Blangko Permintaan Lab
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Transcript of Blangko Permintaan Lab
7/26/2019 Blangko Permintaan Lab
http://slidepdf.com/reader/full/blangko-permintaan-lab 1/2
FKTP PUSKESMAS UJUNGLOE
PERMINTAAN PEMERIKSAAN LABORATORIUM
Mohon dilakukan pemerikaan !erhadap paien"peer!a kami#
Nama $%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
No% Kar!u $%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%Berupa pemerikaan $
G&S $%%%%%%%% T& $%%%%%%%%
G&P $%%%%%%%% TB $%%%%%%%%
G&PP $%%%%%%%% BB $%%%%%%%%
A!a ker'aaman(a kami u)apkan !erima kaih%
Bulukum*a#%%%%%%%%%%%%%%%%%%%%+,-.
&ok!er pemerika
/&r%Pu!ri Fe*rian!(0
FKTP PUSKESMAS UJUNGLOE
PERMINTAAN PEMERIKSAAN LABORATORIUM
Mohon dilakukan pemerikaan !erhadap paien"peer!a kami#
Nama $%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
No% Kar!u $%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
Berupa pemerikaan $
G&S $%%%%%%%% T& $%%%%%%%%
G&P $%%%%%%%% TB $%%%%%%%%
G&PP $%%%%%%%% BB $%%%%%%%%
A!a ker'aaman(a kami u)apkan !erima kaih%
Bulukum*a#%%%%%%%%%%%%%%%%%%%%+,-.
&ok!er pemerika
/&r%Pu!ri Fe*rian!(0
7/26/2019 Blangko Permintaan Lab
http://slidepdf.com/reader/full/blangko-permintaan-lab 2/2