Kingdom of Saudi Arabia

Ministry of Health

General Directorate for Health Affairs Najran
King Khalid Hospital

KING KHALID HOSPITAL,NAJRAN

CLINICAL LABORATORY & PATHOLOGY DEPARTMENT

VIRAL MARKERS SCREENING

Lab.: ______________________________________
Specimen
No.

HBsAg

A.HCV

HIVAg/Ab

A.HTLV
I&II

Date: _____________________________
A.HBc

A.HBs

A.HBE

HBeAg

others

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.

Name of Technician: ___________________________ Checked by: __________________________________

Signature: ____________________________________ Signature: ____________________________________
Date: _________________________________________ Date: ________________________________________