Patient data
Patient ID 99999900999 Name Patient 1 name Sex Male DOB Jan. 10, 1960

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@
Recorded by Name of person responsible @ Facility Laboratory Center [JPN999999900009]
Date recorded 01-25-2002 @ Department
Report status Final report Lab set
Order No. 200201251503 Sample date 01-25-2002T00:00:00
Date received 01-25-2002T00:00:00 Report date 01-25-2002T00:00:00
Requesting facility Test Hospital 1 Ordered by
Lab facility Laboratory Center Analyzed by
Analysis item Result Units Upper limit Lower limit Abnormal
Blood serum
BUN 13.5 MG/DL 20.0 8.0 Within standard range
Creatinine 0.9 MG/DL 1.1 0.3 Within standard range
Uric acid 7.0 MG/DL 8.2 3.0 Within standard range
CRP 0.1 MG/DL 0.4 0.0 Within standard range