09/18/2018 16:38 From: INIMINIM Woodson C. Merrell M Uebfax Page: 1/11
09/18/2018 16:38 From: INIMINIM Woodson C. Merrell M Uebfax Page: 1/11
FAX COVER SHEET
To: Jeffrey Epstein / Lesley From: Lisa
Company: Company: Woodson Merrell MD PLLC
Phone:
Pages w/cover: 11 Fax:
Date: 9/18/2018
Subject:
9-14-18 LABCORP (Partial) Lab Re
Comments:
EFTA00299784
09/10/2010 16:30 From: 3477565616 Woodson C. Merrell M Wehfax Page: 2/11
LabCorp Patient Report
Specimen ID: 257-480 2371-0
Control ID: FSB31: 43092
EPSTEIN, JEFFREY
9E 71STST
NEW YORK W 10021 Acct 31143092
Woodson Merrell
44 E67th St
New York NY 10065 Phone
Patient Details Specimen Details Physician Details
DOB:01/20/1953 Date collected: 09/14/2018 1255 Local Ordering: W MERRF.LL
Age(y/m/d):065/07/25 Date received: 09/15/2018 Referring:
Gender. M 55/t Date entered: 09/15/2018 ID: MERFtELL
Patient ID: Date reported: 09/18/2018 0610 ET NPI: 1023153509
General Comments & Additional Information
Total Volume: Not Provided
Ordered Items
CBC With Differential/Platelet Comp. Metabolic Panel (14); Urinalysis, Routine; PE+Interp(Rfx IFE),S; Lipid Panel; Iron and TIBC;
Testosterone,Free+Weakly Bound; Vitamin 812 and Folate; FSH and Lit C-Reactive Protein, Cardiac; Hemoglobin Ale:
Prostate-Specific Ag. Serum; TSH; Vitamin D. 26-Hydroxy; Lipoprotein (a); IGF-1; ANA vt/Reflex; Homocyst(e)ine, Plasma; ProlaCtini
Thyroxine (14) Free, Direct. S: Cortlsol; DHEA-Sutfate; Estredlot Uric Acid; Phosphorus; LOH; GOT; Amylase; Ferritin, Serum; Insulin;
COICIUM. Ionized, Serum: Fibrinogen Activity: Magnesium, RBC
TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAE
CBC With Differential/Platelet
WBC 5.7 x10E3/uL 3.4 - 10.B 01
RBC 4.90 x10136/uL 4.14 - 5.80 01
Hemoglobin 14.7 g/dL 13.0 - 17.7 01
Hematocrit 42.2 % 37.5 - 51.0 01
MCV 86 fL 79 - 97 01
MCH 30.0 pg 26.6 - 33.0 01
MCHC 34.8 g/dL 31.5 - 35.7 01
RDW 14.6 t 12.3 - 15.4 01
Platelets 242 x1083/uL 150 - 379 01
Neutrophils 50 I Not Estab. 01
Lymphs 37 % Not Estab. 01
Monocytes 5 * Not Estab. 01
Eos 7 * Not Estab. 01
Basos 1 * Not Estab. 01
Neutrophils (Absolute) 2.8 x10E3/uL 1.4 - 7.0 01
Lymphs (Absolute) 2.1 x1083/uL 0.7 - 3.1 01
Monocytes(Absolute) 0.3 x1083/uL 0.1 - 0.9 01
Eos (Absolute) 0.4 x1083/uL 0.0 - 0.4 01
Baso (Absolute) 0.0 x10133/uL 0.0 - 0.2 01
Immature Granulocytes 0 * Not Estab. 01
Immature Grans (Abs) 0.0 x10E3/uL 0.0 - 0.1 01
Comp. Metabolic Panel (14)
Glucose 128 High mg/dL 65 - 99 01
Sample is lipamic. This may cause spurious
AST, ALT, and GIBC (if ordered). Clinical increases in TBili, DBili,
correlation indicated. Rte: 68
Fasting: No
Specimen received hemolyzed. Clinical correlation indicated.
