Scribd Logo
Upload

Welcome to Scribd!

  • Blanko Rujukan

    Uploaded by

    suriani sakka
    14 views1 page
    blanko

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    blanko

    Copyright:

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

    Blanko Rujukan

    Uploaded by

    suriani sakka
    blanko

    Copyright:

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

    PUSKESMAS SULILI PUSKESMAS SULILI

    JENIS PEMERIKSAAN LABORATORIUM JENIS PEMERIKSAAN LABORATORIUM

    O Hemoglobin (Hb) O Glukosa (GDS) O Hemoglobin (Hb) O Glukosa (GDS)


    O Golongan darah O Cholesterol O Golongan darah O Cholesterol
    O Albumin O Asam Urat O Albumin O Asam Urat
    O Reduksi O Widal
    O Reduksi O Widal
    O Plano Test O HIV
    O DDR O O Plano Test O HIV
    O DDR O
    Nama :
    Umur : Nama :
    Alamat : Umur :
    Status : UMUM,PBI,NON PBI Alamat :
    No Kartu : Status : UMUM,PBI,NON PBI
    No Kartu :
    Pinrang, / /2019 Pinrang, / /2019
    DOKTER PEMERIKSA DOKTER PEMERIKSA

    PUSKESMAS SULILI PUSKESMAS SULILI


    JENIS PEMERIKSAAN LABORATORIUM JENIS PEMERIKSAAN LABORATORIUM

    O Hemoglobin (Hb) O Glukosa (GDS) O Hemoglobin (Hb) O Glukosa (GDS)


    O Golongan darah O Cholesterol O Golongan darah O Cholesterol
    O Albumin O Asam Urat O Albumin O Asam Urat
    O Reduksi O Widal O Reduksi O Widal
    O Plano Test O HIV O Plano Test O HIV
    O DDR O O DDR O

    Nama : Nama :
    Umur : Umur :
    Alamat : Alamat :
    Status : UMUM,PBI,NON PBI Status : UMUM,PBI,NON PBI
    No Kartu : No Kartu :

    Pinrang, / /2019
    Pinrang, / /2019
    DOKTER PEMERIKSA
    DOKTER PEMERIKSA

    PUSKESMAS SULILI PUSKESMAS SULILI


    JENIS PEMERIKSAAN LABORATORIUM JENIS PEMERIKSAAN LABORATORIUM

    O Hemoglobin (Hb) O Glukosa (GDS) O Hemoglobin (Hb) O Glukosa (GDS)


    O Golongan darah O Cholesterol O Golongan darah O Cholesterol
    O Albumin O Asam Urat O Albumin O Asam Urat
    O Reduksi O Widal O Reduksi O Widal
    O Plano Test O HIV O Plano Test O HIV
    O DDR O O DDR O
    Nama : Nama :
    Umur : Umur :
    Alamat : Alamat :
    Status : UMUM,PBI,NON PBI Status : UMUM,PBI,NON PBI
    No Kartu : No Kartu :
    Pinrang, / /2019
    Pinrang, / /2019
    DOKTER PEMERIKSA
    DOKTER PEMERIKSA

    You might also like