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CBC,ESR - BLOOD COUNT REPORT To enter more than one report use the same form.
 
Enter CBC,ESR Blood Count Report Information
* Indicates compulsary fields.
Date of Checkup*
Red Blood Cell Count:

Hb%:
Hematocrit:
Indices:
MCV [Mean Corpuscular Hb]
MCH [Mean Corpuscular Hb]
MCHC [Mean Corpuscular Hb Concentration]
Morphology:
Macrocytes: Microcytes: Hypochromia:
Poikilocytosis Anisocytosis    
Any Other
Target Cells:
Spherocytes: Eliptocytes:
White Blood Cells:
Total Count:  
Differential Count :    
a.) Neutrophils b.) Lymphocytes
c.) Eosinophils d.) Monocytes
e.) Basophils:    
Platellets:
Erythrocyte sedimentation rate:
Any Other information

Warning: Please find and enter all the fields accurately from your report (Hard Copy)

 
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