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    Laporan Tes Hiv Antibodi

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    setia negara
    This document contains a form for reporting the results of an HIV antibody test. The form includes fields for the client code, test date, names of specific tests performed, results of each test as either reactive or non-reactive, a final result of either non-reactive or HIV reactive, and spaces for the signature of the authorizing party and contact information.

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    Laporan Tes Hiv Antibodi

    Uploaded by

    setia negara
    4 views1 page
    This document contains a form for reporting the results of an HIV antibody test. The form includes fields for the client code, test date, names of specific tests performed, results of each test as either reactive or non-reactive, a final result of either non-reactive or HIV reactive, and spaces for the signature of the authorizing party and contact information.

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    laporan tes HIV ANTIBODI

    Original Title

    LAPORAN TES HIV ANTIBODI

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    This document contains a form for reporting the results of an HIV antibody test. The form includes fields for the client code, test date, names of specific tests performed, results of each test as either reactive or non-reactive, a final result of either non-reactive or HIV reactive, and spaces for the signature of the authorizing party and contact information.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    4 views1 page

    Laporan Tes Hiv Antibodi

    Uploaded by

    setia negara
    This document contains a form for reporting the results of an HIV antibody test. The form includes fields for the client code, test date, names of specific tests performed, results of each test as either reactive or non-reactive, a final result of either non-reactive or HIV reactive, and spaces for the signature of the authorizing party and contact information.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 1

    Pedoman Konseling dan Tes HIV 2010 Kementerian Kesehatan Republik Indonesia

    Formulir 7
    Catatan Medis Klien : - -

    LAPORAN TES HIV ANTI BODI

    Kode Klien : Tanggal : …....../…...../….....

    Nama Tes Hasil


    1.
    Reaktif Non Reaktif

    2.
    Reaktif Non Reaktif

    3.
    Reaktif Non Reaktif

    HASIL AKHIR

    Non Reaktif HIV Reaktif

    Tanda tangan yang berwenang

    Lokasi serta alamat dan nomor telepon harus disertakan dibawah ini.
    Salinan dari laporan ini tidak boleh diberikan kepada Klien

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