                                                        Satyashanti



                              COMPUTERISED PATHOLOGY LABORATORY


                          Opp. Bus Stand, PUSAD 445204 Dist. Yavatmal (M.S.)

                                                   Ph. No - (07233) - 246095, 248095


                                Patient Test Requisition Slip


    Lab No                                                                             Reg No : 20230917016
                              : 06155


    Date                       : 6-09-2023                                             LR. No : 04202323851


   Name                        : Mrs. KOMAL GANESH GATTANI


   Age/Sex : 31 Yrs./Female                                                            Mobile : 9689202939


   Ref. By : SURENDRA BILOLIKAR



     Investigation List




     BILIRUBIN



    BLOOD GROUP



   BLOOD SUGAR (RANDOM)




   BT/CT



   CBC (Sysmex)




  CREATININE




 HBSAG




HIV EARLY DETECT




TSH (Thyroid Stimulating Hormone)




URINE ANALYSIS




                                                                                                                      Emg 0
    Total 1500 Paid 1200 Bal 300




                                                                                                       1119Ich 2112

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