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Native Blood Drop Scanning

Functional Hemoscanning

Patient: Demonstration Patient
Date: 15.09.2026
Patient number: DEMO-MCR-2026-000001
Examination number: DEMO-MHF-001-2026
ParametersResult / noteReference finding
Distribution area of plasma and erythrocytesFormed elements are freely distributed in plasmaFormed elements are freely distributed in plasma
Erythrocyte aggregation (low, moderate, high)No aggregation observedNo aggregation observed
Echinocytes / ovalocytesNot observedNot observed
PlateletsLocated separately in plasmaLocated separately in plasma
Time to first appearance of fibrin-like structuresNot earlier than minute 8Not earlier than minute 8
Erythrocytes
Central pallor / relative erythrocyte optical densityUsual, relatively uniformUsual, relatively uniform
Anisocytosis (variation in erythrocyte size)Slight anisocytosis is acceptableSlight anisocytosis is acceptable
Poikilocytosis (change in erythrocyte shape, grade +−)Not observedNot observed
Cells with Cabot rings and toxic granulationNot observedNot observed
Tendency toward iron deficiencyNot observedNot observed
Cell “shadow”Not observedNot observed
Leukocytes
Form (round, amorphous, mobile)Mobile forms are observed in the field of viewMobile forms are observed in the field of view
PhagocytosisCompleteComplete
Eosinophils (indicator of an allergic reaction)A small amount is acceptableA small amount is acceptable
Cholesterol
MolecularNot observedNot observed
MicrocapillaryNot observedNot observed
PigmentedNot observedNot observed
Crystalloids
Uric acid saltsNot observedNot observed
Orthophosphoric acid saltsNot observedNot observed
Dietary sugar crystalsA small amount is acceptableA small amount is acceptable
Parasitic forms
Cocci and rod-shaped formsNot observedNot observed
Fungi, mycobacteriaNot observedNot observed
Suspicious rounded and cyst-like structures in plasmaNot observedNot observed
Invasion, cellular damageNot observedNot observed

Information: Native blood drop scanning is a screening method for qualitative assessment. The result is not a diagnosis and does not replace a physician consultation, laboratory tests or other standard diagnostic methods. I have been informed about the purpose of the examination and understand that functional native blood drop hemoscanning is a method for assessing functional status that complements the physician’s clinical evaluation and laboratory findings. I consent to the examination.

Clinician: Demonstration Doctor
Signature: ____________________
Patient signature: ____________________
14 Tashkenti St., Tbilisi
+995 322 14-10-10 · https://hemotest.ge · +995 596 00-10-60
Recommendation Sheet
Patient: Demonstration Patient
Date: 15.09.2026
Demonstration doctor recommendations. In a live patient record, individual recommendations, regimen and additional examinations are entered here.

Explanation of results

Functional assessment completed in demonstration mode. The values are shown only to demonstrate the form structure.

Follow-up plan

Follow-up visit: in 14 days, after completing the recommendations and the follow-up questionnaire.
Doctor: Demonstration Doctor
Examination date: 15.09.2026
Questionnaire
Full name: Demonstration Patient
Patient number: DEMO-MCR-2026-000001
Date of birth: 1988-05-14 · 38
Email: demo@example.com
Phone: +995 555 12 34 56
City: Georgia Tbilisi
SexFemale
WhatsApp+995 555 12 34 56
Preferred languageEN
Main complaints in your own wordsPersistent fatigue, abdominal bloating after meals, periodic heartburn and headaches.
What would you like to clarify or improve?Understand the observed functional changes and prepare questions for the specialist.
How long have the complaints been present?About 8 months
Select current symptomsFatigue / weakness, Digestive problems, Bloating, Headaches, Sleep problems
Chronic conditions and diagnosesNo confirmed chronic diagnosis.
Previous operationsAppendectomy in 2008.
Allergies and adverse reactionsSeasonal pollen reaction.
Current medicationsNo regular medication.
Vitamins and supplementsNot provided
Relevant family historyNot provided
Briefly describe your usual dietMixed diet, sometimes late dinner.
Daily water intakeAbout 1.5 L
SmokingNever
AlcoholOccasionally
Physical activityLight
Sleep6–7 hours
Stress level from 0 to 105 / 10
Previous tests and investigationsComplete blood count and blood biochemistry 3 months ago.
Additional informationDemo example only.