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    Susi

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    Puskesmas Sukaraja
    The document is a laboratory test report from a clinic in Sukaraja, Indonesia. It includes the referring doctor's name and patient's name, age, and address. It lists several common medical tests performed, including blood glucose, uric acid, creatinine, liver enzymes, cholesterol, and triglycerides. The results of each test are recorded along with the normal reference range.

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    Susi

    Uploaded by

    Puskesmas Sukaraja
    25 views3 pages
    The document is a laboratory test report from a clinic in Sukaraja, Indonesia. It includes the referring doctor's name and patient's name, age, and address. It lists several common medical tests performed, including blood glucose, uric acid, creatinine, liver enzymes, cholesterol, and triglycerides. The results of each test are recorded along with the normal reference range.

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    The document is a laboratory test report from a clinic in Sukaraja, Indonesia. It includes the referring doctor's name and patient's name, age, and address. It lists several common medical tests performed, including blood glucose, uric acid, creatinine, liver enzymes, cholesterol, and triglycerides. The results of each test are recorded along with the normal reference range.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    Download as doc, pdf, or txt
    25 views3 pages

    Susi

    Uploaded by

    Puskesmas Sukaraja
    The document is a laboratory test report from a clinic in Sukaraja, Indonesia. It includes the referring doctor's name and patient's name, age, and address. It lists several common medical tests performed, including blood glucose, uric acid, creatinine, liver enzymes, cholesterol, and triglycerides. The results of each test are recorded along with the normal reference range.

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    LABORATORIUM KLINIK

    UPTD PUSKESMAS SUKARAJA ________________


    LABORATORIUM KLINIK
    JL. Raya Sukaraja No. 1 Km. 5 Sukabumi (0266) UPTD PUSKESMAS SUKARAJA
    230067 - Kode Pos 43192 JL. Raya Sukaraja No. 1 Km. 5 Sukabumi (0266)

    230067 - Kode Pos 43192


    Dokter Pengirim :
    Nama Pasien :
    Umur : Dokter Pengirim :
    Alamat : Nama Pasien :
    Umur :
    KIMIA KLINIK Alamat :
    Gula Darah Hasil Nilai Normal
    Puasa (N) mg/dl 76~110 mg/dl KIMIA KLINIK
    2 Jam PP mg/dl < 140 mg/dl Gula Darah Hasil Nilai Normal
    Sewaktu mg/dl < 180 mg/dl Puasa (N) mg/dl 76~110 mg/dl
    P : 2.4~5.7 mg/dl 2 Jam PP mg/dl < 140 mg/dl
    Asam Urat mg/dl
    L : 3.4~7.0 mg/dl Sewaktu mg/dl < 180 mg/dl
    P : 0.5~0.9 mg/dl P : 2.4~5.7 mg/dl
    Kreatinin mg/dl Asam Urat mg/dl
    L : 0.5~1.1 mg/dl L : 3.4~7.0 mg/dl
    SGOT/AST /dl < 40 /dl P : 0.5~0.9 mg/dl
    Kreatinin mg/dl
    SGPT/ALT /dl < 41 /dl L : 0.5~1.1 mg/dl
    Cholesterol mg/dl < 200 mg/dl SGOT/AST /dl < 40 /dl
    Total SGPT/ALT /dl < 41 /dl
    Cholesterol mg/dl 35 mg / dl Cholesterol mg/dl < 200 mg/dl
    HDL Total
    Cholesterol mg/dl < 150 mg/ dl Cholesterol mg/dl 35 mg / dl
    LDL HDL
    Trigliserida mg/dl 60~150 mg/dl Cholesterol mg/dl < 150 mg/ dl
    LDL
    Sukaraja, .2015 Trigliserida mg/dl 60~150 mg/dl
    Petugas Laboratorium
    Sukaraja, .2015
    Petugas Laboratorium
    Sukaraja, .2015
    Petugas Laboratorium

    ________________
    LABORATORIUM KLINIK
    UPTD PUSKESMAS SUKARAJA ________________
    LABORATORIUM KLINIK
    JL. Raya Sukaraja No. 1 Km. 5 Sukabumi (0266) UPTD PUSKESMAS SUKARAJA
    230067 - Kode Pos 43192 JL. Raya Sukaraja No. 1 Km. 5 Sukabumi (0266)

    230067 - Kode Pos 43192


    Dokter Pengirim :
    Nama Pasien :
    Umur : Dokter Pengirim :
    Alamat : Nama Pasien :
    Umur :
    KIMIA KLINIK Alamat :
    Gula Darah Hasil Nilai Normal
    Puasa (N) mg/dl 76~110 mg/dl KIMIA KLINIK
    2 Jam PP mg/dl < 140 mg/dl Gula Darah Hasil Nilai Normal
    Sewaktu mg/dl < 180 mg/dl Puasa (N) mg/dl 76~110 mg/dl
    P : 2.4~5.7 mg/dl 2 Jam PP mg/dl < 140 mg/dl
    Asam Urat mg/dl
    L : 3.4~7.0 mg/dl Sewaktu mg/dl < 180 mg/dl
    P : 0.5~0.9 mg/dl P : 2.4~5.7 mg/dl
    Kreatinin mg/dl Asam Urat mg/dl
    L : 0.5~1.1 mg/dl L : 3.4~7.0 mg/dl
    SGOT/AST /dl < 40 /dl P : 0.5~0.9 mg/dl
    Kreatinin mg/dl
    SGPT/ALT /dl < 41 /dl L : 0.5~1.1 mg/dl
    Cholesterol mg/dl < 200 mg/dl SGOT/AST /dl < 40 /dl
    Total SGPT/ALT /dl < 41 /dl
    Cholesterol mg/dl 35 mg / dl Cholesterol mg/dl < 200 mg/dl
    HDL Total
    Cholesterol mg/dl < 150 mg/ dl Cholesterol mg/dl 35 mg / dl
    LDL HDL
    Trigliserida mg/dl 60~150 mg/dl Cholesterol mg/dl < 150 mg/ dl
    LDL
    Trigliserida mg/dl 60~150 mg/dl

    Sukaraja, .2015
    Petugas Laboratorium

    ________________

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