ORDEN DE SERVICIO VERSION: 0.0 FECHA: 05 JUN-2014 FECHA: CLIENTE: NIT: TEL: PATOLOGO: CEL: e-mail: No.BLOQUE: Cant. No. LAMINA: Cant. CIUDAD: ORIGEN MUESTRA: ENTREGAR EN: CIUDAD: PACIENTE: C.C: ACTH CD35 / RLB25 ER AMS (Actin, Muscle Specific) / SC28 CD38 / SPC32 Factor VIII ASM (Actin, Smooth Muscle) / 1A4 CD43 / MT1 Factor XIIIa / E980.1 MUC 5 / CLH2 AS (Adrenocorticotropic Hormone) / AH26 SIN CONTROL / EA-53 (Estrogen Receptor) / 6f11 MUC 1 / Ma695 (Von Willebrand Factor) / 36B11 MUC 2 / Ccp58 CD45-RB-LCA-ACL /2B11+PD7/26/16 Fascin / IM20 MUC 6 / CLH5 ALK (Anaplastic Lymphoma Kinase), CD45RO / UCHL1 FLI-1 / BV4 MUM 1 / EAU32 CD246, p80 / 5A4 CD56 / 1B6 FSH / 83/12/2A8 2C7 CD57 - Leu 7 / NK-1 Gastrin / Polyclone AMACR (Alpha Methylacyl CoA Racemase), CD68 / 514H12 GCDFP-15 / 23A3 p504s/ 13H4 CD79a / 11E3 GFAP / GA5 BCL-2 / bcl-2/100/D5 CD99 - MIC2 / PCB1 GH BCL-6 / LN22 CD117 - C-KIT / Polyclone (Actin Sarcomeric) AFP SIN CONTROL (Alpha-Fetoprotein) / C3 Beta-Catenin / 17C2 CD138 / MI15 BOB1 / CD141 C4D / (Thrombomodulin) SIN CONTROL / 15C8 CDX2 / AMT28 CA19-9 (Sialyl Lewis) / C241:5:1:4 CA-125 (Ovarian Cancer Antigen) / Ov185:1 CEA (Carcinoembryonic Antigen) / B01-94-11M-P Neurofilament / 2F11 NSE / 22C9 OTC-2 / (Growth Hormone) hCG Napsin - A / IP64 SIN CONTROL SIN CONTROL / 54/9 2A2 SIN CONTROL (Human Chorionic Gonadotropin Beta) / OCT 3/4 / N1NK Pax8 / M94138 P16 INK4aA / E6H4 HER-2 / Polyclone P40 / HHV8 / 13B10 P53 / DO-7 SIN CONTROL HLA-DR / LN3 P63 / 4A4 HMB45 / HMB45 PAX 5 / DAK-Pax5 HPV - 4C4 / 4C4 PMS2 / Calcitonin / CL1948 CEA Caldesmon / h-CD Polyclone HPV-16 / CAM VIR-1 Calponin / 26A11 Chromogranin A / 5H7 HPV-18 / 5A3 Calretinin / CAL6 Ciclina D1 / SP4 HSA CAM5.2 CK (AE1/AE3) / AE1AE3 IgA / M1CLA Protein Gen Product 9,5 / 10A1 CK 5 / XM26 IgD / DRN1C PSA / Polyclone CK 5/6 / D5/16B4 IgG / RWP49 RCC / SPM314 (CK8-18) CD1a / MTB1 CD2 (LFA-2) / 5D3 SIN CONTROL / AB75 (Carcinoembryonic Antigen) / SIN CONTROL PLAP / 8A9 SIN CONTROL Progesterone / 16 SIN CONTROL (Hepatocyte Specific Antigen) / OCH1E5 Prolactin / BGX031A CK 7 / RN7 IgM / 8H6 S100 / Polyclone CD4 / 4B12 CK 8 / TS1 InhibinA / AMY82 Synaptophysin / 27G12 CD5 / 4C7 CK 14 / LL002 Kappa / CH15 TDT / SEN28 CD7 / LP15 CK 19 / b170 Ki-67 / MM-1 Thyroglobulin / 2H11 CD8 / 1A5 CK 20 / PW31 Lambda / SHL53 TSH / 5404 CD10 / 56C6 CK 34B12 / 34BE12 LH CD13 / 38C12 CMV / 2.3 Mammaglobin / 304-1A5 CD15 / Carb-3 D2-40 CD19 / BT51E Desmin / DE-R-11 Mesothelin Specific CD20 / L26 DOG-1 / K9 MIF4 (Miogenin) / LO26 CD21 / 2G9 EBV LMP1 / G3-E31 Miosin Heavy Chains / SMMS.1 CD23 / 1B12 E-Cadherin / 36B5 MLH1 / CD3 / LN10 CD30 / JCM182 SIN CONTROL EGFR SIN CONTROL (Podoplanin) / D2-40 (Epidermal Growth Factor Receptor) / DAK-H1-WT CD31 / 1A10 EMA / E29 CD34 / QBEnd/10 Epitelial Antigen / Ber-EP4 (Luteinizing Hormone) / 3LH5B6YH4 SIN CONTROL NUEVO (Myeloperoxidase) TTF1 / SPT24 Uroplaquina / Vimentin / SRL33 Melan-A / A103 MPO SIN CONTROL (Mesothelium) / 5B2 WT1 / WT49 ZAP-70 / L453R SIN CONTROL Autorizo para procesar el caso / 59A5 MSH2 / MSH6 / Nombre - Firma - Sello OBSERVACIONES: ¿Qué Marcadores le gustaría que realizaramos?: www.inmunotech.net - PBX: 2327354 - Cra. 9 No. 49-42 Lab. 603, Bogotá - Colombia - [email protected]
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