NOMOR LAB : ......................../ LAB NOMOR LAB : ......................../ LAB NOMOR LAB : ......................../ LAB
GULA DARAH :.......................(> 200 mg/dl) GULA DARAH :.......................(> 200 mg/dl) LEKOSIT :.......................
ASAM URAT :........................( L: 3,4-7 mg/dl) ASAM URAT :.......................( L: 3,4-7 mg/dl) GULA DARAH :.......................(> 200 mg/dl)
KOLESTEROL :.......................(< 200 mg/dl) KOLESTEROL :........................(< 200 mg/dl) (P: 2,4-6 mg/dl)
TENSI :.........................(120/80 mmHg) TENSI :........................(120/80 mmHg) KOLESTEROL :.......................(< 200 mg/dl)
PEMERIKSA
PEMERIKSA PEMERIKSA
FUNSUP AP, A.Md.Kes
FUNSUP AP, A.Md.Kes FUNSUP AP, A.Md.Kes