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To enter more than one report use the same form.
Enter Liver Profile Report Information
* Indicates compulsary fields.
Date Of Checkup*
1
2
3
4
5
6
7
8
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10
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14
15
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19
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January
February
March
April
May
June
July
August
September
October
November
December
2003
2004
2005
2006
2007
2008
2009
2010
Normal Range
(Min. - Max.)
Total Serum Protiens
gms.%
-
Albumin
gms.%
-
Globulin
gms.%
-
A/G Ratio
-
S. Bilirubin. Total
mg.%
-
S. Bilirubin. Direct
mg.%
-
S. Bilirubin Ind
mg.%
-
S. Uric acid
mg.%
-
Creatinine
mg.%
-
S. Alkaline phosphatase
K.A. Units
-
S.G.O.T.
u/ml.
-
S.G.P.T
u/ml.
-
G.G.T.P
u/ml.
-
Blood Sugar. [F]
mEq/lt
-
S. Cholesterol
mg.%
-
S.Tryglycerides
mg.%
-
S.Calcium
mg/dl
-
S.Potassium
mEq/lt
-
Any Other information
Warning: Please find and enter all the fields accurately from your report (Hard Copy)
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