Laboratory Sample Collection
Due: GHS 180.00
Prince Agozi
Hospital ID:
GA-A18-0034
Age:
20 years
Gender:
Male
NHIS No.:
NHIS-456789123
Private Insurance:
Allianz HealthCare
Private Ins. No.:
ALZ-88394-002
Is Patient Staff?:
Yes
Contact No.:
+233 24 678 9234
#
Date & Time Accepted
Lab Department
Lab Test Name
Sample Type
Blood Source
Accepted By
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Pending Labs
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