Report REQ-2026-0001

M

Moon Diagnostics

Laboratory Report

Accredited Laboratory — ISO 15189

Report No.

REQ-2026-0001

02 Jun 2026, 10:30lab@moon.example

J

Jane Doe

Acc. No. ACC-9001Branch Main BranchPatient Number MRN-1001National ID HIDDENNID-NATGender/Age Female 42 YRef. Doctor Dr. SmithReferring No. -Visit Date 01/06/2026 08:00 AMResult Date 02/06/2026 10:30 AMSample -Report ID REQ-2026-0001

Verified Collected 01 Jun 2026, 09:15

01

Section 1 / 3 · Chemistry Panel

Chemistry Panel

9

Abnormal

36

Normal

Test	Result	Previous	Reference	Flag
Analyte 1A1	10mg/dL	—	5-20	H
Analyte 2A2	11mg/dL	—	5-20	Normal
Analyte 3A3	12mg/dL	—	5-20	Normal
Analyte 4A4	13mg/dL	—	5-20	Normal
Analyte 5A5	14mg/dL	—	5-20	Normal
Analyte 6A6	15mg/dL	—	5-20	H
Analyte 7A7	16mg/dL	—	5-20	Normal
Analyte 8A8	10mg/dL	—	5-20	Normal
Analyte 9A9	11mg/dL	—	5-20	Normal
Analyte 10A10	12mg/dL	—	5-20	Normal
Analyte 11A11	13mg/dL	—	5-20	H
Analyte 12A12	14mg/dL	—	5-20	Normal
Analyte 13A13	15mg/dL	—	5-20	Normal
Analyte 14A14	16mg/dL	—	5-20	Normal
Analyte 15A15	10mg/dL	—	5-20	Normal
Analyte 16A16	11mg/dL	—	5-20	H
Analyte 17A17	12mg/dL	—	5-20	Normal
Analyte 18A18	13mg/dL	—	5-20	Normal
Analyte 19A19	14mg/dL	—	5-20	Normal
Analyte 20A20	15mg/dL	—	5-20	Normal
Analyte 21A21	16mg/dL	—	5-20	H
Analyte 22A22	10mg/dL	—	5-20	Normal
Analyte 23A23	11mg/dL	—	5-20	Normal
Analyte 24A24	12mg/dL	—	5-20	Normal
Analyte 25A25	13mg/dL	—	5-20	Normal
Analyte 26A26	14mg/dL	—	5-20	H
Analyte 27A27	15mg/dL	—	5-20	Normal
Analyte 28A28	16mg/dL	—	5-20	Normal
Analyte 29A29	10mg/dL	—	5-20	Normal
Analyte 30A30	11mg/dL	—	5-20	Normal
Analyte 31A31	12mg/dL	—	5-20	H
Analyte 32A32	13mg/dL	—	5-20	Normal
Analyte 33A33	14mg/dL	—	5-20	Normal
Analyte 34A34	15mg/dL	—	5-20	Normal
Analyte 35A35	16mg/dL	—	5-20	Normal
Analyte 36A36	10mg/dL	—	5-20	H
Analyte 37A37	11mg/dL	—	5-20	Normal
Analyte 38A38	12mg/dL	—	5-20	Normal
Analyte 39A39	13mg/dL	—	5-20	Normal
Analyte 40A40	14mg/dL	—	5-20	Normal
Analyte 41A41	15mg/dL	—	5-20	H
Analyte 42A42	16mg/dL	—	5-20	Normal
Analyte 43A43	10mg/dL	—	5-20	Normal
Analyte 44A44	11mg/dL	—	5-20	Normal
Analyte 45A45	12mg/dL	—	5-20	Normal

M

Moon Diagnostics

Laboratory Report

Accredited Laboratory — ISO 15189

Patient

Jane Doe

REQ-2026-0001MRN-1001

02

Section 2 / 3 · Hematology

Hematology

2

Abnormal

2

Normal

Test	Result	Previous	Reference	Flag
HemoglobinHGB	13.5g/dL	13.2	13-17	Normal
WBCWBC	14.210^3/uL	9.8	4-11	H
PotassiumK	6.8mmol/L	—	3.5-5.1	HH
PlateletsPLT	25010^3/uL	—	150-400	Normal
ROW-COMMENT-7

M

Moon Diagnostics

Laboratory Report

Accredited Laboratory — ISO 15189

Patient

Jane Doe

REQ-2026-0001MRN-1001

03

Section 3 / 3 · Microbiology

Microbiology

1

Normal

Test

Result

Distribution

Flag

Urine CultureUCX

Positive

—

Normal

Culture & Sensitivity — Urine Culture

Organism: Escherichia coli | Growth: pure growth | Count: >100,000 CFU/mL | Incubation: 24h

Antibiotic	S/I/R	MIC
CIP Ciprofloxacin	R	>4
NIT Nitrofurantoin	S	<=16

Significant bacteriuria.

Comments

REPORT-LEVEL-NOTE-42

Signature

Dr. Reviewer

Stamp