Free Professional Clinical Test Report Template
Professional Clinical Test Report
Patient Information
Name: Jolie Cassin
Medical Record Number: 123456
Date of Test: 06/15/2050
Physician/Clinician: [Your Name]
Facility: [Your Company Name]
Test Information
Test Name: Complete Blood Count (CBC)
Test Methodology: Automated Hematology Analyzer
Lab Reference: Lab-567
Test Conducted By: Lab Technician Clint Renner
Clinical Indication
Reason for Test:
-
Fatigue
-
Suspected Anemia
-
Recent weight loss
Test Results
Parameter |
Result |
Reference Range |
Units |
---|---|---|---|
White Blood Cells |
6.5 |
4.0 – 11.0 |
x10^9/L |
Red Blood Cells |
4.2 |
4.2 – 5.9 |
x10^12/L |
Hemoglobin |
12.0 |
12.0 – 16.0 |
g/dL |
Hematocrit |
36.0 |
38.0 – 50.0 |
% |
Platelets |
180 |
150 – 400 |
x10^9/L |
Interpretation of Results
-
White Blood Cells (WBC): Within normal range; no signs of infection.
-
Red Blood Cells (RBC): Lower end of normal; further evaluation may be warranted.
-
Hemoglobin: At the lower limit of normal; a potential indication of mild anemia.
-
Hematocrit: Below normal range; suggests possible dilutional anemia or underlying pathology.
-
Platelets: Within normal limits; adequate clotting function.
Conclusion
The CBC results indicate a low-normal hemoglobin and hematocrit level, suggesting mild anemia. Given the patient’s fatigue and recent weight loss, further investigations are recommended to identify any underlying causes. The white blood cell count remains stable, indicating no acute infection.
Recommendations
-
Schedule a follow-up appointment with the primary care physician to discuss findings.
-
Additional tests recommended:
-
Iron studies (serum iron, ferritin, TIBC)
-
Vitamin B12 and folate levels
-
Thyroid function tests
-
-
Dietary review and possible iron supplementation are to be discussed.