PRAKTEK DOKTER UMUM

dr. Asilia Sukma Yanthi

Jl. Potongan No.46 Rt. 01 Rw. 07 Semanding, Gombong, Kebumen
Telp. (0287) 4760775 / 082136945044

HASIL PEMERIKSAAN LABORATORIUM

Nama : ……………………………………………..………………………………..
Umur : …………………………………………………...……………………. L / P
Alamat : ……………………………………………..………………………………..
Tanggal Pemeriksaan :………………………………………………………. Jam : ………..………

Pemeriksaan Laboratorium Hasil Nilai Rujukan

Haemoglobin ...............................gr/dl P : 12-16 gr/dl L : 14-18 gr/dl
Asam Urat .............................mg/dl P : 2-6 gr/dl L : 2-7 mg/dl
Cholestrol .............................mg/dl ≤ 200 mg/dl
Gula Darah Sewaktu .............................mg/dl 70-150 mg/dl
Gula Darah Puasa .............................mg/dl 70-115 mg/dl
Gula Post Pandrial .............................mg/dl ≤ 180 mg /dl

Gombong,......................................
Pemeriksa,

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