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CONSENT FORMS

Patient : Hello! My name is John. I want to undergo laboratory


examination here.

Laboratory Personnel : This is the consent forms, Show me the referral


letter from your doctor.

Patient : Here you are.

Laboratory : Have you fasted?

personnel

Patient : Yes, I have, as told by Doctor Joko.

Laboratory : Please sit down. I’ll take the needle and tourniquet.

Personnel

Patient : Will it be painful?

Laboratory Personnel : Not really. Please put your hand on the table. I’ll
apply the tourniquet to facilitate the blood operation.

Patient : Ouch! It’s hurt

Laboratory Personnel : Just a little. Don’t worry. You will be fine. This needle
is sterile. Free from any bacteria and virus. Do you bring your feces and urine?

Patient : Yes, I do. Here you are. I hope they are enough.

Laboratory Personnel : Oh my God! You bring much urine and feces!

Patient : Are those too much?

Laboratory : It’s okay. I’ll throw away the rest of them that will not be used.

Personnel

Patient : I’m sorry.

Laboratory : Never mind, sir. It’s just small problem.

Personnel

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