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  • Laboratorium Upt Puskesmas Cinambo

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    Ahmad Sarip
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    This document contains laboratory test results forms from LABORATORIUM UPT PUSKESMAS CINAMBO in Bandung, Indonesia. The forms list several common medical lab tests, including glucose, cholesterol, uric acid, hemoglobin, leukocytes, platelets, urine protein and glucose levels. Normal reference ranges are provided for each test. The forms also include spaces to record a patient's name, age, test results and examining physician.

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    This document contains laboratory test results forms from LABORATORIUM UPT PUSKESMAS CINAMBO in Bandung, Indonesia. The forms list several common medical lab tests, including glucose, cholesterol, uric acid, hemoglobin, leukocytes, platelets, urine protein and glucose levels. Normal reference ranges are provided for each test. The forms also include spaces to record a patient's name, age, test results and examining physician.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    86 views1 page

    Laboratorium Upt Puskesmas Cinambo

    Uploaded by

    Ahmad Sarip
    This document contains laboratory test results forms from LABORATORIUM UPT PUSKESMAS CINAMBO in Bandung, Indonesia. The forms list several common medical lab tests, including glucose, cholesterol, uric acid, hemoglobin, leukocytes, platelets, urine protein and glucose levels. Normal reference ranges are provided for each test. The forms also include spaces to record a patient's name, age, test results and examining physician.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    LABORATORIUM UPT PUSKESMAS CINAMBO LABORATORIUM UPT PUSKESMAS CINAMBO

    KOTA BANDUNG KOTA BANDUNG


    Jl. Gede Bage No. 19 A Bandung 40316 Jl. Gede Bage No. 19 A Bandung 40316
    <

    Nama : Pemeriksa : Nama : Pemeriksa :


    Umur : Tanggal : Umur : Tanggal :
    Hasil : Angka Normal Hasil : Angka Normal
    - Glukosa Sewaktu : mg/ dL 76-160 mg/ dL - Glukosa Sewaktu : mg/ dL 76-160 mg/ dL
    - Glukosa Puasa : mg/ dL 76-110 mg/ dL - Glukosa Puasa : mg/ dL 76-110 mg/ dL
    - Glukosa 2 J SM : mg/ dL 76-160 mg/ dL - Glukosa 2 J SM : mg/ dL 76-160 mg/ dL
    - Cholesterol : mg/ dL 200 mg/ dL - Cholesterol : mg/ dL 200 mg/ dL
    - Asam Urat : mg/ dL 3,5-7,2 mg/ dL - Asam Urat : mg/ dL 3,5-7,2 mg/ dL
    2,6-6,0 mg/ dL 2,6-6,0 mg/ dL

    - Hb : gr % (Sahli) 12,0 gr % - Hb : gr % (Sahli) 12,0 gr %


    - Leukosit : Sel/mm 5.000-10.000 - Leukosit : Sel/mm 5.000-10.000
    - LED : 150-300 ribu - LED : 150-300 ribu
    - Trombosit : - Trombosit :
    - Hematokrit : - Hematokrit :
    - Gol. Darah : - Gol. Darah :
    - WIDAL : - WIDAL :

    - HIV : - HIV :

    - Urine Rutine - Urine Rutine


    - Protein : - Protein :
    - Glukosa : - Glukosa :

    - Sedimen Urine : - Sedimen Urine :


    - FECES : - FECES :
    - Test Kehamilan :+/-( ) - Test Kehamilan :+/-( )

    LABORATORIUM UPT PUSKESMAS CINAMBO LABORATORIUM UPT PUSKESMAS CINAMBO


    KOTA BANDUNG KOTA BANDUNG
    Jl. Gede Bage No. 19 A Bandung 40316 Jl. Gede Bage No. 19 A Bandung 40316
    <

    Nama : Pemeriksa : Nama : Pemeriksa :


    Umur : Tanggal : Umur : Tanggal :
    Hasil : Angka Normal Hasil : Angka Normal
    - Glukosa Sewaktu : mg/ dL 76-160 mg/ dL - Glukosa Sewaktu : mg/ dL 76-160 mg/ dL
    - Glukosa Puasa : mg/ dL 76-110 mg/ dL - Glukosa Puasa : mg/ dL 76-110 mg/ dL
    - Glukosa 2 J SM : mg/ dL 76-160 mg/ dL - Glukosa 2 J SM : mg/ dL 76-160 mg/ dL
    - Cholesterol : mg/ dL 200 mg/ dL - Cholesterol : mg/ dL 200 mg/ dL
    - Asam Urat : mg/ dL 3,5-7,2 mg/ dL - Asam Urat : mg/ dL 3,5-7,2 mg/ dL
    2,6-6,0 mg/ dL 2,6-6,0 mg/ dL

    - Hb : gr % (Sahli) 12,0 gr % - Hb : gr % (Sahli) 12,0 gr %


    - Leukosit : Sel/mm 5.000-10.000 - Leukosit : Sel/mm 5.000-10.000
    - LED : 150-300 ribu - LED : 150-300 ribu
    - Trombosit : - Trombosit :
    - Hematokrit : - Hematokrit :
    - Gol. Darah : - Gol. Darah :
    - WIDAL : - WIDAL :

    - HIV : - HIV :

    - Urine Rutine - Urine Rutine


    - Protein : - Protein :
    - Glukosa : - Glukosa :

    - Sedimen Urine : - Sedimen Urine :


    - FECES : - FECES :
    - Test Kehamilan :+/-( ) - Test Kehamilan :+/-( )

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