What would would cause these results? high total bilirubin 1.2, low alkaline phosphates 38, low rbc 3.99, high neutrophils% 81.5, low monocytes% 3.2

Not enough info.: It's impossible to analyze isolated lab tests without having the results of all of the tests and an understanding of the patient's medical history, current symptoms, and physical exam results. Although the results don't seem alarming to me, you should discuss them with your doctor. As an alternative, you could upload them to HealthTap Prime and discuss the results with a doctor here. Good luck.