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    2 views1 page

    lembar lab bumil

    Uploaded by

    Central Pnk

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    © All Rights Reserved
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    LEMBAR HASIL LABORATORIUM LEMBAR HASIL LABORATORIUM

    PUSKESMAS RAWAT INAP JUNGKAT PUSKESMAS RAWAT INAP JUNGKAT


    NAMA
    NAMA
    TANGGAL LAHIR / UMUR
    TANGGAL LAHIR / UMUR LE
    ALAMAT
    ALAMAT HA
    JENIS PEMERIKSAAN HASIL NILAI NORMAL
    JENIS PEMERIKSAAN HASIL NILAI NORMAL
    Haemoglobin (HB) 12 – 16 mg/dL
    Haemoglobin (HB) 12 – 16 mg/dL
    Golongan darah
    Golongan darah
    HIV Rapid Non Reaktif
    HIV Rapid Non Reaktif
    Syphilis Rapid Non Reaktif
    Syphilis Rapid Non Reaktif
    HbsAg Rapid Non Reaktif
    HbsAg Rapid Non Reaktif
    Glukosa Darah Sewaktu 70 – 150 mg/dL
    Glukosa Darah Sewaktu 70 – 150 mg/dL
    Tes kehamilan Negatif
    Tes kehamilan Negatif
    Protein Urine Negatif
    Protein Urine Negatif
    Glukosa Urine Negatif
    Glukosa Urine Negatif
    LABORATORIUM LEMBAR HA
    LABORATORIUM
    PUSKESMAS RAWAT INAP JUNGKAT PUSKESMAS RAWAT INAP JUNGKAT

    NAMA
    NAMA LE
    TANGGAL LAHIR / UMUR
    TANGGAL LAHIR / UMUR HA
    ALAMAT
    ALAMAT
    JENIS PEMERIKSAAN HASIL NILAI NORMAL
    JENIS PEMERIKSAAN HASIL NILAI NORMAL
    Haemoglobin (HB) 12 – 16 mg/dL
    Haemoglobin (HB) 12 – 16 mg/dL
    Golongan darah
    Golongan darah
    HIV Rapid Non Reaktif
    HIV Rapid Non Reaktif
    Syphilis Rapid Non Reaktif
    Syphilis Rapid Non Reaktif
    HbsAg Rapid Non Reaktif
    HbsAg Rapid Non Reaktif
    Glukosa Darah Sewaktu 70 – 150 mg/dL
    Glukosa Darah Sewaktu 70 – 150 mg/dL
    Tes kehamilan Negatif
    Tes kehamilan Negatif
    Protein Urine Negatif
    Protein Urine Negatif
    Glukosa Urine Negatif
    Glukosa Urine Negatif
    LABORATORIUM LEMBAR HASIL
    LABORATORIUM
    PUSKESMAS RAWAT INAP JUNGKAT PUSKESMAS RAWAT INAP JUNGKAT
    NAMA NAMA
    TANGGAL LAHIR / UMUR TANGGAL LAHIR / UMUR
    ALAMAT ALAMAT

    JENIS PEMERIKSAAN HASIL NILAI NORMAL JENIS PEMERIKSAAN HASIL NILAI NORMAL
    Haemoglobin (HB) 12 – 16 mg/dL Haemoglobin (HB) 12 – 16 mg/dL
    Golongan darah Golongan darah
    HIV Rapid Non Reaktif HIV Rapid Non Reaktif
    Syphilis Rapid Non Reaktif Syphilis Rapid Non Reaktif
    HbsAg Rapid Non Reaktif HbsAg Rapid Non Reaktif
    Glukosa Darah Sewaktu 70 – 150 mg/dL Glukosa Darah Sewaktu 70 – 150 mg/dL
    Tes kehamilan Negatif Tes kehamilan Negatif
    Protein Urine Negatif Protein Urine Negatif
    Glukosa Urine Negatif Glukosa Urine Negatif

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