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Requisition #:

Patient Name:

Patient Age:

Sex:

9900001

Report Sample

17

M

Practitioner:

Date of Collection:

Time of Collection:

Print Date:

NO PHYSICIAN

12/01/2022

Not Given

3/21/2023

Report Date: 12/01/2021

Reference Range Result - ug/dl

<= 20 ug/dl Normal

> 20 ug/dl Elevated

3.00

Urine Kryptopyrrole

Testing performed by BIO-CENTER LABORATORY, 3100 North Hillside, Wichita, KS 67219