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DINAS KESEHATAN



UPTD PUSKESMAS CIBATU JL. KI HAJAR DEWANTARA NO.10 CIBATU - GARUT



FORMULIR HASIL LABORATORIUM Nama Umu r Alamat



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HEMATOLOGI HB LEKOSIT ERITROSIT LED TROMBOSIT HEMATOKRIT DIEF COUNT BASIOFIL EOSINOFIL BATANG SEGHMEN LIMPOSIT MONOCIT



HASIL



ANGKA NORMAL



URINALISIS



HASIL



NILAI NORMAL



gr/dl l.13-18 p.12-16 mm3 4000-10000/mm3 l.5-6 juta p.4-5 juta l.0-18 p.0-15



WARNA URIN PH KETON PROTEIN BILIRUBIN mm3 150000-450000/mm3 REDUKSI % UROBILIN



SEDIMEN



% % % % % %



LEKOCIT ERITROCIT EPITEL SEL KANDUNG KENCING SEL GINJAL KRISTAL



LPB LPK LPK LPK LPK LPK



KIMIA KLINIK GULA DARAH PUASA 2 JAM PP GULA SEWAKTU KOLESTEROL TOTAL KOLESTEROL HDL KOLESTEROL LDL ASAM URAT SGOT SGPT BILIRUBIN TOTAL BIL DIRECT BIL INDIRECT KREATININ URIUM TRIGLISERID PROTEIN TOTAL ALBUMIN



mg/dl mg/dl mg/dl mg/dl mg/dl mg/dl mg/dl u/i u/i mg/dl mg/dl mg/dl mg/dl mg/dl mg/dl mg/dl mgdl



70-110 mg/dl