|
{{ lab.name | default('Munal Medical Laboratory') }}
{{ lab.address | default('Kathmandu, Nepal') }}
|
{% if order.destination_country %}
PRE-DEPARTURE / VISA MEDICAL REPORT
{% else %}
DIAGNOSTIC LAB REPORT
{% endif %}
{% if order.destination_country %}
✈ Abroad Clearance: {{ order.destination_country }}
{% endif %}
{% if report.status.value == 'draft' %}
Draft
{% elif report.status.value == 'pending_verification' %}
Pending Verification
{% elif report.status.value == 'verified' %}
Verified
{% elif report.status.value == 'released' %}
Official Report
{% elif report.status.value == 'rejected' %}
Rejected
{% endif %}
{% if report.version > 1 %}
Amended (Version {{ report.version }})
{% endif %}
|
| Patient Name | {{ patient.name }} | Order / Bill No | {{ order.order_number }} |
| Patient ID / UHID | {{ patient.patient_code }} | Order Date | {{ order_date }} |
| Age / Gender | {{ patient_age_gender }} | Specimen Sample | {{ specimen_display }} |
| Contact / Phone | {{ patient.phone }} | Reported Date | {{ reported_date }} |
| Referred By | {{ order.referred_by_custom or 'Self / Direct Walk-in' }} | Destination Country | {{ order.destination_country or 'N/A' }} |
Views examined: {{ section.views | join(', ') }}
{% endif %}| Investigation / Parameter | Observed Value | Unit | Biological Ref. Interval | {% if report.status.value not in ('verified', 'released') %}Flag | {% endif %}
|---|---|---|---|---|
|
{{ param.name }}
{% if param.notes %}
{{ param.notes }}
{% endif %}
|
{{ param.value }} | {{ param.unit or '—' }} | {{ param.reference_interval or '—' }} | {# Flags guide review on working copies; approved finals drop the column. #} {% if report.status.value not in ('verified', 'released') %}{% if param.flag == 'H' %} HIGH {% elif param.flag == 'L' %} LOW {% elif param.flag == 'ABNORMAL' %} ABNORMAL {% elif param.flag == 'N' %} Normal {% else %} {{ param.flag or '—' }} {% endif %} | {% endif %}
|
Electronic Verification Record
Report ID: {{ report.id }}
Verification Status: {{ report.status.value | upper }}
{% if report.verified_at %}
Verified At: {{ report.verified_at.strftime('%Y-%m-%d %H:%M UTC') }}
{% endif %}
Digitally certified via Munal LMS. Valid without physical signature.
|
{% if report.verifier %}
{% if verifier_signature_b64 %}
{{ report.verifier.name }}
{% if report.verifier.license_no %}
NMC No.: {{ report.verifier.license_no }}
{% endif %}
{{ (report.verifier.role.value if report.verifier.role.value is defined else report.verifier.role) | capitalize }} / Medical Officer
Electronically Signed & Authorized
{% else %}
Awaiting Verification
{% endif %}
|