PEMERINTAH KABUPATEN KARANGANYAR PEMERINTAH KABUPATEN KARANGANYAR

DINAS KESEHATAN DINAS KESEHATAN

UPT. PUSKESMAS KARANGPANDAN UPT. PUSKESMAS KARANGPANDAN
Alamat : Ds. Doplang, Karangpandan, Karanganyar Telp. No. (0271) 662988 Alamat : Ds. Doplang, Karangpandan, Karanganyar Telp. No. (0271) 662988
0 Email : puskesmaskarangpandan@gmail.com Kode Pos : 57791 | Email : puskesmaskarangpandan@gmail.com Kode Pos : 57791

HASIL LABORATORIUM HASIL LABORATORIUM

NAMA : UMUR : NAMA : UMUR :
ALAMAT : TANGGAL : ALAMAT : TANGGAL :

N PEMERIKSAAN HASIL N NORMAL KET N PEMERIKSAAN HASIL N NORMAL KET

O O
1 HB L 14-18gr/dl 1 HB L 14-18gr/dl
P 12-16gr/dl P 12-16gr/dl
2 Lekosit 4rb – 10rb/mm 2 Lekosit 4rb – 10rb/mm
3 Malaria Negatip 3 Malaria Negatip
4 Trombosit 200rb-500rb/ul 4 Trombosit 200rb-500rb/ul
5 Haematokrit L 40-48Vol% 5 Haematokrit L 40-48Vol%
P 37-43 vol% P 37-43 vol%
6 LED L krg dr 10mm/1jam 6 LED L krg dr 10mm/1jam
P krg dr 15 mm/1jam P krg dr 15 mm/1jam
7 GDS sewaktu < 200 000 mg/dl 7 GDS sewaktu < 200 000 mg/dl
GDS puasa < 150 000 mg/dl GDS puasa < 150 000 mg/dl
8 Cholesterol < 200 mg/dl 8 Cholesterol < 200 mg/dl
9 Asam Urat L : 2.7 – 7 mg/dl 9 Asam Urat L : 2.7 – 7 mg/dl
P : 2.5 – 6 mg/dl P : 2.5 – 6 mg/dl
O AO H AH O AO H AH
WIDAL WIDAL
GOL. DARAH : GOL. DARAH :
PROT URINE : Petugas Laborat PROT URINE : Petugas Laborat
HbsAG : HbsAG :
Reduksi Urine : Reduksi Urine :

Aris Wijanarko Aris Wijanarko

NIP.19680825199403 1 008 NIP.19680825199403 1 008