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Laboratory Test Order

Ordering Practitioner:
Dr. Eduardo Beltran, MD

Saint Patrick Institute of Medical Sciences (SPIMS)

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Patient Information

Patient Name: Julie Potvin

Date of Birth: 

Sex:  Female

Patient ID: 73930247

Address: Quebec - CA

Phone: 

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Laboratory Tests Requested
1. Hematology

Complete Blood Count (CBC) with Differential

ESR (Erythrocyte Sedimentation Rate)

 

2. Basic Metabolic Panel

Glucose (fasting)

Sodium

Potassium

Chloride

COâ‚‚ (Bicarbonate)

BUN

Creatinine

Calcium

 

3. Comprehensive Metabolic Panel (CMP)

Total Protein

Albumin

AST (SGOT)

ALT (SGPT)

Alkaline Phosphatase

Bilirubin (Total and Direct)

 

4. Lipid Panel

Total Cholesterol

HDL Cholesterol

LDL Cholesterol

Triglycerides

 

5. Endocrine / Hormonal Panel

Thyroid Stimulating Hormone (TSH)

Free T4

Free T3

Reverse T3

Cortisol (AM)

 

6. Metabolic & Nutritional Markers

Vitamin D (25-Hydroxyvitamin D)

Calcitriol

Parathyroid Hormone (PTH)

Vitamin B12

Folate

Homocysteine

Ferritin

Iron

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7. Inflammatory Markers

C-Reactive Protein (CRP – High Sensitivity)

 

8. Glycemic Control

Hemoglobin A1c

Insulin (fasting)

 

9. Autoimmune Screening

ANA

Anti-TPO antibodies

Anti-TG antibodies

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Fasting required (8–12 hours)
Morning blood draw preferred

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Dr. Eduardo Beltran

NPI: 1164232831

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