Lesson 2 Lab
Lesson 2 Lab
A STATEMENT OF ACCOUNT OR
CHARGE SLIP WILL BE GENERATED.
3. PHYSICIAN INFORMATION
d. Name
e. Signature
f. License number
g. Clinic Address
h. Contact number
4. LABORATORY TEST/S REQUESTED
CONTENTS OF A LABORATORY
RESULT FORM
1. PATIENT INFORMATION
2. SPECIMEN INFORMATION
3. DATE AND TIME OF REQUEST
4. DATE AND TIME OF SPECIMEN RECEPTION
5. DATE AND TIME OF RESULT RELEASE
6. LABORATORY TEST/S PERFORMED
7. CORRESPONDING RESULTS OF THE LAB TEST/S