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    This certificate of laboratory examination summarizes the results of tests performed on a patient. It lists the patient's name, ID number, date of birth, gender, address, doctor, and date and time the sample was drawn. The only test result listed is an ESR (erythrocyte sedimentation rate) of 7 mm/hour, which falls within the normal reference range provided for males. The certificate is signed by the head of the laboratory.

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    This certificate of laboratory examination summarizes the results of tests performed on a patient. It lists the patient's name, ID number, date of birth, gender, address, doctor, and date and time the sample was drawn. The only test result listed is an ESR (erythrocyte sedimentation rate) of 7 mm/hour, which falls within the normal reference range provided for males. The certificate is signed by the head of the laboratory.

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    © All Rights Reserved
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    9 views1 page

    Mandra

    Uploaded by

    indra astra
    This certificate of laboratory examination summarizes the results of tests performed on a patient. It lists the patient's name, ID number, date of birth, gender, address, doctor, and date and time the sample was drawn. The only test result listed is an ESR (erythrocyte sedimentation rate) of 7 mm/hour, which falls within the normal reference range provided for males. The certificate is signed by the head of the laboratory.

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    of 1

    r

    PITTA MEDIKA
    Aefirtery Qoo[ Smins, goo[ quafity arrf Saftryl,litfiin E conomic Prices
    o

    CERTIFICATE OF IABORATORY EXAMINATION

    Lab. Order No :P17OL0d-76 Patient lD 2017010335


    Nsme : Mandra I Wayan Doctor dr Pande Made Suan PramanafPusk.
    Date of Birth :29-01-1970 Drawn Datefiime 294L-2A17 111:05:53
    Gender : Male
    Customer Puskesmas Payangan
    Address : Pus Payangan/ Melinggih

    Print date 29-A1-2OI7 12:2*11 Page 1 of 1

    Analyb Resulb Unite Refercnce range Note

    Enclosed

    ESR 7 mm/hour Male:O- 15


    Female:0-20

    Head of Laboratory : dr. I Made Sila Darmana, SpPK


    Jl. Raya Sukawati No. 09X Br. Dlodtangluk, Sukawati,
    Gianyar - Bali, Telp. 085 1000 805'10
    www.labpitta.com, e-mail : info@labpitta.com

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