DEPARTMENT OF CLINICAL LABORATORY

CHEMISTRY REPORT

NAME OF PATIENT REQUEST NO ROOM OPD

SENO, LOURDE MAE SANTILLANA LABRM5607590
BIRTHDATE AGE SEX DATE & TIME REQUESTED REQUESTING DOCTOR
02/10/1995 28 FEMALE 03/22/2023 10:13:37 DR. CHUA, MARY GRACE
CERVANTES
PATIENT NO 161000009861 CELL NO. 09667007506 DATE & TIME PERFORMED RESULT VALIDATED
03/23/2023 11:58:19 03/23/2023 11:58:53
ADDRESS
CAPASANAN Mandaue City

TEST RESULT REFERENCE UNIT

FASTING 78.80 NRA* mg/dL

FIRST HOUR (Serum) 111.20 NRA* mg/dL

SECOND HOUR (Serum) 107.00 NRA* mg/dL

REMARKS:

The laboratory test(s) was (were) performed in CHONG HUA HOSPITAL MANDAUE and signed electronically. For any
clarifications, please call Chong Hua Hospital at (032) 233 8000 and have your call connected to the Department of Laboratory.

NOTE FOR THE PATIENT: For the interpretation of the result(s), please consult your doctor.
********************Nothing Follows********************

RUBY JANE B. PANTOLLANA, RMT KEISHA MAE O. ABELLON, RMT, MLS ERIC P. LASALA, MD, FPSP
PRC NO. 0097388 (ASCPi)CM PRC NO: 0088440 PTR NO: 1538585
Performed by PRC NO. 0090072 Pathologist
Validated by

Date / Time Printed: 03/23/2023 06:05 PM Page 1 / 1