Kayla Marie Cagampang - Labs

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JOHN MICHAEL F.

DELLARIARTE, MD, MPH, FPDS


Fellow, Philippine Dermatological Society
Member, American Society for Laser Medicine & Surgery

+63 2 3764533
1706-1708 Centuria Medical Makati General Luna corner
Salamanca Streets, Poblacion, Makati City, Philippines, 1210
drmiked@dmdskinsciences.com
http://dmdskinsciences.com

NAME : Kayla Marie Cagampang DATE : July 30, 2024

: AGE : 26 SEX : F

LAB REQUEST
1. CBC + Platelet
2. BUN
3. CREA
4. SGPT
5. COMPLETE LIPID PROFILE
Total Cholesterol
LDL
VLDL
Triglycerides
6. SERUM PREGNANCY TEST

DX: Acne Vulgaris R/O Hyperlipidemia

___________________________________________________________________________________________________________________

NEXT STEPS:
1. Please present this laboratory request to the laboratory of your choice.
2. Observe a 10 to 12-hour fasting (no food, no water) prior to your laboratory test schedule.
3. Send the results to drmiked@dmdskinsciences.com for evaluation and clearance. Evaluation and further
instructions will be sent back within 72 hours.

NOTES:
1. These baseline laboratory tests are required to determine if you are a good candidate for Isotretinoin
intake. Laboratory tests will be repeated every 1.5 months. The team will contact you proactively for your
repeat laboratory tests.
2. Submission of falsified laboratory results (eg. edited results, edited laboratory test date, edited
name, etc.) will be considered as a breach of trust between the Doctor and the patient. In the event that
DMD Skin Sciences proves the submission of falsified results, we reserve the right to terminate the
treatment and resign as the patient’s Dermatological team.

JOHN MICHAEL F. DELLARIARTE, MD, MPH, FPDS


LICENSE #: 0126709

This electronic prescription is only valid for one (1) month after issuance. If any information is changed either manually
or electronically, this automatically voids the prescription and drugstores are advised not to serve the contents thereof.

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