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DINAS KESEHATAN

UPTD PUSKESMAS CIBATU


JL. KI HAJAR DEWANTARA NO.10 CIBATU - GARUT

FORMULIR HASIL LABORATORIUM


Nama :..................................
Umu r :..................................
Alamat :..................................

HEMATOLOGI HASIL ANGKA NORMAL URINALISIS HASIL NILAI NORMAL


HB gr/dl l.13-18 p.12-16 WARNA URIN
LEKOSIT mm3 4000-10000/mm3 PH
ERITROSIT l.5-6 juta p.4-5 juta
KETON
LED l.0-18 p.0-15 PROTEIN
BILIRUBIN
TROMBOSIT mm3 150000-450000/mm3 REDUKSI
HEMATOKRIT % UROBILIN
DIEF COUNT
BASIOFIL % SEDIMEN
EOSINOFIL % LEKOCIT LPB
BATANG % ERITROCIT LPK
SEGHMEN % EPITEL LPK
LIMPOSIT % SEL KANDUNG KENCING LPK
MONOCIT % SEL GINJAL LPK
KRISTAL LPK
KIMIA KLINIK
GULA DARAH PUASA mg/dl 70-110 mg/dl DLL
2 JAM PP mg/dl <170 mg/dl
GULA SEWAKTU mg/dl 150 mg/dl TES KEHAMILAN
KOLESTEROL TOTAL mg/dl 150-210 mg/dfl
KOLESTEROL HDL mg/dl <100 TES NARKOBA
KOLESTEROL LDL mg/dl >40
ASAM URAT mg/dl p.3,4-5,7 L.3,4-7,0 MIKROBIOLOGI
SGOT u/i 0-25 U/I BTA
SGPT u/i 0-25 U/I MIKOTEK TB
BILIRUBIN TOTAL mg/dl 0,2-1 mg/dl GO
BIL DIRECT mg/dl 0,4 mg/dl
BIL INDIRECT mg/dl <1 mg/dl0,6-1,1 FECES RUTIN
KREATININ mg/dl 0,6-1,1
URIUM mg/dl <50
TRIGLISERID mg/dl <150 mg/dl
PROTEIN TOTAL mg/dl 6-8 g/dl SEROLOGI
ALBUMIN mgdl 3,5-5,5 g/dl GOLONGAN DARAH
WIDAL
SL TPH
SL TPO
SL PARATYPI CO
SL PARATYPI AH

HBSAG

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