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    fyk

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    6 views1 page

    Infodatin Kusta

    Uploaded by

    MoelyaniAjje
    fyk

    Copyright:

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

    PEMERINTAH KABUPATEN GARUT PEMERINTAH KABUPATEN GARUT

    DINAS KESEHATAN DINAS KESEHATAN


    UPT PUSKESMAS CILAWU UPT PUSKESMAS CILAWU
    Jl. Raya Garut Tasikmalaya Km. 08 Jl. Raya Garut Tasikmalaya Km. 08
    Tlp (0262) 2802725 Cilawu Garut Tlp (0262) 2802725 Cilawu Garut

    HASIL PEMERIKSAAN LABORATORIUM HASIL PEMERIKSAAN LABORATORIUM

    Nama : .............................................................. Nama : ..............................................................


    Umur : .............................................................. Umur : ..............................................................
    Alamat : ............................................................... Alamat : ...............................................................

    No. Jenis Pemeriksaan Hasil Nilai Normal No. Jenis Pemeriksaan Hasil Nilai Normal
    1 GD Sewaktu < 140 mg/dl 1 GD Sewaktu < 140 mg/dl
    L : 3,0 - 7,0 mg/dl L : 3,0 - 7,0 mg/dl
    2 Asam Urat 2 Asam Urat
    P : 2,4 - 5,7 mg/dl P : 2,4 - 5,7 mg/dl

    3 Test Kehamilan Positif/Negatif 3 Test Kehamilan Positif/Negatif

    Garut,............................... Garut,...............................
    Pemeriksa, Pemeriksa,

    __________________ __________________

    PEMERINTAH KABUPATEN GARUT PEMERINTAH KABUPATEN GARUT


    DINAS KESEHATAN DINAS KESEHATAN
    UPT PUSKESMAS CILAWU UPT PUSKESMAS CILAWU
    Jl. Raya Garut Tasikmalaya Km. 08 Jl. Raya Garut Tasikmalaya Km. 08
    Tlp (0262) 2802725 Cilawu Garut Tlp (0262) 2802725 Cilawu Garut

    HASIL PEMERIKSAAN LABORATORIUM HASIL PEMERIKSAAN LABORATORIUM

    Nama : .............................................................. Nama : ..............................................................


    Umur : .............................................................. Umur : ..............................................................
    Alamat : ............................................................... Alamat : ...............................................................

    No. Jenis Pemeriksaan Hasil Nilai Normal No. Jenis Pemeriksaan Hasil Nilai Normal
    1 GD Sewaktu < 140 mg/dl 1 GD Sewaktu < 140 mg/dl
    L : 3,0 - 7,0 mg/dl L : 3,0 - 7,0 mg/dl
    2 Asam Urat 2 Asam Urat
    P : 2,4 - 5,7 mg/dl P : 2,4 - 5,7 mg/dl

    3 Test Kehamilan Positif/Negatif 3 Test Kehamilan Positif/Negatif

    Garut,............................... Garut,...............................
    Pemeriksa, Pemeriksa,

    _________________ __________________

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