Dr Piyush Tailor

OPD-10 New Civil Hospital, Majura gate, Surat.

1. Monday to Friday : 9 AM to 1 PM and 4 PM to 6 PM
2. Saturday : 9 AM to 1 PM

Refer to the table below to find weather an examination will be available or not at the time of collection. Please make sure that examination is requested and sample is collected in such a way that it reaches clinical pathology Sample Collection Windows at stipulated time.

1. Five most essential items on request form: MRD + Name + Department + Unit + Ward
2. MRD number is most important item in filling request form.
   • Example:22/00001234
   • Note that MRD number start with “YY/00001234” where YY is current year
   • The number is always of eight digits. Not writting complate 8 digits make it very difficult for the laboratory to retrive your report at a letter date.
3. Do not forget to write correct name. It is very useful to identify patient when anything goes wrong with MRD number provided.
4. [Department + Unit + Ward] help to locate patient for conveying critical reports. Please mention them without fail.
5. This is a no-fee, nominal-fee laboratory. Please request only necessary examinations.
6. Special properties of sample, ie pre BT, Post BT, pre-hemodyalisis needs to be indicated.
7. Specify type of non-blood sample as urine, CSF, peritoneal, plural, drainage location. This help laboratory select appropriate examination method for same analyses.

• For urine examination—Not Applicable.
• For Body Fluid Examination—As done by the clinician.

No consent required.

• Following data must be filled up in request form –

1. Name & Registration number
2. Patient’s MRD Number (Unique ID number)
3. Age & Sex
4. Referral OPD & Unit
5. Short clinical history
6. Name of investigation
7. Signature of requester

Any discrepancy in patient identification between sample tube and request form. ( In that case sample and request form are returned to sender for resolution)

• No/illegible patient name
• Ambiguous patient ID
• No department and unit specified
• No location (Ward/ OPD) specified
• Sample type and preservative not shown
• Requester not signed / Sample Collection staff not signed
• Nonspecific name for examination written (e.g All test)
• Inadequate quantity of sample for respective test
• Sample in inappropriate container
• Transport time (time between collection and receipt of sample) is more than 2 hrs for urine and body fluids other than CSF.
• Transport time more than 1 hour for CSF.

• The laboratory gives patient sample report to

1. Authorized report collection person
2. Patient and their relatives
3. Authorized person from ward/Residents/Interns

• The laboratory use laboratory data for research only after striping data from patient identification.