Epstein Secrets

g/dL mg/dL mg/dL mg/dL U/L U/L U/L mg/dL g/dL g/dL g/dL mg/dL mg/dL HEMATOLOGY WBC NRBC% RBC Hemoglobin Hematocrit MCV MCH MCHC RDW-CV Platelet L 7.6 0.0 5.42 15.6 47.8 88.2 28.8 32.6 12.8 338 4.3-11.1 4.46-5.78 13.6-17.6 40.2-51.4 82.5-96.5 27.1-34.9 33.0-37.0 12

Referred to Sick Call: Radiographs authorized: PAs• . Prophylaxis auUtortzect Yes I No (Approval var 18 months from examination date) EPNs: Panorox iPc t Nan= i 9 4t, n -376 1-rite_ E. Dentist Si nature: 1,3" it 7‘ lisznben 3 IS= OS-1/4\ Institution: MCC NEW YORK Date: 7- 06 -1 9. Si

g/dL mg/dL mg/dL mg/dL U/L U/L U/L mg/dL g/dL g/dL g/dL mg/dL mg/dL HEMATOLOGY WBC NRBC% RBC Hemoglobin Hematocrit MCV MCH MCHC RDW-CV Platelet L 7.6 0.0 5.42 15.6 47.8 88.2 28.8 32.6 12.8 338 4.3-11.1 4.46-5.78 13.6-17.6 40.2-51.4 82.5-96.5 27.1-34.9 33.0-37.0 12

nt Retuned to Sick Call: Radiographs authorized: FAa- . Prophylaxis augtortzect Yes I No (Approval var 18 months from examination date) EPNs: Panorox iPc t Nemec i 9 Skin teS ti E Den' ! Nu isitsr _7‘ tsts.mben 3 I Sr- OSN Institution:/ / MCC NEW YORK Date: 7- 26 -1 9. Signature Block/St

g/dL mg/dL mg/dL mg/dL U/L U/L U/L mg/dL g/dL g/dL g/dL mg/dL mg/dL HEMATOLOGY WBC NRBC% RBC Hemoglobin Hematocrit MCV MCH MCHC RDW-CV Platelet L 7.6 0.0 5.42 15.6 47.8 88.2 28.8 32.6 12.8 338 4.3-11.1 4.46-5.78 13.6-17.6 40.2-51.4 82.5-96.5 27.1-34.9 33.0-37.0 12

nt Referred to Sick Colt Radiographs authorized: PM. . Prophylaxis authorizect Yes I No (Approval var 18 months from examination date) BW5: Panorox :ga t Narrar. , 9 SA.C.4 O -5;SV7 -42_ti 2- D ' I alur : 1)17-5 istur Number: i I \ Institution: / MCC NEW YORK Date: 7 .- 74 -19. /Stamp