Sticker Patient

PERMINTAAN PEMERIKSAAN
RADIOLOGI
(RADIOLOGY REQUEST)
 Beri tanda centang pemeriksaan yg di minta

MOBILE X-RAY UNIT

 THORAX ANGGOTA GERAK BAWAH

 THORAX PA + LATERAL  PELVIS
 BNO  FEMUR DEXTRA
 POLOS ABDOMEN  FEMUR SINISTRA
 ABDOMEN 3 POSISI  GENU DEXTRA
 BABYGRAM FOTO  GENU SINISTRA
 SCHEDEL (SKULL)  CRURIS DEXTRA
 SINUS PARANASAL  CRURIS SINISTRA
 OS NASAL  ANKLE JOINT DEXTRA
 MASTOID DEXTRA  ANKLE JOINT SINISTRA
 MASTOID SINISTRA  CALCANEUS DEXTRA
 CLAVICULA DEXTRA  CALCANEUS SINISTRA
 CLAVICULA SINISTRA  PEDIS DEXTRA
 PEDIS SINISTRA
COLUMNA VERTEBRALIS
CERVICAL SPINE (AP/LATERAL) ANGGOTA GERAK ATAS
THORACIC SPINE (AP/LATERAL)  SHOULDER JOINT DEXTRA
THORACOLUMBAL  SHOULDERJOINT SINISTRA
LUMBAL SPINE (AP/LATERAL)  HUMERUS DEXTRA
SAKRUM SPINE (AP/LATERAL)  HUMERUS SINISTRA
LUMBOSACRAL  ELBOW JOINT DEXTRA
 ELBOW JOINT SINISTRA
 ANTEBRACHI DEXTRA
 ANTEBRACHI SINISTRA
 WRIST JOINT DEXTRA
 WRIST JOINT SINISTRA
 MANUS DEXTRA
 MANUS SINISTRA

CATATAN KLINIS :

DOKTER PENGIRIM : TANGGAL : RADIOGRAFER :

RSIA SEPATAN MULIA-TANGERANG Jl. Raya Pakuhaji No.3, RT.002/RW.001, Sepatan, 15520 Tlp: (021) 59371801