You are on page 1of 3

Nama Pasien

Umur

Diagnosis

Nama DM

Darah Lengkap
Pemeriksaa
n
Hb sahli
LED

Nilai Didapat

Hitung Leukosit

Hitung Trombosit

Nilai :

Nilai :

Nilai Laborat

Nilai Normal

Hitung Eritrosit

Nilai :

Diff Count
1

Eosino
fil
Basofil
Net
Stb
Net
Seg
Limfos
it
Monos
it
Jumla
h
Kesimpulan :
Urine Lengkap :
1.
2.
3.
4.
5.
6.
7.
8.

Fisik
: Warna :
BJ
:
PH
:
Protein rebus
:
Glukosa
:
Bilirubin
:
Urobillin
:
Urobilinogen :

Bau :

1
0

9. Keton

You might also like