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Lab Name: ABC Company, Inc.
Correlation Date:  
Correlation Set Lot#:  
Expiration Date:  
 
*** THERE IS A DISCREPANCY BETWEEN THE 1ST AND 2ND ENTRIES. PLEASE ENTER RESULT OR COMMENT A 3RD TIME AND CONFIRM: ***
Test
Sample No.
Unit
Result Entry 1
Result Entry 2
Result Entry 3
Albumin
1
g/dL
3.3
3.4