Free Statement - District Court of Arizona - Arizona

EXHIBIT 17
Case 2:03-cv-01729-RCB Document 83-17 FiIed10/31/2005 Page10f2

Laboratory Corporation of America
D_§EC11vIEN TYPE PRIMARY LAB REPORT STATUS; 1 (
105-237-7384-0 S PD 1 COMPLETE Page #: 1 i .
WMM ADDITIONAL INFORMATION ________p__ _r
p _V__V A ____` p U p . CLINICAL INFORMATION z
» -~»-e ·‘‘‘’‘ FASTINGN 1 1 CD- 8402507593S
DOB: 2/25/1963 1 a—;———+;+——~———————r———»~——-A-—rr ~~» ~ 4
we A—A»—- »—————~—~——&`% —4 . PHYSICIAN ID. 1 PATIENT ID. I I
PATIENT NAME 2 SEX 1 AGE(YR./MOS.) . VINLUAN E 1 10200] p
M{*RT‘NEZ;FEU?.E.. 1 2 .1 C_,I c _.CI .1 .. -. Igoggggggg; *‘‘‘ ;qg5g5i;,g§g;,g *‘*‘‘PP T T I I A
P'I.ADD.: ’
. . .. A ._oI . .....I _I,C22 - . 26700 S. HWY 85
DATE OF SPECIMEN TIME DATE RECEIVED DATE REPORTED TIME 5 > BUCKEYE AZ 85326_00O0
4/14/2004 s;00 . 4/15/2004 4 4/15/2004 11:19 1 1205 EACCOUNT NUMBER: 02256542 .
. 1.;.:1:-.».;-;;—;·;—¤:.:;:~;e$;.f:T ’ ' ——;~·—·::;:==;
_____ TEST RESULT LIMITS LAB __~_;
" CMP12+8AC _
Chemistries 7 PD
Glucose, Serum 88 mg/dL 65 — 99 PD
Uric Acid, Serum 7.7 mg/dL 2.4 — 8.2 PD
BUN 12 mg/dL 5 — 26 PD
Creatinine, Serum 0.8, mg/dL 0.5 - 1.5 PD
BUN/Creatinine Ratio 15 8 T-: 27
Sodium, Serum 146 mmol/L 135 - 148 PD
Potassium, Serum 4.5 mmol/1. _ A 3.5 - 5.5 PD
Chloride, Serum 103 mmol/L 96 — 109 PD
Calcium, Serum 10.2 mg/dl. 8.5 — 10.6 PD
Phosphorus, Serum 3.8 mq/dL 2.5 — 4.5 PD
Protein, Total, Serum 8.4 g/dL 6.0 — 8.5 PD
Albumin, Serum 4.8 g/dl. 3.5 — 5.5 PD _
Globulin, Total 3.6 g/dL 1.5 — 4.5
A/G Ratio 1.3 1.1 -92.5 _
> ;__;;E1`i15uT>1`5f"T>`EB`
Alkaline Phosphatase, Serum . 75 IU/L 25 - 150 PD
LDH jh IU/L 100 - 250 PD
> AST (soom 5 —‘5. ~ _ ’IU/L. 5 1 0 5+. 40 - Po 1
> ALT (SGPT) I J f , 5 572. H 1;.IU/L . ~ · 0 —. 40 I , PD I
cor 10/L 0 — 65 PD
Iron, Serum 143 ug/dL 40 — 155 PD
. PD
Lipids PD
Cholesterol, Total 157 mg/dL 100 - 199 PD A
Triglycerides 100 mq/dL 0 - 149 {PDA
LAB: PD LabCorp Phoenix DIRECTOR: Bubien, J McCormick, K MD' S
I 3930 E Watkins Suite 300, Phoenix, AZ 85034-0000
C ¤ {kg
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Results are Flagged in Accordance with Age Dependent Reference Ranges
Last Page of Report
Case 2:03-cv—01729—F1CB Document 83-17 Filed 10/31/2005 Page 2 of .2 \Q\

Case 2:03-cv-01729-RCB

Document 83-17

Filed 10/31/2005

Page 1 of 2

Case 2:03-cv-01729-RCB

Document 83-17

Filed 10/31/2005

Page 2 of 2