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    blangko lab

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    10 views1 page

    Blangko Lab

    Uploaded by

    dyah noviandari

    Copyright:

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

    PERMINTAAN CEK LABORATORIUM PERMINTAAN CEK LABORATORIUM

    NAMA : TGL : NAMA : TGL :


    UMUR : RUANG : UMUR : RUANG :
    ALAMAT : ALAMAT :

    A HEMATOLOGI D MIKROBIOLOGI A HEMATOLOGI D MIKROBIOLOGI


    1 Hb 1 BTA 1 Hb 1 BTA
    2 DL 2 DL
    E KIMIA KLINIK E KIMIA KLINIK
    B URINALISA 1 GULA DARAH PUASA B URINALISA 1 GULA DARAH PUASA
    1 URINE RUTIN 2 GULA DARAH 2 JPP 1 URINE RUTIN 2 GULA DARAH 2 JPP
    2 SEDIMEN 3 GULA DARAH ACAK 2 SEDIMEN 3 GULA DARAH ACAK
    3 ALBUMIN 3 ALBUMIN
    4 REDUKSI FAAL LEMAK 4 REDUKSI FAAL LEMAK
    1 CHOLESTEROL 1 CHOLESTEROL
    C IMUNO SEROLOGI 2 TRIGLYSERID C IMUNO SEROLOGI 2 TRIGLYSERID
    1 WIDAL 1 WIDAL
    2 TES KEHAMILAN FAAL HATI 2 TES KEHAMILAN FAAL HATI
    3 GOLONGAN DARAH 1 SGOT 3 GOLONGAN DARAH 1 SGOT
    4 HIV* 2 SGPT 4 HIV* 2 SGPT
    5 HBsAg* 5 HBsAg*
    6 SIFILIS* FAAL GINJAL 6 SIFILIS* FAAL GINJAL
    1 ASAM URAT 1 ASAM URAT
    2 CREATININ 2 CREATININ
    3 UREUM 3 UREUM

    PERMINTAAN CEK LABORATORIUM PERMINTAAN CEK LABORATORIUM


    NAMA : TGL : NAMA : TGL :
    UMUR : RUANG : UMUR : RUANG :
    ALAMAT : ALAMAT :

    A HEMATOLOGI D MIKROBIOLOGI A HEMATOLOGI D MIKROBIOLOGI


    1 Hb 1 BTA 1 Hb 1 BTA
    2 DL 2 DL
    E KIMIA KLINIK E KIMIA KLINIK
    B URINALISA 1 GULA DARAH PUASA B URINALISA 1 GULA DARAH PUASA
    1 URINE RUTIN 2 GULA DARAH 2 JPP 1 URINE RUTIN 2 GULA DARAH 2 JPP
    2 SEDIMEN 3 GULA DARAH ACAK 2 SEDIMEN 3 GULA DARAH ACAK
    3 ALBUMIN 3 ALBUMIN
    4 REDUKSI FAAL LEMAK 4 REDUKSI FAAL LEMAK
    1 CHOLESTEROL 1 CHOLESTEROL
    C IMUNO SEROLOGI 2 TRIGLYSERID C IMUNO SEROLOGI 2 TRIGLYSERID
    1 WIDAL 1 WIDAL
    2 TES KEHAMILAN FAAL HATI 2 TES KEHAMILAN FAAL HATI
    3 GOLONGAN DARAH 1 SGOT 3 GOLONGAN DARAH 1 SGOT
    4 HIV* 2 SGPT 4 HIV* 2 SGPT
    5 HBsAg* 5 HBsAg*
    6 SIFILIS* FAAL GINJAL 6 SIFILIS* FAAL GINJAL
    1 ASAM URAT 1 ASAM URAT
    2 CREATININ 2 CREATININ
    3 UREUM 3 UREUM

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