Date Issued: 09/1&181053 ET PRELIMINARY REPORT
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ilagorP Patient Report
Patient: EPSWN. JOFIIIY
DO8:01/20/1953 Patient ID: Control ID: F5831143092 Specimen ID:257-480-2371-0
Date collected: 09/14/2018 1255 uxal
TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB
BUN
Creatinine
eGFR If NonAfricn Am
eGFR If Africn Am
BUN/Creatinine Ratio
Sodium
Potassium 4.2 mmol/L 3.5 - 5.2 01
Sample is lipemic. This may cause spurious increases in TBili, DBili,
AST, ALT, and UIBC (if ordered). Clinical correlation indicated.
Specimen received hemolyzed. Clinical correlation indicated.
Chloride 102 mmol/L 96 - 106
Carbon Dioxide, Total 20 mmol/L 20 - 29
Calcium 9.4
Protein, Total 6.7
Albumin 4.3
Globulin, Total 2.4
A/G Ratio 1.8
Bilirubin, Total 0.3
Alkaline Phosphatase 71
AST (SCOT)
The specimen was lipemic. The lipemia was cleared by
ultracentrifugation before testing. However HDL, direct LDL,
cholesterol and triglyceride (if ordered) were performed prior to
ultracentrifugation.
ALT (SGPT) 22
0.96
83
95
23 mg/dL
mg/dL
mL/min/1.73
mL/min/1.73 8 - 27
0.76 - 1.27 01
>59
>59
10 - 24
138 mmol/L 134 - 144 01
01
Urinalysis, Routine
Urinalysis Gross Exam
Specific Gravity
pH
Urine -Color
Appearance
WBC Esterase
Protein
Glucose
Ketones
Occult Blood
Bilirubin
Urobilinogen,Semi-Con
Nitrite, Urine
Microscopic Examination
Microscopic follows
PE+Interp(Rfx IFE),S mg/dL
g/dL
g/dL
g/dL
mg/dL
IU/L
26 IU/L
37 IU/L
1.027
5.5
Yellow
Clear
Negative
Negative
Negative
Negative
Negative
Negative
0.2
Negative
if indicated.
Will Follow EU/dL 01
01
8.6 - 10.2 01
6.0 - 8.5 01
3.6 - 4.8 01
1.5 - 4.5
1.2 - 2.2
0.0 - 1.2 01
39 - 117 01
0 - 40 01
0 - 44 01
01
1.005 - 1.030 01
5.0 - 7.5 01
Yellow 01
Clear 01
Negative 01
Negative/Trace 01
Negative 01
Negative 01
Negative 01
Negative 01
0.2 - 1.0 01
Negative 01
01
Date issued: 09/18/181053 Et PRELIMINARY REPORT
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EFTA00299786
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LabCorp Pattern: EPSTEVUE9FREY
DOB:01/20/1953 Patient ID: Control ID: F5831143092
TESTS RESULT FLAG UNITS
Lipid Panel
Cholesterol, Total
Triglycerides 234
2714 High
Alert mg/dL
mg/dL
mg/dL
mg/dL Results confirmed on
dilution.
HDL Cholesterol
VLDL Cholesterol Cal 19 Low Patient Report
Spedmen 10:257-480-2371.0
Date colkcted:09/I4/2018 1255 Local
REFERENCE INTERVAL LAB
100 - 199
0 - 149 01
01
>39 01
5 - 40
The calculation for the VLDL cholesterol is not valid when
triglyceride level is >400 mg/dL.
LDL Cholesterol Cale mg/dL 0 - 99
Triglyceride result indicated is too high for an accurate LDL
cholesterol estimation.
Iron and TIBC
Iron Bind.Cap. (TIBC) 320
UIBC 252
Iron 68
Iron Saturation 21 ug/dL 250 - 450
ug/dL 111 - 343 01
ug/dL 38 - 169 01
t 15 - 55
Testosterone, Free+Weakly Bound
Testosterone, Serum 140 Low ng/dL 264 - 916 01
Adult male reference interval is based on a population of
healthy nonobese males (BMI <30) between 19 and 39 years old.
Travison, et.al. JCHM 2017,102;1161-1173. PMID: 28324103.
