Table of Contents

Laboratory Services Sir T Hospital, Bhavnagar

Documentary procedure for Test Requisition

NameUnique IDEditionDate of Edition
Documentary procedure for Test RequisitionLSSTH/B/Central/DP/7.2.2.b/32 1 01-03-2023
Preparing authorityApproving authorityReview periodReview Date
All teaching staffQuality Manager2 year10/09/2025
Printed copy of this document is considered uncontrolled. It should be compared with controlled electronic copy before use

Amendment Log

Sr. No Date of Amendment Page & Clause Number of Amendment Amendment detail Reason for Amendment
1

Purpose: To ensure accurate and efficient processing of test requests in the laboratory.

Scope: This procedure applies to all laboratory personnel involved in processing test requests.

Responsibilities: - Laboratory Manager: Oversees test requisition process - Laboratory Technicians: Process test requests - Receptionist/Laboratory Assistant: Receives and logs test requests.

Requisition method:

  1. Requisition form is provided to all the OPD and Wards.
  2. For the Biochemistry test total 2 Requisition forms are there.
  3. For routine Biochemistry Investigations
  4. For Special Biochemistry Investigations- Sign & Signature of AP/HOU/HOD is must.
  5. Read the Directory of Services. 4.3.1 DOS
  6. Read Patient preparation from the Sample collection manual.
  7. Sample & Requisition form should be submitted to biochemistry laboratory section, 40 Number window, Laboratory building, Near TB Ward, Sir T Hospital, Bhavnagar.

Request form should include following information:

  1. Patient identification- Name & Surname, Age, Gender, MRD Number
  2. Name of Ward for indoor patients & Name of Department for OPD based Patients
  3. Relevant Clinical Information
  4. Type of primary sample, In case of fluid mention type of fluid
  5. Name or other unique identifier of clinician
  6. Date & Time of primary sample collection
  7. Examinations requested
  8. For 24 hour urinary protein request form must contain 24 hour urine output.

Information required on Vacutte/ Sample container

  1. Patient Name
  2. MRD Number
  3. Date sample of collection
  4. Name of Ward for indoor patients & Name of Department for OPD based Patients
  5. Sample & Requisition form should be submitted to biochemistry laboratory section, 40 Number window, Laboratory building, Near TB Ward, Sir T Hospital, Bhavnagar.