ ﺛﺒﺖ ﻧﺴﺨﻪ ‪:‬‬ ‫‪4624370714‬‬ ‫ﺷﻨﺎﺳﻪ ﯾﮑﺘﺎ ‪:‬‬

‫ﺗﺨﺼﺺ ﺑﯿﻤﺎﺭﻱ ﻫﺎﻱ‬ ‫ﻣﺤﻤﺪ ﺣﺴﯿﻦ ﺯﺍﺩﻩ ﻣﺎﻟﮑﯽ‬

‫ﺗﺨﺼﺺ ‪:‬‬ ‫‪0000017608‬‬ ‫ﺷﻤﺎﺭﻩ ﻧﻈﺎﻡ ﭘﺰﺷﮑﯽ ‪:‬‬ ‫ﻧﺎﻡ ﭘﺰﺷﮏ ‪:‬‬
‫ﺩﺍﺧﻠﯽ‬

‫ﭘﺎﺭﺍﮐﻠﯿﻨﯿﮏ‬ ‫ﻧﻮﻉ ﺳﻨﺪ ‪ :‬ﻧﺴﺨﻪ‬ ‫‪1743376294‬‬ ‫ﮐﺪ ﻣﻠﯽ ﺑﯿﻤﺎﺭ ‪:‬‬ ‫ﻧﺎﻡ ﻭ ﻧﺎﻡ ﺧﺎﻧﻮﺍﺩﮔﯽ ﺑﯿﻤﺎﺭ ‪:‬‬

