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Records: 897 EMPLOYER 1 WORKSAFE 5 LEGAL 8 INTERNAL 852 PERSONAL 31 ⭐ Key: 26 | Last import: 2026-05-11 10:20
← HOLAND_CLAIM_FILE_p402 HOLAND_CLAIM_FILE_p404 →
HOLAND_CLAIM_FILE_p403
📄 HOLAND_CLAIM_FILE | p.403
📝 Extracted Text (OCR)
GROUP &

ROO30307398

RORERM

> ABO/Rh 314 Grp |

> Antib

ody Screen |

Sent 02/23/ @ifex Weal: 21,

Department of Laboratory Medicine

** Discharge Cumulative lab Report **

RIRGHABAR.RALE

1

1 Mar 2022

*** REPORT CONTINUED ***
Patient: HOLAND,MARK THOMAS

MPI #: FHEMRS@97116

* TRAVBPUSTON MEDICINE LABORATORY *

COLLECTED: Mar 6, 2024 5

A BOS
NEGATIVE

BLOOD PRODUCTS CROSSMATCHED

Crossmatch

Red

hed

Red
Red
Red
Red
Rad
Red
Red
Red

Product.

BBO Leu
REC Leul
ABO Leu

Blood Calls
Blood cells

|
|
I
|
Blood Cells |
Blood Cells I
Blood Cells I
Blood cells i
Blood Celis I
Blood Cells I
Blood Cells i
Blood Cells |

Bid Type

ikoregucd A Pos
koreducd A POS
hore ducd Oo POs

** EMERGENCY TssumD **

REC Leul

koreducd 9 POS

** EMERGENCY ISSUED **
Plasma AFP - 1 A
Plasma AFP - 2 A

PAGE 43/47 * RCVD AT 2/23/2026 12:10:26 PM [Pacific Standard Time] * SVR:FAXP21/3 * DNIS:9777 * CSID: * ANI:17783680130 * DURATION (mm-ss):21-27

Print date/time:

COLLECTED: Mar 8, 2022 5

cos1022821166

RRC

AZO Compatiple

coslozesz1ias

Rac

ABO Compatible

COSLOZ251 7977
0051022517963
S0510225159807
cosloze521448
6081082821161
eoslozes22452
SO81022521173
COS1OZ2512377

RAC
RBC
RRC
REC
RRC
REC
Rac
REC

Leukoreducd

heukovedued

heukoredued 4

Lenkoreducd
Leukoreducd
Leukoreducd
Leukoredued

Leukoredued 2

beukoredued
Leukoredued

:ZZam

r23am

oO FOS

9 Fos

FOS
POS
FOS
FOS
POR
FOS
FOS
POS

ISSUED and TRANSFUSED PRODUCTS

COLLECTED: Mar 6, 2024 5

unit #

COS1022519807
CO5102251 7963
0051022521146

081022321166

cOb1021610389
051021610408

15/03/22 0152

Acot#: RCA04198/21

:2zam

Compatible?
Compatible?

Compatible?
Compatible?
Compatible?
Compatible?
Compatible?
Compatible?
Compatible?
Compatible?

Compat; Approx Vol. status

g
¥

300 mb
300 mi
300 mb

400 mu

1 mb
38 mb

By:
Unité:

TRETUSb
TRSFUSD
TRSTUSD

‘TREFUSD

‘TRSFUSD
TRSFUSD

BAG DAEMON
BoO3030 788

Page - 43

DOB: O4/saP/1978 / 43/M

Trans Date

CONSIRM
CONS TRM
CONS IRM

CONS IRM

CONSIRM
CONEIRM

08/03/22
08/03/22
08/03/22

08/03/22

08/03/22
08/03/22

Page
Pationt:

Loc'n

Page:

AG-ERINI