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Télécharger le texte intégral - ISPED-Enseignement à distance

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Laboratory request formNOTESThis form should be taken to the lab by the client who wants to be tested.The tear-off portion will be col<strong>le</strong>cted by the counsellors AT ALL TIME.Laboratory No…………………………..PMTCT No. ……………………………Date Drawn ……………………………Site Code…………………………ANC No………………………….Time Drawn ……………………..HIV TEST RESULTRTK 1 st test Repeat TestDetermine1. Positive1. PositiveCapillus2. Negative3. Invalid1. Positive2. Negative3. Invalid2. Negative3. Invalid1. Positive2. Negative3. InvalidFinal Results 1. Positive 2. Negative 3. IndeterminateConfirmatory Result: Oraquick 1. Positive 2. Negative 3. IndeterminateTested by: ………………………………………..Tear off …………………………………………………………………………………CLIENT RESULT SHEETPMTCT No ……………………….ANC No…………………………..HIV TEST RESULTRTK 1 st test Repeat TestDetermine4. Positive4. PositiveCapillus5. Negative6. Invalid4. Positive5. Negative6. Invalid5. Negative6. Invalid4. Positive5. Negative6. InvalidFinal Results 1. Positive 2. Negative 3. IndeterminateTested by: ………………………………………..387

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