Role · Patient
Your diagnostic requisition
No paper form to carry. Show this link — or the check-in code from it — at the diagnostic centre.
Requisition details
- Patient
- Jane Doe
- Health number
- AB-982341
- Date of birth
- Mar 14, 1987 (39y)
- Address
- 812 14 St NW, Calgary AB T2N 1Z6
- Ordered by
- Dr. Sarah Jenkins
- Clinic
- Bowness Family Health
- Reference
- req-8f92a1
- Booked centre
- Not booked yet
Tests ordered
Link valid until Aug 13, 2026CBC panel with differential, Blood
LOINC 58410-2 · Whole blood (EDTA)
Glucose [Mass/volume] in Blood
LOINC 2339-0 · Serum
Fasting 12 hours required
Extension requested · +7 days · awaiting clinician
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