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    Upt Puskesmas Wonodadi: Pemeriksaan Laboratorium Kesehatan Haji

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    heru
    This document is a form from the Wonodadi Public Health Center in Blitar Regency providing a list of common medical tests for Hajj pilgrims. It includes tests in several categories like blood tests, chemistry, serology, stool exams, radiology, and EKG. The form requests the patient's name, gender, age, and address to record the results of the medical examination.

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    Upt Puskesmas Wonodadi: Pemeriksaan Laboratorium Kesehatan Haji

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    heru
    7 views2 pages
    This document is a form from the Wonodadi Public Health Center in Blitar Regency providing a list of common medical tests for Hajj pilgrims. It includes tests in several categories like blood tests, chemistry, serology, stool exams, radiology, and EKG. The form requests the patient's name, gender, age, and address to record the results of the medical examination.

    Original Description:

    Urgen sekali

    Original Title

    Lab Haji 2017

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    This document is a form from the Wonodadi Public Health Center in Blitar Regency providing a list of common medical tests for Hajj pilgrims. It includes tests in several categories like blood tests, chemistry, serology, stool exams, radiology, and EKG. The form requests the patient's name, gender, age, and address to record the results of the medical examination.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    7 views2 pages

    Upt Puskesmas Wonodadi: Pemeriksaan Laboratorium Kesehatan Haji

    Uploaded by

    heru
    This document is a form from the Wonodadi Public Health Center in Blitar Regency providing a list of common medical tests for Hajj pilgrims. It includes tests in several categories like blood tests, chemistry, serology, stool exams, radiology, and EKG. The form requests the patient's name, gender, age, and address to record the results of the medical examination.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    Download as xlsx, pdf, or txt
    of 2

    PEMERINTAH KABUPATEN BLITAR

    DINAS KESEHATAN
    UPT PUSKESMAS WONODADI
    Jl. Raya Wonodadi No. 4 Telp. (0342) 551479 Kode Pos 66155
    Email: pkm.wonodadi@yahoo.co.id

    PEMERIKSAAN LABORATORIUM KESEHATAN HAJI


    NAMA PASIEN :
    JENIS KELAMIN :
    ALAMAT :
    UMUR :

    DL Kimia klinik NAPZA


    1 Golongan darah 1 Glukosa sewaktu 1 Opiat
    2 HB 2 kreatinin 2 Canabis
    3 Hitung leukosit 3 ureum
    4 Trombosit 4 SGPT
    5 Eritrosit 5 SGOT
    6 Hitung leukosit netrofil 6 Kolesterol
    7 Hitung leukosit monosit 7 Asam Urat
    8 Hitung leukosit eusinofil
    9 Hitung leukosit basofil
    10 Hitung leukosit limfosit

    UL Serologi Feses
    1 Bilirubun 1 TPHA
    2 Darah samar 2 Hbsag
    3 glukosa 3 Anti Hbsag
    4 Protein 4 VDRL
    5 urobilinogen
    6 Berat jenis Radiologi EKG
    7 keton 1 Thorax
    8 sedimen
    USG

    Tanda tangan

    (Dokter)

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