Testost., % Free+Weakly Bound Will Follow V 9.0 - 46.0 02
Testosc., F+W Bound Will Follow ng/dL 40.0 - 250.0
Vitamin B12 and Folate Will Follow
FSH and LH
LH
FSH
C-Reactive Protein, Cardiac 3.7 mIU/mL 1.7 - 8.6 01
4.4 mIU/mL 1.5 - 12.4 01
1.56 mg/L 0.00 - 3.00 01
Relative Risk for Future Cardiovascular Event
Low <1.00
Average 1.00 - 3.00
High >3.00
Hemoglobin Alc
Hemoglobin Alc 5.5 4.8 - 5.6 01
Please Note: 01
Prediabetes: 5.7 - 6.4
Diabetes: >6.4
Glycemic control for adults with diabetes: <7.0
Prostate -Specific Ag, Serum
Prostate Specific Ag, Serum 0.7 ng/mL 0.0 - 4.0 01
Dare Issued. 09/18181053 ET PRELIMINARY REPORT
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09/10/2010 16:30 From: MISIMO Woodson C. Merrell 11 Yebfax Page: 5/11
ktalbetorP Patient Report
Patient: EPSIEIKJEFFREY
008:01/20/I953 Patient ID: Control ID: F5831143092 Specimen ID: 257-S80-2371D
Date collected:09/14/2018 1255 Local
TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB
TSH Roche ECLIA methodology.
According to the American Urological Association, Serum PSA should
decrease and remain at undetectable levels after radical
prostatectomy. The AUA defines biochemical recurrence as an initial
PSA value 0.2 ng/mL or greater followed by a subsequent confirmatory
PSA value 0.2 ng/mL or greater.
Values obtained with different assay methods or kits cannot be used
interchangeably. Results cannot be interpreted as absolute evidence
of the presence or absence of malignant disease.
1.290 uIU/mL 0.450 - 4.500 01
Vitamin D, 25-Hydroxy 20.2 Low ng/mL 30.0 - 100.0 01
Vitamin D deficiency has been defined by the Institute of
Medicine and an Endocrine Society practice guideline as a
level of serum 25-0H vitamin D less than 20 ng/mL (1,2).
The Endocrine Society went on to further define vitamin D
insufficiency as a level between 21 and 29 ng/mL (2).
1. IOM (Institute of Medicine). 2010. Dietary reference
intakes for calcium and D. Washington DC: The
National Academies Press.
2. Bolick MP, Hinkley NC, Bischoff -Ferrari HA, et al.
Evaluation, treatment, and prevention of vitamin D
deficiency: an Endocrine Society clinical practice
guideline. JCEN. 2011 Jul; 96(7):1911-30.
Lipoprotein (a) 20 nmol/L <75
Note: Values greater than or equal to 75 nmol/L may
indicate an independent risk factor for CHD,
but must be evaluated with caution when applied
to non-Caucasian populations due to the
influence of genetic factors on Lp(a) across
ethnicities.
IGF-1
Insulin -Like Growth Factor I 137 ng/mL 49 - 188
ANA w/Reflex
ANA Direct Negative Negative
Homocyst(e)ine, plasma 14.9 umol/L 0.0 - 15.0
Prolactin 3.9 Low ng/mL 4.0 - 15.2
Thyroxine (T4) Free, Direct,
T4,Frce(Directi S
1.05 ng/dL 0.82 - 1.77
Cortisol 3.7 ug/dL
Cortisol AM 6.2 - 19.4
Cortisol PM 2.3 - 11.9 01
02
01
01
01
01
01
Date Issueo: 09/18/18 1053 ET PRELIMINARY REPORT Pape 4 of 5
This document contains private and confidereiel health information otected by state and federa Haw.
