MALARIA MICROSCOPY

BS<5YRS BS 5-14YRS BS>14YRS TOTAL MALARIA DONE

TOTAL POSITIVE TOTAL POSITIVE TOTAL POSITIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
 URINALYSIS
GLUCOSEE KETONES PROTEINS P/CELLS<?HPF S.HAEMATOBIUM
NO TOTAL POSITIVE TOTAL POSITIVE TOTAL POSITIVE TOTAL POSITIVE TOTAL
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
 URINALYSIS
S.HAEMATOBIUM T.VAGINALIS YEATS BACTERIA RBCS
POSITIVE TOTAL POSITIVE TOTAL POSITIVE TOTAL POSITIVE TOTAL POSITIVE
 STOOL ANALYSIS

TAENIA H.NANA HOOKWORM ROUNDWORMS S.MANSONIL

TOTAL POS TOTAL POS TOTAL POS TOTAL POS TOTAL
1
2
34
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
S.MANSONIL T.TRICHURA AMOEBA
POS TOTAL POS TOTAL POS
 VDRL TPHA ASOT HIV BUCELLA
T P T P T P T P T
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
 SEROLOGY

BUCELLA RF H.PYLORI HBSAG HCV SCrAG

P T P T P T P T P T
SCrAG HCG SAT
P T P T P
 HAEMATOLOGY

FULL BLOOD COUNT HB DIASPECT + OTHER TECHNIQUES

TOTAL HB<5G/DLHB 5-10G/DL TOTAL HB<5G/DLHB 5-10G/DL
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
 OTHER HAEMATOLOGICAL TEST

SCT PBF BMA COAGULATION PROFILE ESR

TOTAL POSITIVE TOTAL POSITIVE TOTAL POSITIVE TOTAL POSITIVE POSITIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
 ESR
HIGH
 BLOOD TRANSFUSION

BLOOD GROUP DONE BLOOD UNITS GROUPED BLOOD FROM RBTC UNITS TRANSFUSED
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
BLOOD TRANSFUSION

X-MATCHES NO. SCREENED AT FACILITY TRANSFUSION REACTIONS REPORTED BLOOD DISCARDED

 BLOOD CHEMISTRY

BLOOD SUGAR OGTT

TOTAL LOW HIGH TOTAL LOW LOW
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
 CSF CHEMISTRY

PROTEINS GLUCOSE
TOTAL LOW HIGH TOTAL LOW HIGH
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
 RENAL FUNCTION TEST

CREATANINE UREA ELECTROLYTES

TOTAL LOW HIGH TOTAL LOW HIGH TOTAL LOW HIGH
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
 LIVER FUNCTION TEST

D.BILIRUBIN T.BILIRUBIN ASAT

T H L T H L T H L
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
LIVER FUNCTION TEST

PROTEINS ALBUMIN ALP

T H L T H L T H L
 LIPID

TOTAL CHOLESTRAL TRIGLYCERIDES

TOTAL LOW HIGH TOTAL LOW HIGH
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
 HORMONAL TESTS

T3 T4 TSH
TOTAL LOW HIGH TOTAL LOW HIGH TOTAL LOW HIGH
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
 PSA
TOTAL LOW HIGH
 TUMOR MARKERS

CEA C15-3
TOTAL HIGH LOW TOTAL HIGH LOW
1
2
3
4
5
6
7
8
9
10
11
12
13
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
 BACTERIOLOGY

URINE PUS HVS THROAT RECTAL

T POS T POS T POS T POS T
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
BACTERIOLOGY

RECTAL BLOOD WATER FOOD URETHRAL EAR

POS T POS T POS T POS T POS T
EAR
POS
 SPUTUM

TOTAL TB SMEARS TOTAL TB NEW SUSPECTS TOTAL TB FOLLOW UP RIF RESISTANCE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
TOTAL TESTS DONE…………………………………………………………………………………COMPLETION DATE

QC REVIEW………………………………………………………………………….DATE…………………………………………………….SIGN…………………………………

LAB MANAGER ………………………………………………………………………….DATE…………………………………………………….SIGN……………………………

……….SIGN………………………………………………………………………….

……………….SIGN………………………………………………………………………….