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KLINIK GRIYA SEHAT

Alamat : Jalan Raya Kutosari Kec.Belitang III Kab.OKU TIMUR


Email : klinikgriyasehatsbu@gmail.com Tlp: 0813-7785-1213
Izin Operasional : 503/004/KLINIK/DPMPTSP/OKUT/XII/2019

Nama Pasien : .................................... L / P Diagnosis : .......................................


Umur : .................................... Th / Hr Tanggal : .......................................
Alamat : .................................... Dokter : .......................................

HEMATOLOGI URINE LEMAK AIDS Test


 Rutin (Hb, Leukosit,  Lengkap  Triglyserida  Anti HIV
Eritrosit, Diff, LED)  Urobilinogen  Kolesterol
 Hemoglobin  Protein  HDL / LDL
 Leukosit  Glukosa  Total Lipids SEROLOGI
 Hitung Jenis  Keton  VDRL
 LED  Billirubin DIABETES  TPHA
 Malaria  Berat Jenis  Glukosa Puasa  Rheumatoid
 Eritrosit  Reaksi / pH  Glukosa 2 jam PP Faktor (RF)
 Trombosit  Glukosa sewaktu  ASTO
 Hematokrit KIMIA DARAH  GTT  CRP
 Retikulosit FUNGSI HATI  Widal
 W. Perdarahan  Alk. Phosphatase DRUG ABBUSED  DHF/Dengue
 W. Pembekuan  Bill Total/Dir/Indir  Amphetamine IgG/IgM
 Coomb’s Test  Protein Total/Alb/Glob  Marihuana  Myco Dot TBC
 Rumple Leede  Gamma GT  Methamphetamine
 MCV  SGOT / ASAT  Morpine / Opiate MIKROSKOPIS
 MCH  SGPT / ALAT  PAKET DRUG ABUSED  Gram
 MCHC (AMP, MET, THC, BZO, MOR)  Uretra
 Sel LE FUNGSI JANTUNG  Coccaine  Vagina
 Filaria  aHBDH/LDH  GO
 Eosinofil Total  CPK/CKMB IMMUNOLOGI / SEROLOGI  Jamur
 Gol. Darah HEPATITIS  BTA
 Rh. Faktor FUNGSI GINJAL  HBsAg
 Ureum  Anti HBs LAIN-LAIN
TEST KEHAMILAN  Creatinine  Anti HCV  An. Sperma
 Event Test  Uric Acid/Asam Urat
 Test Pack TEST LAIN-LAIN
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Tanda Tangan Dokter

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