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.

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