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Your Lab Report
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The following is a lab report form I developed several years ago. If you like it, it's available for downloading, in several formats. Click on the one you want to download:
Excel® spreadsheet
Word® document
Zip® files of both the Excel and Word versions.


Your Lab Report

 

 

 

 

 

 

Name:

 

 

 

 

Date of these lab tests:

 

Date of this report:

 

 

 

Date of previous lab:

 

Name of Lab Test

Normal Range *

Your Result

Previous Result

Your Goal

What it usually measures

Examples of problems that cause abnormal results

Alkaline Phosphatase

 

 

 

Bone, gall bladder, and liver function

High: gallstone attack, broken bone, some liver diseases

BUN

1O - 2O

 

 

 

Kidney function

High: Kidney disease, dehydration

Cholesterol

below 200

 

 

 

Important blood fat

High: Diabetes, thyroid, kidney, liver, & inherited disorders

Glycohemo- globin (A1c)

below 6.5

 

 

 

Average blood sugar over past two to three months

High: Uncontrolled diabetes

Protein

 

 

 

 

Protein level in blood

Low: Many chronic diseases; diabetic kidney disease

SGOT

below 40

 

 

 

Liver function

High: Liver disease; uncontrolled diabetes; recent excessive alcohol use.

SGPT

below 40

 

 

 

Liver function

High: Liver disease; uncontrolled diabetes; recent excessive alcohol use.

Triglycerides

below 200

 

 

 

Important blood fat

High: Diabetes, thyroid, kidney, liver, & inherited disorders

Uric Acid

 

 

 

 

Gout tendency, or effect of diuretic medications

High: Gouty arthritis, kidney disease

* Different labs use different normal values.

 

 

 

 

The "normal range" used in this report are typical of those in most labs.

 

 





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