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    Puskesmas Inuman
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    The document is a laboratory test results form from the UPTD Kesehatan Puskesmas Inuman health center in Kuantan Singingi Regency. It lists the patient's name, age, gender, address, insurance status, and date. It then lists the various tests that can be performed under hematology, urinalysis, blood chemistry, microbiology/immunoserology, and parasitology. It also lists package options for pregnant women. The form is used to record the results of laboratory tests performed at the health center.

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    The document is a laboratory test results form from the UPTD Kesehatan Puskesmas Inuman health center in Kuantan Singingi Regency. It lists the patient's name, age, gender, address, insurance status, and date. It then lists the various tests that can be performed under hematology, urinalysis, blood chemistry, microbiology/immunoserology, and parasitology. It also lists package options for pregnant women. The form is used to record the results of laboratory tests performed at the health center.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    13 views1 page

    Form Labor

    Uploaded by

    Puskesmas Inuman
    The document is a laboratory test results form from the UPTD Kesehatan Puskesmas Inuman health center in Kuantan Singingi Regency. It lists the patient's name, age, gender, address, insurance status, and date. It then lists the various tests that can be performed under hematology, urinalysis, blood chemistry, microbiology/immunoserology, and parasitology. It also lists package options for pregnant women. The form is used to record the results of laboratory tests performed at the health center.

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    © All Rights Reserved
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    DINAS KESEHATAN KABUPATEN KUANTAN SINGINGI

    UPTD KESEHATAN PUSKESMAS INUMAN


    KECAMATAN INUMAN
    Alamat : Jl. Syekh Imam Saleh, Kode Pos (29355)
    Email : pkminuman@gmail.com

    Formulir Hasil Pemeriksaan Laboratorium

    Nama : Tanggal :
    Umur : Alamat :
    Jenis Kelamin : Laki-laki / Perempuan Pengirim :
    Status kepesertaan : BPJS / UMUM

    HEMATOLOGI HASIL URINALISA HASIL KIMIA DARAH HASIL


     Hemoglobin  Urin Rutin makropis  Gula Darah puasa
     Masa perdarahan  Protein Urin  Gula darah sewaktu
     Masa pembekuan  Glukkosa Urin  Gula darah 2 jam PP
     Tes Kehamilan/HCG  Kolesterol
    test  Asam Urat
    MIKROBIOLOGI &
    IMUNOSEROLOGI PAKET BUMIL
    PARASITOLOGI
     HbsAg  BTA  HB,HIV,HBsAg,Sifi
     HIV  Mikrokopis Malaria lis,ProteinUrin,
     Sifilis Golongan Darah
     RDT Malaria
     Golongan Darah
     Rapid Test N-Cov

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