HIV I&II, TPHA, VDRL, HBsAg, HCV

Enter patient details and report values. Out-of-range results are flagged in red but do not block printing.

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Patient Information

Patient Name

Serial Number

PP Number

Examination Date

Age

Gender

Address

Nature of Specimen

Test Component	Result
HIV I&II	Show on report
TPHA	Show on report
VDRL	Show on report
HBsAg	Show on report
HCV	Show on report
Clinical Observations / Notes Please correlate with clinical symptoms. Show on report