19 months has red blood cells count 5.60(4-5.2). mcv 68 (70-85), rdw, rbc 19.8 (12-16.5) neutrophils 18(24-62) lymphocytes 75(31-65) abnormal rbc morph?

Likely iron def.: There are several abnormalities, your red count is relatively normal but the cells are borderline small, with a large variation in the sizes of red cells, indicating a possible mixed picture. You have a large number of lymphocytes with relatively low granulocytic white cells, which sometimes indicates a viral infection. Iron studies might be useful, and a lost art would be to look at the slide.