‫ﺳﯿﺪﺣﺴﯿﻦ ﺣﺴﯿﻨﯽ ﺳﯿﺲ‬

‫ﻃﺮﯾﻘﻪ ﻣﺼﺮﻑ‬ ‫ﺯﻣﺎﻥ ﻣﺼﺮﻑ‬ ‫ﻣﻘﺎﺩﯾﺮ ﻣﺼﺮﻑ‬ ‫ﺗﻌﺪﺍﺩ‬ ‫ﻋﻨﻮﺍﻥ ﺩﺍﺭﻭ‬ ‫ﺭﺩﯾﻒ‬

‫ﺍﻧﺪﺍﺯﻩ ﮔﻴﺮﻱ ﮐﻤّﻲ ﺗﻴﺮﻭﻳﺪ ‪29575-8 - TSH -‬‬

‫‪1‬‬ ‫‪1‬‬
‫ﺍﺳﺘﻴﻤﻮﻟﻴﺖ ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ‬
‫ﺍﻧﺪﺍﺯﻩﮔﻴﺮﻱ ﮐﻤّﻲ ‪17856-6 - HbA1C -‬‬
‫‪1‬‬ ‫‪2‬‬
‫ﺩﺭ ﺧﻮﻥ )‪ (HbA1C‬ﻫﻤﻮﮔﻠﻮﺑﻴﻦ ﮔﻠﻴﮑﻮﺯﻳﻠﻪ‬
‫)…‪69742-5 - CBC (Hb-Hct-Plat-Diff-‬‬
‫‪1‬‬ ‫‪3‬‬
‫ﺁﺯﻣﺎﻳﺶ ﺷﻤﺎﺭﺵ ﺳﻠﻮﻝ ﻫﺎﻱ ﺧﻮﻥ ‪-‬‬
‫‪ HDL-‬ﺍﻧﺪﺍﺯﻩﮔﻴﺮﻱ ﮐﻤّﻲ ‪2085-9 - HDL -‬‬
‫‪1‬‬ ‫‪4‬‬
‫ﺩﺭ ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ ‪Cholesterol‬‬
‫‪Urine Culture & Sensitivity-‬‬
‫‪1‬‬ ‫‪5‬‬
‫ﺁﺯﻣﺎﻳﺶ ﮐﺸﺖ ﺍﺩﺭﺍﺭ‪ ،‬ﮐﻠﻨﻲ ﮐﺎﻧﺖ ﻭ ﺁﻧﺘﻲ‬
‫ﺍﻧﺪﺍﺯﻩﮔﻴﺮﻱ ﮐﻤّﻲ ‪1742-6 - ALT (SGPT) -‬‬
‫‪1‬‬ ‫‪6‬‬
‫ﻓﻌﺎﻟﻴﺖ ﺁﻧﺰﻳﻢ ﺁﻻﻧﻴﻦ ﺁﻣﻴﻨﻮ‬
‫ﺍﻧﺪﺍﺯﻩ ﮔﻴﺮﻱ ﮐﻤّﻲ ‪3094-0 - Bun -‬‬
‫‪1‬‬ ‫‪7‬‬
‫ﺧﻮﻥ‪/‬ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ‬
‫ﺁﺯﻣﺎﻳﺶ ﮐﺎﻣﻞ ﺍﺩﺭﺍﺭ ﺑﺎ ‪24356-8 - U/A -‬‬
‫‪1‬‬ ‫‪8‬‬
‫ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻧﻮﺍﺭ ﺍﺩﺭﺍﺭﻱ ﻳﺎ ﻗﺮﺹﻫﺎﻱ‬
‫ﺍﻧﺪﺍﺯﻩﮔﻴﺮﻱ ﮐﻤّﻲ ‪1920-8 - AST (SGOT) -‬‬
‫‪1‬‬ ‫‪9‬‬
‫ﻓﻌﺎﻟﻴﺖ ﺁﻧﺰﻳﻢ ﺁﺳﭙﺎﺭﺗﺎﺕ ﺍﻣﻴﻨﻮ‬
‫ﺍﻧﺪﺍﺯﻩ ﮔﻴﺮﻱ ﮐﻤّﻲ ﮔﻠﻮﮐﺰ ‪1558-6 - FBS -‬‬
‫‪1‬‬ ‫‪10‬‬
‫ﺧﻮﻥ‪/‬ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ ‪-‬ﻧﺎﺷﺘﺎ‬
‫‪34543-9 - Bili(TOTAL , DIRECT) -‬‬
‫‪1‬‬ ‫‪11‬‬
‫ﺍﻧﺪﺍﺯﻩﮔﻴﺮﻱ ﮐﻤّﻲ ﺑﻴﻠﻴﺮﻭﺑﻴﻦ‬
‫ﺍﻧﺪﺍﺯﻩﮔﻴﺮﻱ ﮐﻤّﻲ ‪1989-3 - Vitamin D -‬‬
‫‪1‬‬ ‫‪12‬‬
‫‪-25 D (25-‬ﻫﻴﺪﺭﻭﮐﺴﻲ ﻭﻳﺘﺎﻣﻴﻦ‬
‫ﺍﻧﺪﺍﺯﻩ ﮔﻴﺮﻱ ‪30341-2 - ESR 1st hr -‬‬
‫‪1‬‬ ‫‪13‬‬
‫ﺳﺪﻳﻤﺎﻧﺘﺎﺳﻴﻮﻥ ﮔﻠﺒﻮﻟﻬﺎﻱ ﻗﺮﻣﺰ‪-‬ﻳﮏ‬
‫ﺍﻧﺪﺍﺯﻩ ﮔﻴﺮﻱ ﮐﻤّﻲ ﮐﺮﺍﺗﻴﻨﻴﻦ ‪2160-0 - CR -‬‬
‫‪1‬‬ ‫‪14‬‬
‫ﺧﻮﻥ‪/‬ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ‬
‫ﺍﻧﺪﺍﺯﻩ ﮔﻴﺮﻱ ﮐﻤّﻲ ﮐﻠﺴﺘﺮﻭﻝ ‪2093-3 - Cho -‬‬
‫‪1‬‬ ‫‪15‬‬
‫ﺩﺭ ﺧﻮﻥ‪/‬ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ‬
‫‪ LDL-‬ﺍﻧﺪﺍﺯﻩﮔﻴﺮﻱ ﮐﻤّﻲ ‪18262-6 - LDL -‬‬
‫‪1‬‬ ‫‪16‬‬
‫ﺩﺭ ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ ‪Cholesterol‬‬
‫ﺍﻧﺪﺍﺯﻩﮔﻴﺮﻱ ﮐﻤّﻲ ‪6768-6 - ALP (ALK) -‬‬
‫‪1‬‬ ‫‪17‬‬
‫ﻓﻌﺎﻟﻴﺖ ﺁﻧﺰﻳﻢ ﺁﻟﮑﺎﻟﻴﻦ ﻓﺴﻔﺎﺗﺎﺯ‬
‫ﺍﻧﺪﺍﺯﻩ ﮔﻴﺮﻱ ﮐﻤّﻲ ﺗﺮﻱ ‪2571-8 - Tg -‬‬
‫‪1‬‬ ‫‪18‬‬
‫ﮔﻠﻴﺴﻴﺮﻳﺪ ﺩﺭ ﺧﻮﻥ‪/‬ﺳﺮﻡ‪/‬ﭘﻼﺳﻤﺎ‬

‫‪1‬‬ ‫ﺷﻤﺎﺭﻩ ﺻﻔﺤﻪ ‪:‬‬

‫ﻣﻬﺮ ﻭ ﺍﻣﻀﺎ ﭘﺰﺷﮏ ‪:‬‬ ‫‪null‬‬ ‫ﺗﻮﺿﯿﺤﺎﺕ ‪:‬‬