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Form Hasil Lab

This document contains two laboratory test results. The tests measured glucose, cholesterol, uric acid, hemoglobin, blood type, urine color, clarity and presence of proteins. The results are within normal ranges except for unspecified items. The laboratory technician, Bely Willya, signed off on both test results.

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Dhaneswari
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29 views1 page

Form Hasil Lab

This document contains two laboratory test results. The tests measured glucose, cholesterol, uric acid, hemoglobin, blood type, urine color, clarity and presence of proteins. The results are within normal ranges except for unspecified items. The laboratory technician, Bely Willya, signed off on both test results.

Uploaded by

Dhaneswari
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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HASIL PEMERIKSAAN LABORATORIUM PUSKESMAS SEKAR JAYA HASIL PEMERIKSAAN LABORATORIUM PUSKESMAS SEKAR JAYA

Nama : L/P Nama : L/P

Alamat : Umur : Alamat : Umur :

Pemohon : Tanggal: Pemohon : Tanggal:

JENIS PEMERIKSAAN SATUAN NILAI RUJUKAN HASIL KET JENIS PEMERIKSAAN SATUAN NILAI RUJUKAN HASIL KET

1  GDS mg/dl Puasa : 60-110 1  GDS mg/dl Puasa : 60-110


Sewaktu : 91-123 Sewaktu : 91-123
 Cholesterol Total mg/dl 124-186  Cholesterol Total mg/dl 124-186

 Asam Urat mg/dl 5,5 – 8,3  Asam Urat mg/dl 5,5 – 8,3

2  Haemoglobin (Hb) gr/dl Laki-Laki : 14-16 2  Haemoglobin (Hb) gr/dl Laki-Laki : 14-16

Perempuan : 12-14 Perempuan : 12-14

 DDR - Negatif  DDR - Negatif

 Gol Darah - -  Gol Darah - -

3 Sputum BTA - Negatif 3 Sputum BTA - Negatif

4 Warna Urine - Kuning 4 Warna Urine - Kuning

Kejernihan Urine - Jernih Kejernihan Urine - Jernih


Protein Urine - Negatif Protein Urine - Negatif

Reduksi Urine - Normal Reduksi Urine - Normal

Tes Kehamilan - Tes Kehamilan -

5 Feces - - 5. Feces - -

Penanggung Jawab Laboratorium Penanggung Jawab Laboratorium

BELY WILYA ,AM.AK BELY WILYA ,AM.AK

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