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Pemeriksaan Laboratorium

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Blanko Permintaan Pemeriksaan Laboratorium

Rumah Sakit Umum Kuningan Medical Center

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0o, %4 & (((((((,, Tan##al & ((((((
0ama & (((((((((((((((((,,,
Umur & (((((((,, Ta@un "RP
Alamat & ((((((((((((((((((

%
Dokter & ((((((((((((((((((
0ama %uan & ((((((((((((((((((
H!MA"#L#$I URI%! KIMIA DARAH
□ !emo#lobin □ Urine %utin □ Glukosa Puasa
Email
□ "eukosit □ Protein □ Glukosa 2 jam PP
□ !ematrokit □ Glukosa □ Glukosa Sewaktu
□ Trombosit □ 1eton □ Protein Total
□ %etikulosit □ Urobilino#en □ Albumin
Did you□□ find this
*ritrosit
"*D
document□ useful?
Bilirubin □ Globulin
□ Bilirubin Total
□ B,-,
□ +, Pendara@an □ Sedimen □ Bilirubin Direct
□ +, Pembekuan □ "ekoR"PB □ Bilirubin Indirect
□ +, Protombin □ *riR"PB □ SGOT
□ !it -enis "eukosit □ Sele/R"PB □ SGPT
□ Gol Dara@. %@esus □ 1ristal □ Ureum
□ Gambaran Dara@ Te/i □ Creatinin
□ S!R#L#$I □ Asam Urat
□ □ +idal Test □ C@olesterol
Is this content inappropriate? Report
□ Tube3 Test this Document
□ !D"
MICR#BI#L#$I □ 4aontuk Test □ "D"
□ Pre/arat Gram □ !I5 □ Tri#liserid
□ Pre/arat BTA □ !bsA#
□ S/utum SPS □ Tro/onin I @A!C!S
□ □ Ck ck4B □ $aeces %utin
□ !bA6C □ "emak
!L!K"R#LI" □ @sC%P □ Dara@ Samar
□ 0atrium □ □
□ 1alium TTD &
□ Clorida S!PSIS
□ □ Procalcitonin
' (((((((( )

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