<% thepassword=orequest.form('txtpassword') IF NOT ALLTRIM(thepassword)==ALLTRIM(onlinepassword) RETURN '{"terror":"Password not correct '+onlinepassword+'"}' endif %>
Receipt
<% SET DATE ymd set mark to '-' SET CENTURY ON today=date() %>

Serial: |  | Speciman: |
Name: |  | DS MS YS Birth: Weight:
Ref. By: |  | Date: | Gender: male female

Examine:

# | medicine | dose | times | duration
1 |  |  |  |

HEMATOLOGY
TEST | RESULT | NORMAL RANGE
--- | --- | ---
HB HB↟HB↡ | G% | M:13-18 F:12-16
TLC TLC↟TLC↡ | /cumm | 4000-11000
DLC |  |
Polymorphs Polymorphs↟Polymorphs↡ | % | 40-70
Lymphosites Lymphosites↟Lymphosites↡ | % | 20-45
Monosites Monosites↟Monosites↡ | % | 02-06
Eosynophils Eosynophils↟Eosynophils↡ | % | 01-05
Platelats Count Platelats Count↟Platelats Count↡ | /cumm | 150000-450000
ESR ESR↟ESR↡ | mm 1 hurs | M:2-10 F:5-15
MP |
BT |  | CT

WIDAL
Dialution | 1/20 | 1/40 | 1/80 | 1/160 | 1/320
--- | --- | --- | --- | --- | ---
TO |  |  |  |  |
TH |  |  |  |  |
BRUCELLA
BA |  |  |  |  |
BM |  |  |  |  |

HBS/HCV
Hbs AG |
Anti HCV |
R.A Factor |
ASO Titer |
Opinion |

BIOCHEMISTRY
TEST | RESULT | NORMAL RANGE
--- | --- | ---
B/Sugar R | Mg/dl | 70-180
B/Sugar F | Mg/dl | 55-115
S Bilirubin | Mg/dl | upto 1
SGPT (ALT) | U/L | 10-40
ALK Phosphates | U/L | 80-258
B. Urea | Mg/dl | 20-40
Cholestrol | Mg/dl | upto 200
Creatinin | Mg/dl | upto 1.36
S. Uric Acid | Mg/dl | M:4-7 F:3-6

URINE ANALYSIS
PH |  | SUGAR |
REACTION |  | Bile |
Albumin |  |  |

MICROSCOPY
Pus Cells | HPF | R.B.C | HPF
Epith Cells | HPF
General |
SEROLOGY
Typhidot |
IgG |  | IgM |
Toxoplazma |
ICT. TB |
IgG |  | IgM |
Pregnancy |
H. Pylori |
B. Group |  | RH |