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NI Rights Reserved -Enterprise Report Pollen: 1,00
EFTA00299788
09/18/2818 16:38 From: Woodson C. Merrell M Uebfax Page: 6/11
:l-LabCorp Patient Report
Patient: EPSTEIN, JEFFREY
D09:0120/1953 Patient ID: Control ID: F5831143092 Specimen ID: 2574804371-0
Date collected: 09/14/2018 1255 L0 GI
TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB
DENA-Sulfate
Estradiol
Roche ECLIA methodology
Uric Acid
Uric Acid
Please Note: 181.8 ug/dL 30.9 - 295.6 01
28.3 pg/mL 7.6 - 42.6 01
6.8 mg/dL 3.7 - 8.6 01
01
Therapeutic target for gout patients: <6.0
Phosphorus 3.6 mg/dL 2.5 - 4.5 01
LDH 213 IU/L 121 - 224 01
GGT 25 IU/L 0 - 65 01
Amylase 37 U/L 31 - 124 01
Ferritin, Serum Will Follow
Insulin 47.2 High uIU/mL 2.6 - 24.9 01
Calcium, Ionised, Serum 5.3 mg/dL 4.5 - 5.6 01
Fibrinogen Activity 330 193 - 507 01
Specimen was ultracentrifuged before testing to remove extreme
lipemia. Results should be interpreted with caution.
Magnesium, RBC 5.4 mg/dL 4.2 - 6.8 02
Plasma NOT separated from cells; may
falsely decrease RBC Magnesium levels.
01 RN LabCorp Raritan
69 First Avenue. Raritan, NJ 08889-1800
02 BN LabCorp Burlington
1447 York Court. Burlington, NC 27215-3361
For inquiries, the phys'cian may contact Branch: 800431-5250 Lab: Dir. Aracei B Reyes. MD
DO: Wham F Hancock, MD
Date ISSued: 09/18/18 1053 ET PRELIMINARY REPORT
Wsdocument contains pnvate and confidential health informadon tected by state and federal law.
it you have welved thisdocument enrol, *Me cal Page s as
01995-2018 Laboratory Corporaoa of Arnericae Holdings
RiphiAntrad • purpose ReportVaniort 1.00
EFTA00299789
09/10/2018 16:30 From: eilleklin Woodson C. Merrell M Webfax Page: 7/11
NLabCon) Patient Report
Specimen ID: 257.480.22320
Control ID: FSA31143092
EPSTEIN, JEFFREY
PatientDetails
1208:01/20/1953
Agefy/rn/d): 065/07/25
Gender. M SSW
Patient Kr Acct I: 31143092
Woodson Merrell
44 E 67th St
New York NY 10065
Specimen Details
Date collected: 09/14/2018 1255 Local
Date receive* 09/15/2018
Date entered: 09/15/2018
Date reports: 09/16/2018 0808 ET
General Comments & Additional Information
Total Volume: Not Provided
Ordered Items
Ca+PTH Intact Fasting: No Phone:
Physician Details
Ordering:
Referring:
ID: MERRELL
NPI: Rte: 68
TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAE
Ca+PTH Intact
Calcium 9.5 mg/dL 8.6 - 10.2
Specimen received hemolyzed. Clinical correlation indicated. 01
PTH, Intact 71 High pg/ML 15 65 01
Intact PTH 01
Interpretation Intact PTH Calcium
(pg/mL) (mg/dL)
Normal 15 - 65 8.6 - 10.2
Primary Hyperparathyroidism >65 >10.2
Secondary Hyperparathyroidism >65 <10.2
Non-Parathyroid Hypercalcemia <65 >10.2
Hypoparathyroidism <15 < 8.6
Non-Parathyroid Hypocalcemia 15 - 65 < 8.6
01 RN LabCorp Raritan
69 First Avenue Raritan NJ 08889-1800 Dir. Aracei B Reyes, MD
Fee Inquiries, the physician may canted Branch: Lab:
Welssued:0WIN180916U FINAL REPORT
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ILaltorp Patient Report
Specimen ID: 257-480.2715-0
Control a END31143092
EPSTEIN, JEFFREY
9E 715TST
NEWYORK NY 10021
Patient Details
DOB: 01 /20/1953
Age(y/m1d): 065/07/25
Gender: M SSN:
Patient ID: Acct 1:31143092 Phone: Rte 68
Woodson Merrell
4-1E 67th St
New York NY 10065
tRrlhlheduPPhrddUllhhrnhrlllrllllllllhIdnlhll
Specimen Details
Date collected: 09/14/2018 1255 Local
Date received: 09/15/2018
Date entered: 09/15/2018
Date reported: 09/18/2018 0610 ET Physician Details
Ordering: W MERRELL
Referring:
ID:
NPt 1023153509
General Comments & Additional Information
Total Volume: Not Provided
Ordered Items
Chlamydie/GC Amplificason, Panel 083935; HCV Ab w/Rflx to Verification; RPR, Rfx On RPR/Confirm TP Fasting: No
TESTS RESULT FLAG LWITS REFERENCE INTERVAL LAE
Chlemydia/GC Amplification
Chlamydia trachomatis, NAA
Neisseria gonorrhoeae, NAA Negative
Negative
Panel 083935
HIV Screen 4th Generation wRfx
Non Reactive Negative
Negative 01
01
Non Reactive 01
HCV Lb w/Rflx to Verification
HCV Ab c0.1 s/co ratio 0.0 - 0.9 01
Comment: 01
Non reactive HCV antibody screen is consistent with no HCV infection,
unless recent infection is suspected or other evidence exists to
indicate HCV infection.
