Lot 31 & 33 Pecsonville Subd.

Quirino Hi-way, Tungkong Mangga, San Jose Del Monte, Bulacan

Name : NEGROSA, IMELDA MARQUEZ Lab. Number : 2371038550
PID : SJ029770 Birthdate : 02-27-1959
Age : 64 Sex :FEMALE Dispatch : PICK-UP
Source : REFERRAL (SENIOR) Page : 1 of 2 2
Clinician : N/A
Date Requested : 11-28-2023 01:49 PM Received : 11-28-2023 02:37Received
PM : 11-28-2023 02:37 PM

Result (SI Unit) Result (Conv. Unit)

TEST Reference Interval Reference Interval

HEMATOLOGY
CBC and Platelet
White Blood Cells 11.53 X10^9/L 11.53 X10^3/mm^3
3.98~10.04 3.98~10.04
Red Blood Cells 3.62 X10^12/L 3.62 X10^6/mm^3
3.93~5.22 3.93~5.22
Hemoglobin 107.00 g/L 10.70 g/dL
112.00~157.00 11.20~15.70
Hematocrit 0.30 Vol.Fraction 30.00 %
0.340~0.450 34.00~45.00
Mean Corpuscular Volume 82.30 fL 82.30 u^3
79.40~94.80 79.40~94.80
Mean Corpuscular Hb 29.60 pg 29.60 pg
25.60~32.20 25.60~32.20
Mean Corpuscular Hb Conc. 35.90 % 35.90 g/dL
32.20~35.50 32.20~35.50
RBC Distribution Width 15.20 % 15.20 %
11.60~14.60 11.60~14.60
Platelet Count 229.00 X10^9/L 229.00 X10^3/mm^3
150.00~450.00 150.00~450.00
Mean Platelet Volume 11.20 fL 11.20 fL
6.50~12.00 6.50~12.00
Differential Count
Neutrophils 77.00 % 77.00 %
34.00~71.00 34.00~71.00
Lymphocytes 11.70 % 11.70 %
19.00~52.00 19.00~52.00
Monocyte 10.80 % 10.80 %
5.00~12.00 5.00~12.00
Eosinophil 0.10 % 0.10 %
1.00~7.00 1.00~7.00
Basophil 0.40 % 0.40 %
0.00~1.00 0.00~1.00

LEGEND: - High - Alert Value High - Low - Alert Value Low

HM:

REGISTERED MEDICAL TECHNOLOGIST QUALITY CONTROL PATHOLOGIST

** Report Electronically Signed Out **
HPD
 Lot 31 & 33 Pecsonville Subd. Quirino Hi-way, Tungkong Mangga, San Jose Del Monte, Bulacan
Name : NEGROSA, IMELDA MARQUEZ Lab. Number : 2371038550
PID : SJ029770 Birthdate : 02-27-1959
Age : 64 Sex :FEMALE Dispatch : PICK-UP
Source : REFERRAL (SENIOR) Page : 2 of 2 2
Clinician : N/A
Date Requested : 11-28-2023 01:49 PM Received : 11-28-2023 02:37Received
PM : 11-28-2023 02:37 PM

Test Results Unit Reference Interval

CLINICAL MICROSCOPY
Complete Urinalysis
Date of Collection 11-28-23
Time of Collection 2:03 PM
Physical / Macroscopic
Color DARK YELLOW
Transparency HAZY
Urine Chemical
Sp. Gravity 1.015 1.005~1.025
pH 6.00 5.00~7.00
Protein + NEGATIVE
Glucose NEGATIVE NEGATIVE
Bilirubin + NEGATIVE
Blood (ERY/Hb) ++++ NEGATIVE
Leukocytes ++ NEGATIVE
Nitrite POSITIVE NEGATIVE
Urobilinogen ++ NEGATIVE
Ketone NEGATIVE NEGATIVE
Microscopic
RBC 6-8 /hpf 0~3
WBC 11-15 /hpf 0~5
Epithelial Cells FEW
Bacteria MANY
Mucus Threads MODERATE
NOTE : *PAB Accredited test/s.
The results are best interpreted by a healthcare professional and are not intended to be used as the sole means
for diagnosis or management.
Specimen rechecked, result/s verified.

CM:

REGISTERED MEDICAL TECHNOLOGIST QUALITY CONTROL PATHOLOGIST

** Report Electronically Signed Out **
HPD