**Procedure of receiving examination request  **

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

^Preparing authority^Approving authority^Review period^
|All teaching staff of Pathology Department |In-charge Histopathology|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 form are designed for gynecological and surgical specimens.
  *For gynecology specimen request form of gynaecology should be filled properly and sent to histopathology lab.
  *For surgical specimen request form of non-gynaecology should be filled properly and sent to histopathology lab.

=====Gynaecological Requisition Form=====
{{ :nchsls:c:histopathology:document:histo_gyneac_requisition_form.jpeg?500 | Gynaecological Requisition Form}}

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