Urinalysis
Date sample taken
date
Time sample taken
time
Laboratory Name
text
Address
text
Lab ID
text
Result of dipstick
text
Urinalysis (Dipstick) Test
text
Specific gravity
text
Micro
text
pH
text
Glucose
text
Protein
text
Blood
text
Ketones
text
NOTE: Sedimentary microscopy should only be performed if any of the dipstick results are abnormal.
boolean
WBC
text
RBC
text
Hyaline casts
text
Granular casts
text
Cellular casts
text