**Procedure of receiving examination request  **

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

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

|Controlled copy of this document exist in electronic form at IP address 10.207.3.240 of LAN at NCH, Surat|
|**Printed copy of this document with signature of authorized person is to be considered controlled. ** |


  *Two separate request forms are designed for gynecological and non-gynecological sample.
  *For gynecology sample request form of gynaecology should be filled properly and sent to cytopathology.
  *For non-gynecological sample request form of non-gynaecology should be filled properly and sent to cytopathology.

=====Gynaecological Requisition Form (PAP)=====
{{ :nchsls:c:cytopathology:document:cyto_gyneaec_pap_requisition_form.jpeg?500 |Gynaecological Requisition Form (PAP)}}

=====Non - Gynaecological Requisition Form=====
{{ :nchsls:c:cytopathology:document:cyto_non-gyneac_requisition_form.jpeg?500 |Non - Gynaecological Requisition Form}}