**Procedure for receiving examination request **

^Name^Unique ID^ Edition/Date of Edition ^
|Procedure for receiving examination request |nchsls:c:Clinical Pathology:document:07| 03-01-2015|

^Preparing authority^Approving authority^Review period^
|All teaching staff|In-charge Clinical Pathology|1 year|

|Controlled copy of this document exist only in electronic form at IP address 10.207.3.241 of LAN at NCH, Surat|
|**Printed copy of this document with signature of authorized person is to be considered controlled**.|

  *One requisition form exists for all hematology tests.
  *Each indoor and outdoor patient of NCHS has unique ID. It must be mentioned on the request form and sample container.

=====Clinical Pathology Requisition Form=====
{{ :nchsls:c:clinical_pathology:document:clinical_pathology_requisition_form.jpg?500 |Clinical Pathology Requisition Form}}