option one


Date and time of birth to closest hour:
|

Date and time of blood sampling to closest hour:
|

Total Bilirubin*:


option two

Age (hours): (18-168 hours)
Total Bilirubin*:
*Note: The default unit of measure for total bilirubin is mg/dl. Please select µmol/L if your bilirubin values are captured in the global standard SI metric units. Bilirubin conversion from US to SI units is 17.1.

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