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Nama: Alamat: Umur: Diagnosa:: Catatan

This document is a medical report from Klinik Puspa Anwar Medika in Gresik, Indonesia. It includes the patient's name, address, age, diagnosis, and results of various medical tests related to hematology, liver function, kidney function, lipids, blood glucose, electrolytes, urinalysis, microbiology, and narcotics screening. The report was issued by a doctor from the clinic located on Jl. Raya Wringinanom No.1 in Gresik.

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0% found this document useful (0 votes)
46 views1 page

Nama: Alamat: Umur: Diagnosa:: Catatan

This document is a medical report from Klinik Puspa Anwar Medika in Gresik, Indonesia. It includes the patient's name, address, age, diagnosis, and results of various medical tests related to hematology, liver function, kidney function, lipids, blood glucose, electrolytes, urinalysis, microbiology, and narcotics screening. The report was issued by a doctor from the clinic located on Jl. Raya Wringinanom No.1 in Gresik.

Uploaded by

PU Trii Chandra
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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LABORATORIUM

KLINIK PUSPA ANWAR MEDIKA


Jl. Raya Wringinanom No.1 Telp.(031)8986444
GRESIK

Nama :
Alamat:
Umur :
DIAGNOSA :

PEMERIKSAAN HASIL NILAI NORMAL Dokter :


HEMATOLOGI Alamat : Jl. Raya Wringinanom No.1
HEMOGLOBIN L 12,0 – 16,6 g/dl Telepon : (031)8986444 Tanggal :
P 11,0 – 15,5 g/dl PEMERIKSAAN HASIL NILAI NORMAL
LAJU ENDAP DARAH 0 – 20 /jam FAAL HATI
L 4,600 – 11,400 /mm3
LEUKOSIT
P 4,600 – 11,400/mm3 GROSS TITRASI 1,2-2 ml
1-2/0,1/3-5/54-64/
HITUNG JENIS LEUKOSIT T.T.T < 4,5 U/Lt
25-33/3-7
L 3,9-5,9 juta/mm3 BILLIRUBIN DIREK < 0,75 mg/dl
ERITROSIT
P 3,7-5,4 juta/mm3
TROMBOSIT L 150,000-400,000
/mm3 BILLIRUBIN TOTAL 0,56-1,2 mg/dl
P 150,000-
430,000/mm3
HEMATOKRIT/ PVC S.G.O.T (AST) L < 25 U LP < 22 U/L
HAPUSAN DARAH
 ERITROSIT
 LEUKOSIT SGPT (ALT) L < 29 U / LP < 22 U/L
 TROMBOSIT
GAMA GT
RETIKULOSIT 0,2-2,05
ALKALI PHOSPHATASE 73-207 U/L
EOSINOPHYL 25-450 / mm3
ALBUMIN 3,6-4,4 g/dl
MALARIA (TETES NEGATIF
GLOBULIN 2,6-3,6 g/dl
TEBAL)
GAMA GLOBULIN
GOL DARAH RHESUS : POSITIF
PROTEIN TOTAL 6,3-88 g/dl
WAKTU PENDARAHAN 1-5 menit
WAKTU PEMBEKUAN 5-11 menit FAAL GINJAL
P.P.T 10-14 menit UREA NITROGEN (B.U.N) 20-50 mg/dl
A.P.P.T 30-40 menit KREATININ L 0,6-1,1 mg/dl P 0,5-0,9 mg/dl
REAKSI BEKUAN POSITIF ASAM URAT L 3,1-7,9 mg/dl P 1,9-51 mg/dl
WAKTU REKALISIFIKASI UREA URINE 10 - 25 g / 24 jam
IMMUNOLOGI KREATININ URINE 1 – 1,5 g / 24 jam
/SEROLOGI LEMAK
WIDAL -O NEGATIF CHOLESTEROL 200 mg/dl
-H NEGATIF TRIGESERIDA < 200 mg/dl
PARATHYPI A NEGATIF HDL CHOLESTEROL > 35 mg/dl
PARATHYPI B NEGATIF LDL CHOLESTEROL < 150 mg/dl
STS -VDRL NEGATIF GULA DARAH
-TPHA NEGATIF GULA DARAH PUASA 70 – 110 mg/dl
Ig G/ Ig M DHF NEGATIF GULA DARAH 2 JAM P.P < 125 mg/dl
RHEMATOID ARTHRITIS NEGATIF Hb A1C 4,5 – 6,3 %
HBs – Ag NEGATIF ELEKTROLIT
ANTI HBs (HBs – Ab) NEGATIF NATRIUM 136 – 144 mmol/l
ANTI HBc KALIUM 4 – 5 mmol/lt
CALSIUM 8,1 – 10,4 mmol/l
PEMERIKSAAN HASIL NILAI NORMAL CHLORIDA 94 – 111 mmol/l
URINALIS
BERAT JENIS 1,002 – 1,030 PEMERIKSAAN HASIL
Ph 4,8 – 7,5 MIKROBIOLOGI
LEUKOSITE NEGATIF BAHAN
GLUKOSE NEGATIF PEWARNAAN GRAM
BILLIRUBIN NEGATIF KINYON - GABET
UROBILLIN NEGATIF PEWARNAAN NEISSER
SEDIMEN PEWARNAAN JAMUR
- LEUKOSIT 0 -2 PEMBIAKAN (KULTUR)
- ERITROSIT 0 -2 COLONI COUNT / CC
- EPHYTEL 0 -2 KULTUR I
CELL II
- KRISTAL NEGATIF III
- LAIN- NEGATIF FAECES
LAIN/keton MICROSCOPIS
Narkoba : TELUR CACING
Ampethamin LARVA
Metampethamin PROTOZOA
Morphine LAIN-LAIN
THC
Catatan :
Pemeriksa

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