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