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PEMERINTAH KABUPATEN BADUNG

DINAS KESEHATAN
UPT. PUSKESMAS KUTA I
Alamat : Jl. Raya Kuta 117, Kuta Badung Telpon : 751311

NAME : EXAM DATE :


AGE : NO. LAB :
SEX :

LABORATORY RESULT
EXAMINATION RESULT REVERENCE OF RANGE

SEXUAL TRANSMITED DISEASE

MICROSKOPIC

- Polymorphonuclear Cell ( PMN ) Negative : 30 Cell / Fv

Positive : 30 Cell /Fv

- Clue Cell Negative

- Trichomonas Vaginalis Negative

- Diplococcus Intraceluller Negative

- Candida Negative

SEROLOGY

- ANTI HIV TEST Non Reactive

* Non Reactive : Negative

Indeterminate : Indeterminate

Reactive : Positive

Kuta,
Approved by Examiner

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