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ASAP Laboratory SA

Species:Owner Name:Breed:Animal ID:Age:Patient Ref No.:noitcelloc fo emiTetaDemaN tnirPerutangiS :xeSE G P L FO Sbl U Sm Fl Tfo Tfr Swab F tiC Other Previous Lab No:VETERINARIAN / CLINICDETAILSCLINICAL HISTORY: (including description of any gross skin or mass lesions and any recent therapy):OTHERS: (PLEASE SPECIFY) Property ID(if applicable)27143 asap 2017 SA Small Animal Form SNAP No PO BoxOffice Use ONLY: asap LaboratoryPHONE: 1300 VET LAB (1300 838 522) FAX 9562 : ANIMALDo not run Regionally. Send directly to ASAPBARCODE No:(Office Use)RECOMMENDED PROFILESHAEMATOLOGY / COAGULATION101 FBE614 CBC Uninterpreted107 PT+APTT106 APTT 105 PT noitalugaoC lluF 316 URINALYSIS Method of collection;_____301 Urinalysis 303 Urinalysis + C+S305 Urine C+S ONLY307 Comprehensive urinalysis308 Urine Protein: Creatinine RatioMICROBIOLOGY351 MC & S Tick to pool samplesNumber of sites .. 359 Fungal wet mount and culture375 Fungal and Bacterial cultureBIOCHEMISTRY201 Full Screen 202 Liver203 Renal207 Paired Bile acids/ 208 Single 211 Fructosamine205 1-5 Biochemistries (list required tests)CYTOLOGY401 Routine cytology 352 Add M+C407 CSF 404 BAL/TTW405 Bone marrow (incl.)

Title: 27143 ASAP 2017 SA Small Animal Form SNAP® No PO Box copy Author: giora Created Date: 9/12/2017 2:37:28 PM

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