This document appears to be a medical record template from Tunas Muda Medika clinic in Dumai, Riau, Indonesia. It includes fields for patient name, age, gender, address, doctor's name, date of examination, and sections for recording results of hematology, blood chemistry, urinalysis, and other clinical tests. Normal ranges are provided for reference.
This document appears to be a medical record template from Tunas Muda Medika clinic in Dumai, Riau, Indonesia. It includes fields for patient name, age, gender, address, doctor's name, date of examination, and sections for recording results of hematology, blood chemistry, urinalysis, and other clinical tests. Normal ranges are provided for reference.
This document appears to be a medical record template from Tunas Muda Medika clinic in Dumai, Riau, Indonesia. It includes fields for patient name, age, gender, address, doctor's name, date of examination, and sections for recording results of hematology, blood chemistry, urinalysis, and other clinical tests. Normal ranges are provided for reference.
This document appears to be a medical record template from Tunas Muda Medika clinic in Dumai, Riau, Indonesia. It includes fields for patient name, age, gender, address, doctor's name, date of examination, and sections for recording results of hematology, blood chemistry, urinalysis, and other clinical tests. Normal ranges are provided for reference.
Jl. Wan Dahlan Ibrahim No. 8 Telp : 0765 - 439026 Dumai - Riau
Nama Pasien : Dokter :
Umur : Pria Wanita Tanggal Pemeriksaan :
Alamat :
DIAGNOSA/KETERANGAN KLINIK PUASA TIDAK PUASA
HEMATOLOGI KIMIA KLINIK
DARAH LENGKAP HASIL N. NORMAL TEST GULA DARAH HASIL N. NORMAL
Hemoglobin L. 14-18 g/dl Glukosa N 75-115 mg/dl
P. 12-16 g/dl Glukosa PP 100-140 mg/dl Hematokrit L. 42-45 % Glukosa ad random 75-140 mg/dl P. 36-48 % PROFIL LIPID HASIL N. NORMAL
Eritrosit L. 4,5-6 Juta/mm3 Cholesterol <200 mg/dl
Leukosit 5-10 ribu/mm3 Trygliserida <150 mg/dl Differensial HDL 40-60 mg/dl - Basofil 0-1 % LDL <150 mg/dl - Eosinofil 1-3 % FAAL GINJAL HASIL N. NORMAL
- Batang 2-6 % Ureum 20-40 mg/dl
- Segmen 50-70 % Creatinin 0,5-1,1 mg/dl - Limfosit 20-40 % Asam Urat 3,0-7,2 mg/dl - Monosit 2-8 % FAAL HATI HASIL N. NORMAL
LED 0-15 mm/jam SGOT <24 U/I
15-30 mm/jam SGPT <32 U/I Trombosit 150-400 ribu/mm3 T. Protein 6,4-8,3 g/dl SO AO BO CO Albumin 1,0-2,2 g/dl Globulin 2,0-3,5 g/dl WIDAL TEST SH AH BH CH LAIN - LAIN Asto IGG & IGM Rhematic ABO & Rhesus D CRP ANALISA URINE HIV-1/2 Warna HBsAg Reaksi VDRL Bj PAP'S Smear Protein Analisa Sperma Reduksi N Feces Rutin Reduksi PP BTA Bilirubin Test Narkoba Urobilin Gomorrhoe Aceton DUMAI, …..................................20…. Sedimen ANALIST, - Sel Epitel - Leukosit - Eritrosit - Silinder - Kristal Kehamilan (Planotest)