Lab No.

Date:

Patient Name:

Sex:

REF. BY DR.:

AGE:

SAMPLE COLL. AT:

CRONIC OF KIDNEY DISEASE

Test	Range	Result
BILIRUBIN Total	0.2-1.2 mg/dL
BILIRUBIN Direct	0.0-0.2 mg/dL
BILIRUBIN Indirect	0.2-1.0 mg/dL