Testosterone - Request A Test

Patient ID: Specimen ID:

DOB:

Age: Sex:

Ordered Items: Testosterone; Venipuncture

Patient Report

Ordering Physician:

Date Collected:

Date Received:

Date Reported:

Fasting: No

Testosterone

Test Testosterone 01

Current Result and Flag

Previous Result and Date

Units

369

ng/dL

Adult male reference interval is based on a population of

healthy nonobese males (BMI ................
................

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