RPR, Rfx Qn APR/Confirm TP
RPR Non Reactive Non Reactive 01
01 RN LabCorp Raritan
6$ First Avenue. Etonian, NJ 08869-1800
for equines. the physician may contact Branch: Lab: Dir: Aracek B Reyes. MD
Date 'snitch:M/18M 1053 Er FINAL REPORT
This document contains private and confidential health information tested by state and federal law.
It you here receivedthis docurmot in emb *me tali Pagel& 1
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M RightsReeved-Enterprise Reran Version: 1O0
EFTA00299791
09/10/Z018 16:30 From: Woodson C. Merrel l 11 Uebfax Page: 9/11
Patient Report
Specimen 10: 257-480-25424
Control ID: F5C31143092
EPSTEIN, JEFFREY
9E 715T ST
NEW YORK NY 10021
Patient Details
DOB:01/20/1953
Age(y/m/d): 065/07/25
Gender: M SSN:
Patient ID: Acct 31143092
Woodson Merrell
44 E 67th St
New York NY 10065 Phone: Rte•. 68
Specimen Details Physician Details Date collected: 09/14/2018 1255 Local Ord:witty W MERRELL
Date received: 09/15/2018 Refining:
Date entered: 09/15/2018 ID: MERRELL
Date reported: 09/10/2018 082,3 ET Nit 1023153509
General Comments & Additional Information
Total Volume: Not Provided
Ordered Items
Zinc. Whole Blood Fasting: No
TESTS RESULT FLAG UNITS DEFERENCE :UTERI/AL LAB
Zinc, Whole Blood 749
r 01 BN LabCorp Burlington
1447 York Court. Burlington, NC 27215-3381 ug/dL 440 - 860 01
For inquiries. the physician may contact Branch: Lab: Mr Wi11em F Hancock MO
Date Issued 09/1snelos3 ET FINAL REPORT
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09/10/2018 16:38 From: Woodson C. Merrell M Webfax Page: 10/11
'ILabCorp Specimen ID: 25/-480-23000
Control ID: 25648023000 Patient Report
EPSTEIN, JEFFREY
9 EAST 71 STREET
NYC NY 10021
Patient Details
DOB:01/20/1953
Age(y/m/d): 065/07/25
Gender: M SSN:
Patient ID: Acct a: 31143092 Phone Rte: 68
Woodson Merrell
44 E 67th St
New York NY 10065
qvillIrdurP444HdPIN400WPIPIQudel
Specimen Details
Date collected: 09/14/2018 1255 Local
Date received: 09/15/2018
Date entered: 09/15/2018
Date reported: 09/17/2018 2010 ET Physician Details
Ordering: W MERRELL
Referring:
ID: MERRELL
NPI: 1023153509
Ordered Items
Heavy Metals Profile II, Blood
TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB
Heavy Metals Profile II, Blood
Lead, Blood Will Follow
Blood Lead Collection Method: Venous
Testing performed by Inductively coupled ug/dL 0 - 4
plasma/Mass Spectrometry.
