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FORMULIR REKAPITULASI PEMERIKSAAN HBsAg DAN HCV BAGI KELOMPOK BERISIKO YANG MELAKUKAN DETEKSI DINI HEPATITIS B DAN

ATAU C
PUSKESMAS KOPO KAB BANDUNG PROPINSI JAWA BARAT
TAHUN 2017

HASIL PEMERIKSAAN HBsAg


KODE SPESIMEN UMUR TANGGAL TANGGAL PEMISAHAN TANGGAL
NO NAMA (TH) VOLUME PENGAMBILAN DARAH DARAH PEMERIKSAAN HBsAg
REAKTIF NON REAKTIF

1 Yuyun Yuningsih YUYU680606 49 2.5 18 November 2017 18 November 2017 18 November 2017 NON REAKTIF
2 Siti Yuningsih SITI650927 52 2.5 18 November 2017 18 November 2017 18 November 2017 NON REAKTIF
3 Euis Kurniasih EUIS700531 47 2.5 18 November 2017 18 November 2017 18 November 2017 NON REAKTIF
4 Ida Widaningih IDAW630530 54 2.5 18 November 2017 18 November 2017 18 November 2017 NON REAKTIF
5 Yuliawati Ubeng YULI660419 51 2.5 18 November 2017 18 November 2017 18 November 2017 NON REAKTIF
6 R. Deny Desprihani, dr RDEN621220 55 2.5 18 November 2017 18 November 2017 18 November 2017 NON REAKTIF
7 Siti Jua Juariah SITI730715 44 2.5 18 November 2017 18 November 2017 18 November 2017 NON REAKTIF
8 Mihlan MIHL640519 53 2.5 18 November 2017 18 November 2017 18 November 2017 NON REAKTIF
9 Asep Kurniawan ASEP810906 36 2.5 18 November 2017 18 November 2017 18 November 2017 NON REAKTIF
10 Heri Rasmana HERI610306 56 2.5 18 November 2017 18 November 2017 18 November 2017 NON REAKTIF
11 Novi Prabawati NOVI910125 26 2.5 18 November 2017 18 November 2017 18 November 2017 NON REAKTIF
12 Citra Fitria S CITR910417 26 2.5 18 November 2017 18 November 2017 18 November 2017 NON REAKTIF
13 Lindawati LIND851106 32 2.5 18 November 2017 18 November 2017 18 November 2017 NON REAKTIF
14 Taty Susanty TATY730828 44 2.5 18 November 2017 18 November 2017 18 November 2017 NON REAKTIF
15 Ani Nuraeni ANIN730803 44 2.5 18 November 2017 18 November 2017 18 November 2017 NON REAKTIF
16 Agus Ano Kartono AGUS650704 52 2.5 18 November 2017 18 November 2017 18 November 2017 NON REAKTIF
17 Rosalina, drg ROSA630129 54 2.5 20 November 2017 20 November 2017 20 November 2017 NON REAKTIF
18 Siti Feri Faridah SITI740419 43 2.5 20 November 2017 20 November 2017 20 November 2017 NON REAKTIF
19 Erna Endayani ERNA730414 44 2.5 20 November 2017 20 November 2017 20 November 2017 NON REAKTIF
20 Irma Ervandiyani IRMA859619 32 2.5 20 November 2017 20 November 2017 20 November 2017 NON REAKTIF
21 Siska Viatysari, dr SISK 48 2.5 24 November 2017 24 November 2017 24 November 2017 NON REAKTIF
22 Ai hadijah AIHA 50 2.5 24 November 2017 24 November 2017 24 November 2017 NON REAKTIF
23 Komarudin KOMA 50 2.5 24 November 2017 24 November 2017 24 November 2017 REAKTIF
24 Eni Agustini ENIA 49 2.5 30 November 2017 30 November 2017 30 November 2017 NON REAKTIF
25 Hamzah Ansyori HAMZ 44 2.5 30 November 2017 30 November 2017 30 November 2017 NON REAKTIF
26 Ramdani RAMD110810 6 2.5 30 November 2017 30 November 2017 30 November 2017 NON REAKTIF

Kopo, 30 Novemb
Petugas Laboratorium puskesm

Novi Prabawati, A
NRP. 873.05.01
Form :10 F
UC

HASIL
TANGGAL PEMERIKSAAN HCV
PEMERIKS
AAN HCV REAKTIF NON
REAKTIF

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, 30 November 2017
um puskesmas Kopo

Prabawati, Amd. Ak
RP. 873.05.01.009

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