فرم کلی درخواست آزمایش مدیر سایت 15 آذر 1400|06:54 زمان مورد نیاز برای مطالعه: 1 دقیقه در خواست ارسال لیست قیمت ها [contact-form-7 id=”61103″ ovic_vc_custom_id=”ovic_vc_custom_61c9c089a7c82″] Patient InfoOwner Name Name Last Name Patient NamePatient Age*Patient Sex* Female Male Sterilized Condition* Spayed/Neutered Intact Examiner DrDr Name*Medical Center Name*Medical Center Tel*Medical Center Address Street Rest of Address City Principal Reason for ReferralPrincipal Reason* Check Up Disorder Horse Check Up Chief Complaint Fever Cough Lethargy Respiratory Distress Anorexia Paralysis Weight Loss Itching Diarrhea Alopecia Vomiting Seizure PU/PD Coma Dysuria Others Known or Suspected Complication in Skin Ear Eye Gl Kidney and Urogenital System Liver Heart CNS Musculoskeletal Endocrine System Others CommentMedicationSample DetailsSample Taken from PatientDate روز ماه سال Time : MM HH Urgency Normal Urgent Fasting Status Fasting Nonfasting Sample Type Whole Blood Clotted Blood Serum Hair and Dandruff Deep Skin Scraping Urine CSF Peritoneal Fluid Pleural Fluid Synovial Fluid Imprint Smear Fecal Swab Fecal Sample Ear Discharge FNA FNB Bird Feather Others Tests RequestedTests Kind Hematology Electrolyte Rapid Test Skin/Urine/Feces/Vagina Biochemistry Hormone Specific Tests Check Up < 5 Years Check Up > ۵ Years Rabies Titer Hematology CBC. Diff Blood Parasite Bone Marrow PT PTT ESR Electrolyte Sodium Chloride Potassium Rapid Test Feline Parvovirus Canine Parvovirus FelV FIV Distemper Feline Toxoplasma Leishmania Skin/Urine/Feces/Vagina .Dermatophyte Direct Ex Dermatophyte Culture Skin Parasite .Ear Discharge Ex Urine Analysis Urine Culture .Fecal Ex Fecal Culture Vaginal Cytology Biochemistry AST ALT ALP GGT Urea/BUN Creatinine LDH Total Protein Albumin Globulin Fibrinogen CRP CPK Glucose TG Cholesterol Calcium Phosphorous Iron Amylase Lipase Uric Acid Zinc B12 Folic Acid Hormone Feline Total T4 Feline Free T4 Canine Total T4 Canine Free T4 Progesterone Testosterone Parathormone Serum Cortisol Urine Cortisol Specific Tests Protein Electrophoresis Bone Marrow Peritoneal Fluid Analysis Pleural Fluid Analysis BAL Fluid Analysis CSF Analysis Synovia Fluid Analysis Knott Test Cytology Pathology Blood Gases Antibiogram Bird Sex Determination Horse Check Up CBC/Digg Fibrinogen ALT AST GGT ALP Nrea/Bun Cr Total Protein Albumin Globulin Total Bili Direct Bili Glucose TCI Cholesterol Calcium Phosphorous Electrolyte (na, K,cl) Fecal Exam Other Requested Tests اشتراک گذاری اشتراکگذاری این مطلب را با دوستان خود به اشتراک بگذارید! کپی کردن لینک
