Form 26474 - Oncology Clinical Requisition Page 2
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2PROFILE/PANEL COMPONENTS
3283-9
ACUTE HEPATITIS PANEL
3427-2
COMPREHENSIVE METABOLIC PANEL
3422-3
HEPATIC FUNCTION PANEL
A/G Ratio*
Albumin
Hepatitis A Ab, IgM
Bilirubin, total
Albumin
Hep. B Core Ab (HBcAb), IgM
Bilirubin, direct
Bilirubin, total
Hep. B Surface Ag (HBsAg)
Phosphatase, alkaline
Calcium
Hep. C Ab
Protein, total
Carbon dioxide (bicarbonate)
Transferase, alanine amino (ALT), (SGPT)
Chloride
0009-1
BASIC LIPID PANEL
Transferase, aspartate amino (AST), (SGOT)
Creatinine
Cholesterol, total
Globulin*
HDL cholesterol
2555-1
BASIC METABOLIC PANEL
Glucose
Triglycerides
Blood urea nitrogen
Phosphatase, alkaline
Calcium
Potassium
Carbon dioxide (bicarbonate)
Protein, total
Chloride
Sodium
Creatinine
Transferase, alanine amino (ALT), (SGPT)
Glucose
Transferase, aspartate amino (AST), (SGOT)
Potassium
Urea Nitrogen (BUN)
Sodium
* = Calculated Value
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