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KLINIK GADING YOGYAKARTA Jl.Mayjen D.I.Panjaitan No 25 .Yogyakarta.Telp ( 0274 ) 375396. Umum, Dokter Panggil, Gigi & Mulut , UGD. Laboratorium, ECG, Rontgen, Pengobatan Alternatif : “Prana” E-mail : [email protected]

Nama Umur Alamat NO

HASIL PEMERIKSAAN LABORATORIUM :…………………………… RM :……………………………….. :………………………L/P Dokter :………………………………. :…………………………… PEMERIKSAAN URINE

URINOLOGI 1 URINE RUTIN Makroskopis Warna Kekeruhan Berat Jenis Derajat keasaman/pH Leukosit Nitrit Protein Glukosa Keton Urobilinogen Bilirubin Blood Mikroskopis / Sedimen Silinder Kristal Ephitel Sel Leukosit Bakteri Jamur Lain-lain 2 TEST KEHAMILAN / PP TES

HASIL

NILAI NORMAL

Kuning

Negatife Negative Negatife Normal Negatife Normal Negatife Negatife Negatife Negatife 0-3 / LPK 0-3 / LPK 0-1 / LPK Negatife Negatife

Yogyakarta,

Petugas Laboratorium

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