Our Department is well known in Kerala for its Diagnostic excellence  in the field of Oral & Maxillofacial Pathology.
       To avail our biopsy service, please send the specimens fixed in 10%  neutral-buffered formalin in well sealed bottles.  Upon  arrival, the specimen is prepared for overnight processing  and is histologically examined the following working day. A complete histologic description, diagnosis, appropriate comments and your Identity Code will be sent to you. A short delay may be necessary in cases which require decalcification. If you need a paper diagnostic report, please send the postage paid mailing envelope along with the specimen.
       At present only H & E staining is available for this service and for the same you need to send a nominal fee of Rs. 100/- as processing charges. Please fill the form below.


REQUISITION FOR HISTOPATHOLOGICAL EXAMINATION
 

 

Name of the Surgeon:  

Date:  

Name of the patient:  

Sex:  

Age:  

Address:  

Site of Biopsy:  

Type of Biopsy:  

Brief Clinical notes:  

Whether Radiograph sent:  

Special investigations done if any with ref:  

No. of images attached:  

E-mail ID to which the report is to be sent:  

Your working diagnosis:  

Your comments & difficulties in case:  

Dr  

                                           

 

 


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