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Patients Name: Age: Sex:Referred by: Date:
Phusical Examination:
Colour: quantity:
Appearance: Specific Gravity:
Sediment:
Chemical Examination:
Reaction: Ex. Phosphate:
Albumin:
Sugar:
Microscopic Examination:
Epithelial cell: Epithelial cast:
Pus cell: WBC cast:
Rbc: RBC cast:
Granular cast:
Calcium oxatate: others:
Crystals:
Others:
24 Hrs Urine Valume: ml/24 hrs
24 Hrs total Urine Protein: gm/day
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Created on Oct 3rd 2014 01:51. Viewed 901 times.
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