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    Penanggung Jawab Laboratorium:dr Udiyani Rahayu: Kimia Darah

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    This document is a laboratory test result from Puskesmas III Denpasar Utara. It contains the patient's name, age, address, doctor who referred for testing, date of examination, and results of hematology, blood chemistry, urinalysis, immunology, and stool examination tests. Normal ranges are provided for reference. The conclusion section notes the time and volume of blood sample collection and whether there was any clotting or lysis of the sample.

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    Penanggung Jawab Laboratorium:dr Udiyani Rahayu: Kimia Darah

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    22 views2 pages
    This document is a laboratory test result from Puskesmas III Denpasar Utara. It contains the patient's name, age, address, doctor who referred for testing, date of examination, and results of hematology, blood chemistry, urinalysis, immunology, and stool examination tests. Normal ranges are provided for reference. The conclusion section notes the time and volume of blood sample collection and whether there was any clotting or lysis of the sample.

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    SOP PUSKESMAS

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    BLANKO KS

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    This document is a laboratory test result from Puskesmas III Denpasar Utara. It contains the patient's name, age, address, doctor who referred for testing, date of examination, and results of hematology, blood chemistry, urinalysis, immunology, and stool examination tests. Normal ranges are provided for reference. The conclusion section notes the time and volume of blood sample collection and whether there was any clotting or lysis of the sample.

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    22 views2 pages

    Penanggung Jawab Laboratorium:dr Udiyani Rahayu: Kimia Darah

    Uploaded by

    Setiady Jump
    This document is a laboratory test result from Puskesmas III Denpasar Utara. It contains the patient's name, age, address, doctor who referred for testing, date of examination, and results of hematology, blood chemistry, urinalysis, immunology, and stool examination tests. Normal ranges are provided for reference. The conclusion section notes the time and volume of blood sample collection and whether there was any clotting or lysis of the sample.

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    PEMERINTAH KOTA DENPASAR

    DINAS KESEHATAN KOTA DENPASAR


    PUSKESMAS III DENPASAR UTARA
    Jln. A.Yani Utara Nomor 110 Denpasar
    Telp (0361) 424875
    Email : puskesmas_denut3@yahoo.com

    HASIL PEMERIKSAAN LABORATORIUM

    Penanggung Jawab laboratorium :dr Udiyani Rahayu

    Nama : Tanggal :
    Umur : Dokter Pengirim :
    Alamat :
    NILAI NILAI
    PEMERIKSAAN HASIL PEMERIKSAAN HASIL SATUAN
    NORMAL NORMAL

    Hematologi Kimia Darah


    Glukosa
    11-15 g/dl mg/dl
    Haemogoblin Sewaktu ≤ 145
    Laju Endap 0- 15
    mg/dl
    Darah mm/jam Glukosa Puasa 70 - 100
    Urinalysa Glukosa 2 jam
    mg/dl
    PP ≤ 140
    Warna Cholesterol
    mg/dl
    Total < 200
    Kejernihan mg/dl
    AsamUrat L = 3.6 - 7.2
    PH 5.4 – 8.5 mg/dl
    P = 2.3 - 6.0
    Berat Jenis 1.01 –
    1.035 Imunologi
    Lekosit Negatif Tes Kehamilan Negatif
    Nitrit Golongan
    Negatif
    darah
    Protein Urine Negatif TPHA Non Reaktif
    Glukosa Urine Normal VDRL Non Reaktif
    Ketone Negatif HbsAg Non Reaktif
    Urobilinogen Normal Anti HIV Non Reaktif
    Bilirubin Negatif HCV Non Reaktif
    Eritrosit Negatif FaesesRutin
    Sediment
    Makroskopis
    - Lekosit 0 – 5 / LpB Konsistensi
    - Eritrosit 0 – 3 / LpB Warna
    - Epitel 0 – 2 /LpB Lendir Negatif

    · Gepeng /Lpk Darah Negatif


    · Bulat /Lpk Mikroskopis
    - Kristal
    - Telur Cacing Negatif
    - Bakteri
    - Amueba Negatif
    - lainnya
    - Eritrosit Negatif
    -
    - Lekosit /LpK
    -
    - SisaMakanan
    Catatan ;Tahap preanalitik
    CHECKED BY
     Waktu Pengambilan sample darah :……………..wita

     Volume sample :cukup/tidak

     Terjadi Aadayna bekuan/lisis pd sample:ya/tidak

     Diperlukan pengambilan ulang : ya/tidak


    DITA PRADIPTA Y,Amd AK

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