Disclosed is a portable patient testing device comprising a portable vacuum syringe having a reservoir having at least one interior vacuum chamber 112, at least one exterior depression 114, 116 and a first channel 162 extending towards the interior vacuum chamber, at least one seal 120, 122 covering the at least one exterior depression, and at least one pair of micro-syringe nibs or lancets 132, 134 fluidically coupled to the at least one interior vacuum chamber and arranged under the at least one seal. When the seal is pressed by a fingertip, the pair of micro-syringe nibs break the seal and pierce the skin of the fingertip. The device also may comprise a capsule 104 containing a composition selected from a group consisting of at least one of a chemical, an anti-coagulant, anti-bodies and any blood stabilization compound, the capsule configured to be received by the channel. The use of a pair of micro-syringe nibs as opposed to a single needle may help reduce the perception of pain.