LIFE INSURANCE CORPORATION OF INDIA Form No. LIC03 - 013 SPECIAL BIO-CHEMICAL TESTS 13 SBT-13 Zone Division Proposal No. Agent/D. O. Code Introduced by Full Name of Life to be assured Age/Sex Branch Type of Test Fasting Blood Sugar Method Total Cholesterol High Density Lipid HDL Low Density Lipid LDL S. Triglycerides S. Creatinine Blood Urea Nitrogen BUN S. Proteins a Albumin b Globulin AG Ratio S.Bilirubin a Direct b Indirect Total SGOT AST SGPT ALT GGTP GGT S. Alkaline Phosphatase HbsAg Australia antigen Elisa for HIV Method 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. LIFE INSURANCE CORPORATION OF INDIA Form No* LIC03 - 013 SPECIAL BIO-CHEMICAL TESTS 13 SBT-13 Zone Division Proposal No* Agent/D. O. Code Introduced by Full Name of Life to be assured Age/Sex Branch Type of Test Fasting Blood Sugar Method Total Cholesterol Hig....
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How to fill out the Sbt 13 Test Cost online
Filling out the Sbt 13 Test Cost form is an important step in the life insurance process. This guide will walk you through each section of the form, ensuring that you provide accurate and necessary information.
Follow the steps to complete the Sbt 13 Test Cost form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering the relevant zone and division details. This information identifies the specific area of service required for the insurance proposal.
- Enter the proposal number, agent/development officer code, and the individual who introduced the proposal. Accurate details are essential for tracking and processing.
- Fill in the full name of the person to be assured, along with their age and sex. Ensure that this information matches official identification documents.
- In the testing section, select the type of tests to be conducted. Make sure to include all relevant tests such as fasting blood sugar, cholesterol levels, and other specific tests listed.
- For each test, provide the actual readings where applicable. This may require reference to medical test results before completing this section.
- Affirm the declaration statement regarding the examination, ensuring it is signed by the examining pathologist. Confirm that the person examined is not related to the person completing the form.
- Provide the date and time of the examination, ensuring that it is recorded accurately.
- Include the signature of the pathologist, along with their name, address, and qualifications, establishing the credibility of the assessment.
- Lastly, review the completed form for accuracy. Once satisfied, save your changes, and proceed to download, print, or share the form as necessary.
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What does SBT stand for in medical terms?
In medical terms, SBT stands for 'Stress Blood Test.' This test helps evaluate heart function under stress conditions. It provides essential insights for medical professionals to determine how your heart handles physical activity.
What is sbt 13 blood test?
Patients with serious infections such as bacterial endocarditis, osteomyelitis, and necrotizing fasciitis are monitored using the serum bactericidal test (SBT). The SBT is essentially a variation of the broth dilution test adapted to evaluate the activity of a patient's serum against the infecting microorganism.
What is the serum bactericidal test procedure?
Serum Bactericidal Activity (SBA) assay is the method of choice to evaluate the complement-mediated functional activity of both infection- and vaccine-induced antibodies. To perform a typical SBA assay, serial dilutions of sera are incubated with target bacterial strains and complement.
What is SBT 13 test for insurance?
What is SBT 13 blood test? The serum bactericidal test (SBT) has been used for almost 40 years to monitor therapy in patients with bacterial endocarditis, osteomyelitis, and other serious infections.
What is the normal range for SBT test?
Peak titers of 1:64 or greater in the microdilution SBT should be sought if they can be achieved without toxicity. Titers of less than 1:8 may be acceptable, although they are less often successful, if serious toxicity would result from increased dosage.
How is SBT 13 test done?
Blood is drawn through venipuncture, mostly from the forearm of the person. Blood is collected from the patient in order to obtain 1 ml of serum. If the serum is collected in a different place it should be transported as quickly as possible under sterile conditions and not be refrigerated.
What is serum bactericidal titer?
Introduction. The serum bactericidal titre (SBT) test is a semiquantitative assay that measures the highest dilution of patient serum sampled during antibiotic treatment that kills >99.9% of a bacterial inoculum within 24 hr [ [1]
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