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ANNEXURE II - 4 LIFE INSURANCE CORPORATION OF INDIA Special Medical Report Form No. LIC03 - 005 LIPIDOGRAM Zone Division Proposal No. Agent/D. O. Code Introduced by Full Name of Life to be assured Age/Sex Type of Test Total Cholesterol High Density Lipid HDL Low Density Lipid LDL S. Triglycerides Branch name signature Actual Reading I declare that the person examined signed affixed his/her thumb impression in the space earmarked below in my presence and I am not related to him/her or the Agent or the Development Officer. ANNEXURE II - 4 LIFE INSURANCE CORPORATION OF INDIA Special Medical Report Form No* LIC03 - 005 LIPIDOGRAM Zone Division Proposal No* Agent/D. O. Code Introduced by Full Name of Life to be assured Age/Sex Type of Test Total Cholesterol High Density Lipid HDL Low Density Lipid LDL S* Triglycerides Branch name signature Actual Reading I declare that the person examined signed affixed his/her thumb impression in the space earmarked below in my presence and I am not relate....

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How to fill out the Lipidogram Test Means online

Filling out the Lipidogram Test Means accurately is essential for providing necessary medical information. This guide will help you navigate through each section of the form with ease and confidence.

Follow the steps to complete your Lipidogram Test Means form online.

  1. Press the ‘Get Form’ button to access the Lipidogram Test Means form and open it in the appropriate viewer.
  2. Begin by filling in the 'Zone' and 'Division' fields, which typically refer to the geographical area and administrative unit responsible for processing the application.
  3. Enter the 'Proposal No.', which is a unique identifier for your insurance proposal. Ensure this number is accurate to avoid any processing delays.
  4. Input the 'Agent/D.O. Code' as well as the name of the individual who introduced the proposal to ensure proper tracking and attribution.
  5. Provide the 'Full Name of Life to be assured' clearly, along with their 'Age/Sex' to verify the identity of the person for whom the test is being conducted.
  6. Select the 'Type of Test' by marking the appropriate boxes for Total Cholesterol, High Density Lipid, Low Density Lipid, and S. Triglycerides, depending on what is required.
  7. In the 'Actual Reading' section, record the results from the lipid profile tests you have conducted.
  8. The person performing the examination must sign in the designated space, confirming they are not related to the person being assured or the agent.
  9. Fill in the date and location in the provided fields to document when and where the examination was completed.
  10. The 'Signature of the Pathologist' must be included, along with their name, address, qualification, and LICI code number for compliance and verification.
  11. Once you have filled out all required sections, review your information for accuracy, then save your changes, download a copy, print it, or share the form as necessary.

Complete your documents online efficiently and with confidence.

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What is an HDL test? A high-density lipoprotein (HDL) test measures the level of good cholesterol in your blood. Cholesterol is a waxy substance that's found in all of the cells in your body. It has several different functions, including helping to build your body's cells.

A lipid panel is a test that measures fats and fatty substances used as a source of energy in the body. Lipids include cholesterol, triglycerides, high-density lipoprotein (HDL) and low-density lipoprotein (LDL). Lipids are found in your blood and stored in tissues.

A triglycerides test is a blood test. During the test, a health care professional will take a blood sample from a vein in your arm, using a small needle. After the needle is inserted, a small amount of blood will be collected into a test tube or vial. You may feel a little sting when the needle goes in or out.

In addition, you can buy a portable machine to monitor your triglycerides at home. Another way to monitor your triglycerides at home is to mail a sample of blood to a laboratory using a prepared kit. You should talk to your doctor to see if either of these at-home tests is a good option for you.

Cause. The most common causes of high triglycerides are obesity and poorly controlled diabetes. If you are overweight and are not active, you may have high triglycerides, especially if you eat a lot of carbohydrate or sugary foods or drink a lot of alcohol.

Lose Some Weight. Whenever you eat more calories than you need, your body turns those calories into triglycerides and stores them in fat cells. ... Limit Your Sugar Intake. ... Follow a Low-Carb Diet. ... Eat More Fiber. ... Exercise Regularly. ... Avoid Trans Fats. ... Eat Fatty Fish Twice Weekly. ... Increase Your Intake of Unsaturated Fats.

In rare cases, people who have very high triglyceride levels may develop inflammation of the pancreas ( pancreatitis ), which can cause sudden, severe abdominal (belly) pain, loss of appetite, nausea and vomiting, and fever. If you have high triglycerides, you may also have high cholesterol .

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232