SHALAMAR HOSPITAL M.R. No.

0048673/20
0048673/2021

LABORATORY Lab. No.

055337/202
055337/2021

Patient Name: Khadija Voucher No. 009982/0121

Age: 34 Years Admission No. 0009802/2021 Date of Service: 06/01/2021 10:17:58PM

Female General / Normal Date Specimen 06/01/2021 10:30:21PM

Gender: Patient Type:
Received:
Location: Female Surgical Ward Ref. by Doctor: Dr. Safia Munir Date Reported: 07/01/2021 12:05:18AM
Blood Group: A Positive

BLOOD BANK
Donor Name : M.USMAN Blood Group : A Positive
Father/Husband : Gender : Male Age : 32
Bag No : Date of Bleeding :

Whole Blood Packed Cells Plasma (FFP) Platelet Concentrates Others

ü
TEST NAME RESULT VALUE PATIENT VALUE CUTOFF VALUE

BLOOD BANK
HBs Ag NON REACTIVE 0.42 1.00
Anti HCV NON REACTIVE 0.06 1.00
Anti HIV NON REACTIVE 0.11 1.00
VDRL NON REACTIVE 0.07 1.00
Malarial Parasites NEGATIVE
Donor Hemoglobin 17.0

INTERPRETATION

F 12-16

CROSS MATCH COMPATIBLE

Remarks :
The donor Red cells are COMPATIBLE with recipient's serum. The cross match was performed using Gel Card
Technology.
Donor screening was performed using Chemiluminescence technology.

Reference Range(s) and Unit(s) shown are for most recent results.
Computer generated reports do not require signature.
Printed By : Patient on 1/7/2021 12:32:32 AM

Prof. Dr. Sania Shuja Prof. Dr. Farooq Aziz Prof. Dr. Maryam Riaz Tarar Dr. Asma Saadia Dr. Tahir Naeem Dr. Naureen Saeed
MBBS, MD, PhD (USA) MBBS, M.Phil (Histopath) MBBS, MSc, PhD, FRCPath MBBS, FCPS (Haematology) MBBS, MCPS, D(ABMM) MBBS, FCPS (Haematology)

Dr. Urfa Shafi Dr. Mariam Danish Iqbal Dr. Sajjad Iqbal Sial Dr. Azmat Manzoor
MBBS, FCPS (Histopathology) MBBS, FCPS (Microbiology) M.Phil (Mol. Biology), Ph.D MBBS, DC Path, M.Phil (Path)

Note: All tests are performed with utmost care & diligence. However, the above results should be correlated with clinical findings.
No legal responsibility or financial liability is accepted for any unavoidable errors/omissions.
Instituted and run by Businessmen Hospital Trust
Shalimar Link Road, Lahore Phone : 111-205-205 Email : info@sihs.org.pk

Page 1 of 2
 SHALAMAR HOSPITAL M.R. No.

0048673/20 0048673/2021

LABORATORY Lab. No.

055337/202 055337/2021

Patient Name: Khadija Voucher No. 009982/0121

Age: 34 Years Admission No. 0009802/2021 Date of Service: 06/01/2021 10:17:58PM

Female General / Normal Date Specimen 06/01/2021 10:30:21PM

Gender: Patient Type:
Received:
Location: Female Surgical Ward Ref. by Doctor: Dr. Safia Munir Date Reported: 07/01/2021 12:05:18AM
Blood Group: A Positive

BLOOD BANK
Donor Name : M.USMAN Blood Group : A Positive
Father/Husband : Gender : Male Age : 32
Bag No : Date of Bleeding :

Whole Blood Packed Cells Plasma (FFP) Platelet Concentrates Others

ü
TEST NAME RESULT VALUE PATIENT VALUE CUTOFF VALUE

:‫وخون لگوانے کی رضا مندی‬

‫ میرے مریض کو وخون لگوانے کی ضرورت ہے۔‬/‫ڈاکٹروں کی ہدایات کے مطا بق ومجھے‬ ·
‫اس کے ممکنہ ومضر خطرات کے بارے میں وم جھے آگاہ کردیا گیا ہے۔‬ ·
‫میں ڈاکٹر کی ہدایات کے ومطابق وخ ون لگوانے کے لئے رضا مند ہوں۔‬ ·
‫ کے لیے ٹیسٹ اور اسکرین کرنے کے باوجود یہ بیماریاں ہونے کے امکانات موجود‬Syphilis‫ اور‬Hepatitis C, Hepatitis B, HIV‫ خون کے اجزا کے‬/ ‫مجھے معلوم ہے کہ خون‬ .
-‫ہیں‬

‫ ۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔‬: ‫ ۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔ قومی شناختی کارڈ نمبر‬: ‫ مریضہ‬/ ‫نام مریض‬

‫ ۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔‬: ‫ ۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔ تاریخ‬: ‫ سرپرست دستخط‬/ ‫ مریضہ‬/ ‫مریض‬

‫ ۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔‬: ‫ ۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔ قومی شناختی کارڈ نمبر‬: ‫نام گواہ‬

‫ ۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔‬:‫ ۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔۔ فون نمبر‬: ‫گواہ دستخط‬

Reference Range(s) and Unit(s) shown are for most recent results.
Computer generated reports do not require signature.
Printed By : Patient on 1/7/2021 12:32:32 AM

Prof. Dr. Sania Shuja Prof. Dr. Farooq Aziz Prof. Dr. Maryam Riaz Tarar Dr. Asma Saadia Dr. Tahir Naeem Dr. Naureen Saeed
MBBS, MD, PhD (USA) MBBS, M.Phil (Histopath) MBBS, MSc, PhD, FRCPath MBBS, FCPS (Haematology) MBBS, MCPS, D(ABMM) MBBS, FCPS (Haematology)

Dr. Urfa Shafi Dr. Mariam Danish Iqbal Dr. Sajjad Iqbal Sial Dr. Azmat Manzoor
MBBS, FCPS (Histopathology) MBBS, FCPS (Microbiology) M.Phil (Mol. Biology), Ph.D MBBS, DC Path, M.Phil (Path)

Note: All tests are performed with utmost care & diligence. However, the above results should be correlated with clinical findings.
No legal responsibility or financial liability is accepted for any unavoidable errors/omissions.
Instituted and run by Businessmen Hospital Trust
Shalimar Link Road, Lahore Phone : 111-205-205 Email : info@sihs.org.pk

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