Contoh Hasil Lab Urin

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Contoh Hasil Lab Urin

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Husna Abdul Aziz

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LABORATORIUM UMUM

AL-HUSNA
Jl. Raya Peundeuy No.17 RT. 003 RW. 02 Peundeuy Garut
HASIL PEMERIKSAAN LAB.
Nama Pasien
Umur
Alamat
Telp
Tanggal

:
:
:
:
:

Nama Analis
Alamat
No. Tlp
No. Lab

:
:
: GARUT
:
:

JENIS PEMERIKSAAN

HASIL

SATUAN

NILAI RUJUKAN

CATATAN

URINE LENGKAP

MAKROSKOPIS URIN
Warna
Kejernihan
BJ urin
pH urin

PEMERIKSAAN KIMIA
Protein
Glukosa
Keton Bodies
Bilirubin
Diastase
Klorida
Kalsium
Darah samar
Protein kuantitatif

MIKROSKOPIS URIN

......................................
......................................
......................................
......................................
......................................

.....................................
.....................................
.....................................
.....................................
.....................................
.....................................
.....................................
.....................................
.....................................

Sedimen Urin
.....................................
.....................................
.....................................

.....................................
.
.....................................
.
.....................................
.
.....................................
.
.....................................
.

.....................................
.....................................
.....................................

*Nilai rujukan didasarkan terhadap nilai yang berlaku di Rumah Sakit/Lab tempat pemeriksaan dilakukan

Garut,

( ............................... )

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