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Urinalysis Control Chart Bayer Multistix

Month

Day > Leukocytes Nitrite Urobilinogen Dipstick Tests Protein pH Blood Specific Gravity Ketone Bilirubin Glucose Day >

hCG: Method Lot # Acetest® (Ketone): Lot # Clinitest® (Glucose): Lot #

®

Control Name: Reagent Strip Lot No.

For Technical Service in the U.S., call: (800) 854-6737 To Order in the U.S., call: (800) 2-BIO-RAD For Technical Service and to place orders outside of the U.S., contact your local Bio-Rad subsidiary.

QC Reviewed By:

Date:

Year

1

Level 1 Level 2

2 3 4 5

Control Lot No.

6 7 8 9

Control Exp. Date

10 11 12 13 14

Reagent Strip Exp. Date

18 19 20 21 22 23

Method:

24 25

Visual Analyzer

26 27 28 29 30 31

15

16

17

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

Additional Tests

Ictotest® (Bilirubin): Lot #

Protein® (Sulfosalicylic):

Lot # Specific Gravity Saline 0.85 Specific Gravity­ H2O

Albumin Creatinine A/C Day > RBC/hpf Microscopic WBC/hpf Crystals/hpf Other 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Test Performed By:

©2004 Bio-Rad Laboratories

Do not use this form to submit QC Data to Bio-Rad's QC Program

For more information visit Bio-Rad at www.bio-rad.com

Literature No. Q-1190

Printed in the USA

Information

Bayer Multistix.qxd

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