Patient name: Father
Only patient results shown. Positive/negative controls worked.
|Name: Father||Date tested:|
|Patient ID #:||Specimen Type: EDTA__X___
Eluted cells:_____ Method:______
|Patient Birth Date:||Transfused or pregnant in past 3 months?|
|DAT: ___ Anti-IgG ___ Anti-C3 ___ Cont ___ Or Auto IAT ___|
IgG sensitized cells on negative IAT results worked.
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