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No. RM : .................................................... Tanggal Pelayanan : .................................................... Ruang / Poli : .................................................... Dokter Pengirim : ....................................................
HEMATOLOGI GULA DARAH BAKTERIOLOGI
Darah rutin Gula darah sewaktu Sputum BTA Hemoglobin Gula darah 2 jam pp BTA Hansen Hematokrit Gula darah puasa Preparat GO Leukosit URINE Difteri Trombosit Makroskopis Gram Hitung jenis leukosit Warna Sekret KOH LED Kejernihan HIV test Eritrosit Darah IVA TEST Diff Count Mikroskopis SEROLOGI Golongan darah+rhesus Epitel Widal Test CT/BT Leukosit Hbs Ag MCV Eritrosit Malaria Rapid Test MCH Silinder Narkoba Apusan Darah Tepi Kristal HIV test KIMIA DARAH Bakteri FAECES SGOT Kimia Urine Faeces rutin SGPT Berat jenis Malaria / DDR Billirubin Total pH Billirubin Direct Leukosit Billirubin Indirect Nitrit Total Protein Reduksi Albumin Protein Globulin Urobilinogen Asam Urat Bilirubin Alkali Fosfatase Blood Ureum Keton Kreatinin PP test Kolesterol Trigliserida HDL Cholesterol LDL Cholesterol