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                             ╔═══════════════════╗                                                                                                                                                     ║  TSH - EIA ASSAY  ║                                                                                                                                                     ╚═══════════════════╝                                                                                                                              ┌──────────────────────────────────┬────────────────────────────────┐                                                                                                     │ Kit Lot#:                        │  Date of Assay:                │                                                                                                     ├──────────────────────────────────┼────────────────────────────────┤                                                                                                     │ Expiration Date:                 │  Technologist:                 │                                                                                                     └──────────────────────────────────┴────────────────────────────────┘                                                                                                                                                                                                                                                                               ╔══════╦════════════════════╦════════╦══════╦════════════╦══════════════╗                                                                                                 ║Tube #║ Name:              ║Record #║ Room:║ Date Drawn:║Result(mIU/ml)║                                                                                                 ╠══════╬════════════════════╬════════╬══════╬════════════╬══════════════╣                                                                                                 ║1,2   ║ Water Blank        ║   -    ║  -   ║     -      ║      -       ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║3,4   ║ Reagent Blank      ║   -    ║  -   ║     -      ║      -       ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║5,6   ║    0 Standard      ║   -    ║  -   ║     -      ║     0.0      ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║7,8   ║  1.0 Standard      ║   -    ║  -   ║     -      ║     1.0      ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║9,10  ║  4.0 Standard      ║   -    ║  -   ║     -      ║     4.0      ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║11,12 ║ 10.0 Standard      ║   -    ║  -   ║     -      ║    10.0      ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║13,14 ║ 25.0 Standard      ║   -    ║  -   ║     -      ║    25.0      ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║15,16 ║ 60.0 Standard      ║   -    ║  -   ║     -      ║    60.0      ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║17,18 ║ Ligand Control A   ║   -    ║  -   ║     -      ║              ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║19,20 ║ Ligand Control B   ║   -    ║  -   ║     -      ║              ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║21,22 ║ Ligand Control C   ║   -    ║  -   ║     -      ║              ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║23,24 ║                    ║        ║      ║            ║              ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║25,26 ║                    ║        ║      ║            ║              ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║27,28 ║                    ║        ║      ║            ║              ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║29,30 ║                    ║        ║      ║            ║              ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║31,32 ║                    ║        ║      ║            ║              ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║33,34 ║                    ║        ║      ║            ║              ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║35,36 ║                    ║        ║      ║            ║              ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║37,38 ║                    ║        ║      ║            ║              ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║39,40 ║                    ║        ║      ║            ║              ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║41,42 ║                    ║        ║      ║            ║              ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║43,44 ║                    ║        ║      ║            ║              ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║45,46 ║                    ║        ║      ║            ║              ║                                                                                                 ╟──────╫────────────────────╫────────╫──────╫────────────╫──────────────╢                                                                                                 ║47,48 ║                    ║        ║      ║            ║              ║                                                             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