Unit 101-103 G/F GOP Bldg.

, McArthur Hi-way, Dolores, City of San Fernando, Pampanga

Name : CAPILI, ELLEINA ADRIELLE TIGLAO Lab. Number : 2230030560

PID : SF101405 Birthdate : 11-23-2019
Age : 2 Sex :FEMALE Dispatch : PICK-UP
Source : REFERRAL Page : 1 of 3 3
Clinician : N/A
Date Requested : 07-28-2022 01:10 PM Received : 07-28-2022 02:21Received
PM : 07-28-2022 02:21 PM

Result (SI Unit) Result (Conv. Unit)

TEST Reference Interval Reference Interval

HEMATOLOGY
CBC and Platelet
White Blood Cells 4.50 X10^9/L 4.50 X10^3/mm^3
5.75~13.50 5.75~13.50
Red Blood Cells 4.52 X10^12/L 4.52 X10^6/mm^3
3.90~4.96 3.90~4.96
Hemoglobin 129.00 g/L 12.90 g/dL
100.00~132.00 10.00~13.20
Hematocrit 0.38 Vol.Fraction 38.00 %
0.310~0.388 31.00~38.80
Mean Corpuscular Volume 84.10 fL 84.10 u^3
73.50~84.10 73.50~84.10
Mean Corpuscular Hb 28.50 pg 28.50 pg
23.50~28.20 23.50~28.20
Mean Corpuscular Hb Conc. 33.90 % 33.90 g/dL
31.00~34.50 31.00~34.50
RBC Distribution Width 11.30 % 11.30 %
11.50~15.00 11.50~15.00
Platelet Count 162.00 X10^9/L 162.00 X10^3/mm^3
203.00~431.00 203.00~431.00
Mean Platelet Volume 8.80 fL 8.80 fL
8.30~10.70 8.30~10.70
Differential Count
Neutrophils 56.30 % 56.30 %
18.60~68.60 18.60~68.60
Lymphocytes 34.20 % 34.20 %
20.60~71.60 20.60~71.60
Monocyte 9.10 % 9.10 %
5.10~12.60 5.10~12.60
Eosinophil 0.00 % 0.00 %
0.00~8.30 0.00~8.30
Basophil 0.40 % 0.40 %
0.30~1.20 0.30~1.20

LEGEND: - High - Alert Value High - Low - Alert Value Low

HM:

REGISTERED MEDICAL TECHNOLOGIST QUALITY CONTROL PATHOLOGIST

** Report Electronically Signed Out **
HPD
 Unit 101-103 G/F GOP Bldg., McArthur Hi-way, Dolores, City of San Fernando, Pampanga

Name : CAPILI, ELLEINA ADRIELLE TIGLAO Lab. Number : 2230030560

PID : SF101405 Birthdate : 11-23-2019
Age : 2 Sex :FEMALE Dispatch : PICK-UP
Source : REFERRAL Page : 2 of 3 3
Clinician : N/A
Date Requested : 07-28-2022 01:10 PM Received : 07-28-2022 02:21Received
PM : 07-28-2022 02:21 PM

Test Results Unit Reference Interval

CLINICAL MICROSCOPY
Complete Urinalysis
Date of Collection 07-28-22
Time of Collection 2:00 PM
Physical / Macroscopic
Color YELLOW
Transparency SLIGHTLY HAZY
Urine Chemical
Sp. Gravity 1.020 1.005~1.025
pH 5.00 5.00~7.00
Protein NEGATIVE NEGATIVE
Glucose NEGATIVE NEGATIVE
Bilirubin NEGATIVE NEGATIVE
Blood (ERY/Hb) +++ NEGATIVE
Comment/s:
Results may be affected by RBC lysis, high concentrations of ascorbic
acid, nitrites and protein, dehydration, exercise, microbial
peroxidase activities in UTI.

Leukocytes + NEGATIVE
Nitrite NEGATIVE NEGATIVE
Urobilinogen NEGATIVE NEGATIVE
Ketone ++++ NEGATIVE
Microscopic
RBC 4-5 /hpf 0~3
WBC 1-2 /hpf 0~5
Epithelial Cells FEW
Bacteria MODERATE
Mucus Threads MODERATE
Comment/s:
The volume of urine submitted is less than 10mL

CM:

REGISTERED MEDICAL TECHNOLOGIST QUALITY CONTROL PATHOLOGIST

** Report Electronically Signed Out **
HPD
 Unit 101-103 G/F GOP Bldg., McArthur Hi-way, Dolores, City of San Fernando, Pampanga

Name : CAPILI, ELLEINA ADRIELLE TIGLAO Lab. Number : 2230030560

PID : SF101405 Birthdate : 11-23-2019
Age : 2 Sex :FEMALE Dispatch : PICK-UP
Source : REFERRAL Page : 3 of 3 3
Clinician : N/A
Date Requested : 07-28-2022 01:10 PM Received : 07-28-2022 02:21Received
PM : 07-28-2022 02:21 PM

Test Result

SEROLOGY
Dengue NSI (Qualitative) NEGATIVE
Comment/s:
Suggest follow-up testing with Dengue IgG/IgM. Please correlate with
CBC and platelet monitoring if clinically considering dengue
infection.

NOTE : The results are best interpreted by a healthcare professional and are not intended to be used as the sole means
for diagnosis or management.
Specimen rechecked, result/s verified.

SR:

REGISTERED MEDICAL TECHNOLOGIST QUALITY CONTROL PATHOLOGIST

** Report Electronically Signed Out **
HPD