Klinik Lumajang Medical Center (LMC) Telp.

082294577758
Jl. Wahid Hasyim No. 113A
Telp. 082294577758 KARTU CEK LAB SEDERHANA
KARTU CEK LAB SEDERHANA Nama : ......................................
Umur : ........... tahun
Nama : ......................................
Alamat : ......................................
Umur : ........... tahun TEKANAN GULA ASAM
Alamat : ...................................... TGL DARAH DARAH URAT
KOLESTEROL
KET
(mg/dL)
TEKANAN GULA ASAM (mmHg) (mg/dL) (mg/dL)
KOLESTEROL
TGL DARAH DARAH URAT
(mg/dL) KET
(mmHg) (mg/dL) (mg/dL)

Nilai Normal :
Nilai Normal : Gula Darah Acak = <200 mg/dL
Gula Darah Acak = <200 mg/dL Gula Darah Puasa = 80 – 126 mg/dL
Gula Darah Puasa = 80 – 126 mg/dL Asam urat = (L) 3 - 7 mg/dL
Asam urat = (L) 3 - 7 mg/dL (P) 3 – 6,5 mg/dL
(P) 3 – 6,5 mg/dL Kolesterol = <200 mg/dL
Kolesterol = <200 mg/dL
Klinik Lumajang Medical Center (LMC)
Jl. Wahid Hasyim No. 113A
Klinik Lumajang Medical Center (LMC) Telp. 082294577758
Jl. Wahid Hasyim No. 113A
Telp. 082294577758 KARTU CEK LAB SEDERHANA
KARTU CEK LAB SEDERHANA Nama : ......................................
Umur : ........... tahun
Nama : ......................................
Alamat : ......................................
Umur : ........... tahun TEKANAN GULA ASAM
Alamat : ...................................... TGL DARAH DARAH URAT
KOLESTEROL
KET
(mg/dL)
TEKANAN GULA ASAM (mmHg) (mg/dL) (mg/dL)
KOLESTEROL
TGL DARAH DARAH URAT
(mg/dL) KET
(mmHg) (mg/dL) (mg/dL)

Nilai Normal :
Gula Darah Acak = <200 mg/dL
Nilai Normal : Gula Darah Puasa = 80 – 126 mg/dL
Gula Darah Acak = <200 mg/dL Asam urat = (L) 3 - 7 mg/dL
Gula Darah Puasa = 80 – 126 mg/dL (P) 3 – 6,5 mg/dL
Asam urat = (L) 3 - 7 mg/dL Kolesterol = <200 mg/dL
(P) 3 – 6,5 mg/dL
Kolesterol = <200 mg/dL

Klinik Lumajang Medical Center (LMC)

Jl. Wahid Hasyim No. 113A