PATIENT INFORMATION

JOHN DOE

Age: 25 years
Date of Birth: 03/22/81
Location/ID: 123456

PHYSICIAN

JANE SMITH, M.D

1234 JANE WAY
HERCULES, CA 94547

CC: JACK SMITH M.D.

SPECIMEN INFORMATION

Accession # WCC-06-99999

Collected:01/29/2007
Received:01/29/2007
Reported:02/02/2007

HISTORY

MATURATION INDEX

SPECIMEN SOURCE: ANAL CYTOLOGY

Not applicable

ANAL CYTOLOGY TEST RESULTS BY ThinPrep®Date Reported: 2/2/2007

ATYPICAL squamous cells of undetermined significance, favor reactive. Suggest repeat anal cytology when appropriate for the clinical setting.

Note: For FDA comments, see http://www.wcpl.com/FDA.asp

JOHN COMPAGNO M.D.,MEDICAL DIRECTOR

Note: The following tests are available for 60 days post collection. Please call (800) 794-9737 for additional testing, if desired.

712 Alfred Nobel Drive . Hercules, CA 94547 . toll free 800.794.9737 . fax 510.662.5240 . www.wcpl.com . John Compagno, M.D., Medical Director
PATHOLOGY/CYTOPATHOLOGY CONSULTATION REPORT