OTHER SAMPLES TAKEN
____ Bact Paras Hist DNA Cytology Other (e.g. serology)
____ Bact Paras Hist DNA Cytology Other (e.g. serology)
____ Bact Paras Hist DNA Cytology Other (e.g. serology)
____ Bact Paras Hist DNA Cytology Other (e.g. serology)
____ Bact Paras Hist DNA Cytology Other (e.g. serology)
____ Bact Paras Hist DNA Cytology Other (e.g. serology)
____ Bact Paras Hist DNA Cytology Other (e.g. serology)
LABORATORY FINDINGS
Date: __ Initials: __ Reported to whom: ___
PRELIMINARY REPORT(based on gross findings and immediate laboratory results,
for example, cytology)
Reported to _____ Date __ Time __
FINAL REPORT(based on all available information)
FATE OF BODY / TISSUES
destroyed / frozen / fixed in formalin(other) / retained for Reference Collection / sent elsewhere
FATE OF RING/BAND(if appropriate)
PM examination performed by: ____ Date Time
Assisted by __
Appendix I| 207