DIVISION HOSPITAL,
LABORATORY REPORT
Bijlage 2.
Behoort bij Extra-bijlage No. 31 vjh. I M. T.
Form _C."
Laboratory No
Ward
Name
Rank
URINE EXAMINATION
Date.
.191.
Bed.
CoRegiment.
SPUTUM EXAMINATION
Amount 24 hours
Specific Gravity
Color
Tubercle bacilli
Pneumococci
ReactionAmount
AlbumenColor
PercentageCharacter
SugarBacteria-
Percentage
Urea
PercentageFungi Streptothrix
Total 24 hoursOva and Parasites
MICROSCOPICAL EXAMINATION
Casts
Bacteria
Gonococci
Tubercle bacilli
Parasites or Ova
Crystals
Cells
Cells
Elastic tissue
Crystals
Casts
STOOL EXAMINATION
BLOOD EXAMINATION
Malaria Blood Count
TertianRed Corpuscles
QuartanWhite Corpuscles
Estivo- Autumnal
Differential
Serum Reaction Polymorphonuclear
TyphoidLymphocytes
Malta feverLarge Mononuclears..
Bacillary DysenteryEosinophiles
Paratyphoid
Color
Character
Consistence
MICROSCOPICAL EXAMINATION
Facteria
Fungi
Parasites or Ova
Ascaris lumbricoides
Oxyuris vermicularis
Uncinaria duodenalis:.
Tricocephalus dispar
Tenia Saginata
Percentage of HemoglobinCoagulation Time
Remarks
Infusoria
Rhizopoda
Ameba coli
Ameba hystolitica
Crystals
Cells
Med., Dept., U. S. Army,
Pathologist.