Environmental Exposure:
WHO Recommendation <20 01
Occupational Exposure:
OSHA Lead Std 40
BEI 30
Detection Limit is 1
Arsenic, Blood 8 ug/L 2 - 23 01
Detection Limit = 1
Mercury, Blood 2.1 ug/L 0.0 - 14.9 01
Environmental Exposure: <15.0
Occupational Exposure:
BEI - Inorganic Mercury: 15.0
Detection Limit a 1.0
Cadmium, Blood None Detected ug/L 0.0 - 1.2 01
Environmental Exposure:
Nonsmokers 0.3 - 1.2
Smokers 0.6 - 3.9
Occupational Exposure:
OSHA Cadmium Std 5.0
BEI 5.0
Detection Limit a 0.5
01 BN LabCorp Burlington
1447 York Court, Burlington, NC 27215-3361
For Inquiries. to physician may contact Branch: Lab: Dir: Wham F Hancock, MD
Date Issued: 05/18118 1053 ET PRELIMINARY REPORT
This document contains private endconfidential heath inftwnstuian ted by state am fedetel kw.
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09/18/2818 16:38 From:
orn:l Mt.00 l% 44-7e I Woodson C. Merrell n Meninx rage:
00/17/2010 21:02 0442 GM /007
I M UGE N. Reference Diagnostic Division
Oxford Immunotec, Inc. cVb/a IMUGEN
316 Norwood Park South. Norwood MA 02062 • • FAX
Submkten Lyme Antibody Analysis
Patient:
WOODSON C MERRELL MD Name: JEFFREY EPSTEIN SUITE IB Address: 9 EAST 71ST STREET 44 EAST 67TH STREET NEW YORK NY 10021 NEW YORK NY 10066
D.O.B.: 0020/1953
Order rg Submitter Provide:: WOCDSON C MERRELL MD Record #:
IMUGEN Account #: MERW Patient #: 2018013061
Antibody Capture Enzyme Immunoassay
Test Date: 0W17/2018
Antigen Antibody
880e/P41 Results
PLASMA 6
13061
Coned, owe.
C011Y2018
Olecoct PM
COMIOU CSP 6
0:00m Dean
Riteipi nee
B. burgdoeferi
49736 IIIM <1
IgG <1
IfIA <I
Wires felted the terathie amount of B burpotriermarre#4# mai* #0#444.4 br lanckirrtinil Normal Range: no rmcdy detected et <0.8 for IgM and <1 for IgG and lgA.
Comments: No IgM. IgG or IgA antibody to B. burgdorferi detected by cabbie Elk the IgG immunoblot results tel within normal limits.
Interpretation: No serologic evidence of infection with 8. burgdorferi (Lyme). Immunoblot IgG
(Western Blot)
PLASMA /* 1306
Test Date: 0W17/2018
8. bsrgctorlert639/40
58
II
Reactive bands la Eat m dD d 8. 0urgdorton antigens nth Mich IgG is reactive. Norval Range: Reactivity to <5 antigens on each blot 8. burrkrksi 49736
SS
41
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'Mee P10 MID. Ph D. Director the AMEN bgo is a regateral trademark i24 Oxford immunAtc. o 2o17 Mere froneraec. Report Dade: owimola KEV//JAL CLIA number 2200850196
EFTA00299794
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[Image 1] The image is a black and white document scan, specifically a laboratory test report. It contains various columns with numerical values, which are likely to represent test results. The visible names include "Laboratory" and "Patient," but the specific names are not clear due to the resolution of the image. The document includes a header with the date and a footer with a reference number. The visibl
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[Image 4] The image shows a document that appears to be a medical laboratory report. The document is titled "LYME ACTIVITY BODY ANALYSIS" and includes various sections with information such as patient name, date of birth, and test results. The visible text includes names, dates, and numerical values related to the patient's medical history and laboratory findings. The document is a scan of a printed paper,
[Image 5] The image is a black and white document scan, specifically a laboratory test report. It contains various sections with headings such as "Patient Name," "Date of Birth," "Lab Test," "Result," and "Reference Range." The visible text includes names, dates, and numerical values that are typical of laboratory test results. There are also sections for comments or notes, but the content of these sections
[Image 6] The image shows a document that appears to be a laboratory test report. It includes various sections with headings such as "Patient Information," "Test Order," "Test Results," and "Billing Information." The visible text includes names, dates, and numerical values, which are typical for medical test results. The document is structured with columns and lines, and there are sections with checkboxes a