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Form: FCIRKJIA v2 por
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Sorologias
Data do exame
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CMV
( )
Imune
( )
Susceptível
( )
IgM Reagente
IgM
Rubéola
( )
Imune
( )
Susceptível
( )
IgM Reagente
IgM
Hepatite A
( )
Imune
( )
Susceptível
( )
IgM Reagente
IgM
Hepatite B
HBsAg
Anti-HBsAg
Anti-HBcAg
*Anti-HBcAg total
Toxoplasmose
( )
Imune
( )
Susceptível
( )
IgM Reagente
IgM
EBV
( )
Imune
( )
Susceptível
( )
IgM Reagente
IgM
Herpes simples
( )
Imune
( )
Susceptível
( )
IgM reagente
IgM
VDRL
Anti-HCV
Demais Sorologias Solicitadas
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