PATIENT DETAILS
Diagnostics Center:
Patient Name:
Sex:	Male    Female
Age:
Date Of Test:	Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2000 2001

REPORT DETAILS
Name Of The Test	Normal Value	Your Report Value
Blood Glucose(Sugar)	100ml
Fasting Test	65 gms
After 30min	70 gms
After 60min	75 gms
After Glucose(60gms)	80 gms
After 30min	80-85 gms
Insuline Test	Negative
Urine Sugar	Negative
Blood Sugar	Negative

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