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Fully Computerised Pathology Laboratory

SARTHAK PATHOLOGY

ACCURATE RESULTS • BETTER HEALTH • HIGH-TECH LAB

Near Lokalyan Ashram, Mota Road, Alipur Khera Mainpuri, UP 205262

7895856707

sarthakpathology@gmail.com

NABL
ACCREDITED
Patient Name       :
Sample Collected On :
Age / Gender        :
Sample Received On :
Lab ID                   :
Report Date & Time :
Ref. By Doctor      :
Sample Type           : Whole Blood (EDTA)

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COMPLETE BLOOD COUNT (CBC)
TEST PARAMETER RESULT UNIT REFERENCE RANGE FLAG
ACCURATE 100% PRECISE
Signature

Prashant Kumar (MLT)

Consultant Pathologist / Lab Technician

Sarthak Pathology Center

Electronically Verified Clinical Report
For clinical interpretation by referring doctor only.
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* This report is generated through digital laboratory management system and not valid for legal purposes *
Private Confidential Statement

SARTHAK PATHOLOGY CENTER

DOCTOR REFERRAL & COMMISSION STATEMENT

Near Lokalyan Ashram, Mota Road,

Alipur Khera Mainpuri, UP 205262

7895856707

sarthakpathology@gmail.com

Referring Doctor :
Statement Date :

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PATIENT REFERRAL & COMMISSION BREAKDOWN
PATIENT ID PATIENT NAME TEST TYPE AMOUNT (₹)
Total Commission Payable: ₹ 0

Authorized Signatory

Sarthak Pathology

Doctor Signature

Received / Verified

Electronically Generated Doctor Statement
Sarthak Pathology Center, Mainpuri
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