Page 129 - pathology_services_handbook_5th_edition_2018

No Test Request Request Form Page
Institute for Medical Research (IMR)
20. Bone Marrow Cytogenetic Bone Marrow Cytogenetic 138
Request Form
21. Inborn Error of Metabolism (IEM) IMR/SDC/BC/FORM-RQ 139 REQUEST FORMS
22. Molecular Diagnostics Service IMR/UMDP/02 141
23. Molecular Study for Thalassemia DNA Ana for Thal Synd & Hbp- 144
athy(s) REQform Version 3.0
24. Ujian Molecular Anaysis for Leukae- Molecular Analysis for Leukae- 145
mia mia Version 2.0
25. Ujian Genotyping Resistance Testing IMR/Viro/HIV/24 146
26. Ujian PCR Untuk HIV Di Kalangan IMR/Virus/NARL2 147
Bayi
27. Leptospirosis Laboratory Request IMR/IDRC/BACT/LEPTO/01 148
Form
28. Primary Immunodeficiency (PID) IMR/AIRC/PID/RF 149
Screening
Hospital Kuala Lumpur (HKL)
29. Peripheral Blood Cytogenetic Cytogenetic Request Form 151
30. Permohonan Peminjaman/Pengam- HKL/JP/HI-BP-01 (Appendix 153
bilan Bahan Diagnostik Unit Histo- 6-C)
patologi
31. Permohonan Pengambilan Spesi- HKL/JP/HI-BP-02 (Appendix 154
men/Tisu Unit Histopatologi 6-D)
32. Permohonan Mendapatkan Gambar HKL/JP/HI-BP-03 (Appendix 156
Histopatologi 6-E)
Pusat Darah Negara (PDN)
33. Haematology/Serology Test PDN/HA/QP-01/01 157
34. Permohonan Rujukan Ujian Immu- PDN/IH/QP-01/04 158
nohematologi
35. Permohonan Rujukan Ujian Platelet PDN/IH/QP-03/03 159
Immunologi
Hospital Ampang
36. Molecular Study For BCR-Abl / JAK2 Special Hematology Lab Req- 160
V617F and other tests uisition
Makmal Kesihatan Awam Kebangsaan (MKAK) Sg. Buloh
37. Measles Laboratory Request Form Appendix 3D 161
38. Permohonan Ujian TB TBIS 20C 162

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