HISTOLOGY & MICROSCOPY UNIT

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					            HISTOLOGY & MICROSCOPY
                  UNIT
                        Histology & Microscopy Unit, School o f Medical Sciences
                        University of N SW, Wallace Wurth, RM M108 SYDNEY, NSW 2052
                        Tel: (02) 9385 2469 Fax: (02) 9385 2866




HISTOLOGY SERVICE

                                                                           Job No.
                                                                           Lab. Use Only


  Date

  Last Name                                           First Name

  Research Unit

  Department/
  School/Centre
  Phone/Ext                                           Email

  Project

  Ethics No.

  Supervisor


Account Details (UNSW based Clients Only)
  Account         Fund             Dept ID                                            Program
                                                                                      0    0    0   0
  Class                Budget Period                     Project/Grant


  External Clients- Please raise a                       Purchase No:
  purchase order for your work

  Type of Tissue eg mouse, rat, human etc             Description eg kidney, heart etc
Processing No. Slides No. Block Orientation

Paraffin            Plain
Blocks
Cryostat            Silane     LCM

Bone/decal          Other
                    Coated

Special       No.            IPX           No.            Resin
Stains




SPECIMEN ID                          HMU Lab No. (Lab. Use only)

				
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