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Laboratoryuseonly PlaceformbarcodehereSOURCEPERSON NeedlestickInjury, Blood/Body, FluidRequestForm SOURCEPERSONDETAILS NHS(if known) Filename/CodeGenderMaleFemaleAddressDOBdd/mm/yyyyPhoneNo.CONTACTPERSONMANAGINGRESULTS&GPDETAILSPleasecompleteallfieldstoensurenoreportin

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