All Serology Tests Report Format

SEROLOGY REPORT

Patient Name: *

LAB ID:

Age: *

Report Date:

Sex: * Select Male Female

Sample:

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Serology Test

Test Parameter	Result	Unit	Reference Range
Blood Group & Rh Factor	Select A Positive O Positive B Positive AB Positive A Negative O Negative B Negative AB Negative
HBsAg (Screening)	Select Negative Positive
Anti-HCV (Screening)	Select Negative Positive
HIV 1 & 2 (Antibody)	Select Negative Positive
VDRL	Select Non-Reactive Reactive
TPHA	Select Negative Positive
Typhoid IgM	Select Negative Positive
Typhoid IgG	Select Negative Positive
Dengue NS1 Antigen	Select Negative Positive
Dengue Antibody IgM	Select Negative Positive
Dengue Antibody IgG	Select Negative Positive
Chikungunya IgM	Select Negative Positive
CRP (C-Reactive Protein)	Select Negative Positive
ASO Titre	Select Negative Positive
RA / RF Factor	Select Negative Positive
Widal Test - S. Typhi 'O' (TO)	Select 1:80 1:160 1:320 1:640
Widal Test - S. Typhi 'H' (TH)	Select 1:80 1:160 1:320 1:640
Widal Test - S. Paratyphi 'AH' (AH)	Select 1:80 1:160 1:320 1:640
Widal Test - S. Paratyphi 'BH' (BH)	Select 1:80 1:160 1:320 1:640