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Jabatan Pembedahan Am

Hospital Sultan Haji Ahmad Shah

Name: IC Number:

Date
FBC
Haemoglobin
WCC
Platelet
Haematocrit

Renal Profile
Urea
Na
K+
Creatinine
Uric acid

LFT
Total protein
Albumin
Globulin
AST
ALT
ALP
Total Bilirubin
Direct
bilirubin

Electrolytes
Calcium
Magnesium
Phosphate

Coagulation
PT
APTT
INR

Urine FEME
Blood
Leukocyte
Nitrite
Protein
Glucose
Ketone
Urobilinogen
Bilirubin

Serum
amylase
Urine
Jabatan Pembedahan Am
Hospital Sultan Haji Ahmad Shah

Name: IC Number:

amylase

Date
Time
Ventilation

pH
pCO2
pO2
SO2
HCO3
Base excess
Lactate

Date
Time
Ventilation

pH
pCO2
pO2
SO2
HCO3
Base excess
Lactate

Date
Time
Ventilation

pH
pCO2
pO2
SO2
HCO3
Base excess
Lactate

Date
Time
Ventilation

pH
pCO2
pO2
Jabatan Pembedahan Am
Hospital Sultan Haji Ahmad Shah

Name: IC Number:

HCO3
Base excess
SO2
Lactate

Date Organism Sensitive to Resistant to

Blood C&S

Tissue C&S

Pus C&S
(swab/aspir
ated)
Jabatan Pembedahan Am
Hospital Sultan Haji Ahmad Shah

Name: IC Number:

ETT C&S

Sputum C&S

Urine C&S

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