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    9 views1 page

    Form Urine Test Jabez

    Uploaded by

    dedy rachayu

    Copyright:

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

    YAYASAN

    GENERASI JABEZ
    INDONESIA

    HASIL PEMERIKSAAN NARKOBA

    JENIS PEMERIKSAAN METODE HASIL


    *Amphetamine Rapid Test Negative
    *Benzodiazepines Rapid Test Negative
    *Cannabis Rapid Test Negative
    *MOR Rapid Test Negative
    *MET Rapid Test Positive
    *K3 Rapid Test Negative
    *SOMA Rapid Test Negative
    No : 212/UT/X/2021
    Nama :
    Umur :
    Jenis Kelamin :

    DRUG TEST
    Pada saat ini menunjukan hasil sebagai berikut :

    Hasil test ini menggunakan Rapid Diagnostic Test

    Waktu Pengambilan Spesimen Waktu Selesai


    Tanggal : 26/10/2021 Tanggal : 26/10/2021
    Jam : 16:36 Jam : 16:50

    Bandung 26/10/2021
    Mengetahui

    Pasien Pemeriksa

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