Laboratory Report

Patient Betty Black
Date of birth November 28, 1953 Gender Female
Reporting Laboratory
Laboratory ABC
Patient IDs 123456888
Document Id 607d59b6-28f4-4890-9b49-2c5de6f851d2
Document Created: March 24, 2014
Author Dr. Sunny Grey
Information recipient: Dr. Mark Red
Document maintained by 456789
Confidentiality Normal

Blood Bank

Blood Type and Indirect Antibodies Screen [with entries]

Date Observation: Feb 27, 2014
Date Requested: Feb 26, 2014
Ordering Phys: Grey, Sunny
Copies To: Red, Mark(555666888)
Status: Final
Blood Type O RH Positive
Antibody Screen Negative