Guideline for request of tests

IDEAL REQUEST FORM / SPECIMEN TUBE

Ideal Request Form/Specimen Tube must contain:

 

1- Name

2- IC/ OP No

3- Age          

4- Sex

5- Time         

6- Date

7- Ward

8- Urgent / Routine

9- Investigation needed (Type of Test)

10- Contact No: MPM Doctor’s request

 

GUIDELINE FILLED UP REQUEST FORM

 

—All form must be filled up completely with:

• —Patient identification (Name, RN No, ward/clinic, date, time)
• —Doctor’ request
• —Type of specimen
• —Diagnosis, Clinical history of patient
• —Date and time of blood collection