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    3 views1 page

    Lab AZMI

    Uploaded by

    Muhammad Taufik

    Copyright:

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

    Nama : …........................... Tensi : …... Nama : …........................... Tensi : …...

    …... …...
    LK/PR/Umur : …................. …... LK/PR/Umur : …................. …...

    No PEMERIKSAAN HASIL NILAI RUJUKAN No PEMERIKSAAN HASIL NILAI RUJUKAN

    1 CHOLESTROL, TTL …....mg/dl 120 - 200 mg/dl 1 CHOLESTROL, TTL …....mg/dl 120 - 200 mg/dl

    2 TRIGLYCERIDES …....mg/dl 60 - 20 mg/dl 2 TRIGLYCERIDES …....mg/dl 60 - 20 mg/dl

    …....mg/dl P. > 110 mg/dl …....mg/dl P. > 110 mg/dl


    3 GULA DARAH 3 GULA DARAH
    …....mg/dl T.P 120 - 200 mg/dl …....mg/dl T.P 120 - 200 mg/dl

    …....mg/dl LK 3,7 - 7 mg/dl …....mg/dl LK 3,7 - 7 mg/dl


    4 ASAM URAT 4 ASAM URAT
    …....mg/dl PRM 2,4 - 5,7 mg/dl …....mg/dl PRM 2,4 - 5,7 mg/dl

    …....mg/dl LK 12 - 16 mg/dl …....mg/dl LK 12 - 16 mg/dl


    5 HEMOGLOBIN (HB) 5 HEMOGLOBIN (HB)
    …....mg/dl PRM 11 - 15 mg/dl …....mg/dl PRM 11 - 15 mg/dl

    Banjarmasin, …....…...............20…..... Banjarmasin, …....…...............20….....

    Nama : …........................... Tensi : …... Nama : …........................... Tensi : …...


    …... …...
    LK/PR/Umur : …................. …... LK/PR/Umur : …................. …...

    No PEMERIKSAAN HASIL NILAI RUJUKAN No PEMERIKSAAN HASIL NILAI RUJUKAN

    1 CHOLESTROL, TTL …....mg/dl 120 - 200 mg/dl 1 CHOLESTROL, TTL …....mg/dl 120 - 200 mg/dl

    2 TRIGLYCERIDES …....mg/dl 60 - 20 mg/dl 2 TRIGLYCERIDES …....mg/dl 60 - 20 mg/dl

    …....mg/dl P. > 110 mg/dl …....mg/dl P. > 110 mg/dl


    3 GULA DARAH 3 GULA DARAH
    …....mg/dl T.P 120 - 200 mg/dl …....mg/dl T.P 120 - 200 mg/dl

    …....mg/dl LK 3,7 - 7 mg/dl …....mg/dl LK 3,7 - 7 mg/dl


    4 ASAM URAT 4 ASAM URAT
    …....mg/dl PRM 2,4 - 5,7 mg/dl …....mg/dl PRM 2,4 - 5,7 mg/dl

    …....mg/dl LK 12 - 16 mg/dl …....mg/dl LK 12 - 16 mg/dl


    5 HEMOGLOBIN (HB) 5 HEMOGLOBIN (HB)
    …....mg/dl PRM 11 - 15 mg/dl …....mg/dl PRM 11 - 15 mg/dl

    Banjarmasin, …....…...............20…..... Banjarmasin, …....…...............20….....

    Nama : …........................... Tensi : …... Nama : …........................... Tensi : …...


    …... …...
    LK/PR/Umur : …................. …... LK/PR/Umur : …................. …...

    No PEMERIKSAAN HASIL NILAI RUJUKAN No PEMERIKSAAN HASIL NILAI RUJUKAN

    1 CHOLESTROL, TTL …....mg/dl 120 - 200 mg/dl 1 CHOLESTROL, TTL …....mg/dl 120 - 200 mg/dl

    2 TRIGLYCERIDES …....mg/dl 60 - 20 mg/dl 2 TRIGLYCERIDES …....mg/dl 60 - 20 mg/dl

    …....mg/dl P. > 110 mg/dl …....mg/dl P. > 110 mg/dl


    3 GULA DARAH 3 GULA DARAH
    …....mg/dl T.P 120 - 200 mg/dl …....mg/dl T.P 120 - 200 mg/dl

    …....mg/dl LK 3,7 - 7 mg/dl …....mg/dl LK 3,7 - 7 mg/dl


    4 ASAM URAT 4 ASAM URAT
    …....mg/dl PRM 2,4 - 5,7 mg/dl …....mg/dl PRM 2,4 - 5,7 mg/dl

    …....mg/dl LK 12 - 16 mg/dl …....mg/dl LK 12 - 16 mg/dl


    5 HEMOGLOBIN (HB) 5 HEMOGLOBIN (HB)
    …....mg/dl PRM 11 - 15 mg/dl …....mg/dl PRM 11 - 15 mg/dl

    Banjarmasin, …....…...............20…..... Banjarmasin, …....…...............20….....

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