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Department of Hematology & Transfusion Medicine Unit

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