You are on page 1of 3

Nama Pasien: Ruang :

Tanggal Keterangan

Pemeriksaan
DARAH LENGKAP
Leukosit (3,8-10,6)
Basofil (0-1)%
Neutrophil (39,3-73,7)
Limfosit (25-40)%
Eosinofil ( 2-4)%
Monosit (2-8)%
Eritrosit (4,40-5,90)
Haemoglobin
(13,2-17,3) g/dL
Hematokrit
(40-52)%
Indeks Eritrosit
MCV (80-100)fL
MCH (26,0-34,0) Pg
MCHC (32-36)%
RDW-CV (11,5-14,5
Trombosit (150-440)
MPV (7,2-11,1)fL
Serum Elektrolit
Natrium (135-147)
Kalium (3,5-5,0)
Klorida ( 96-105)
Fungsi Hepar
SGOT (<50)
SPGT (<50)
Fungsi Ginjal
BUN (10-20)
Kreatinin (0,62-1,10)
Nama Pasien: Ruangan;

Tanggal

Pemeriksaan
Pemeriksaan Hasil Satuan Nilai Rujukan
Urine lengkap
warna urine Kuning Pemeriksaan Hasil Satuan Nilai Rujukan
Kejernihan urine Jernih Urine lengkap
pH urine 5–8 warna urine Kuning
Specific gravity 1,005 – 1,030 Kejernihan urine Jernih
Nitrit urine Negative pH urine 5–8
Protein urine Negative Specific gravity 1,005 – 1,030
Glukosa urine Negative Nitrit urine Negative
Keton urine Negative Protein urine Negative
Urobilinogen urine mg/dL 3,2 – 16 Glukosa urine Negative
Lekosit urine Negative Keton urine Negative
Bilirubin urine Negative Urobilinogen urine mg/dL 3,2 – 16
Blood Negative Lekosit urine Negative
Mikroskopis urine Bilirubin urine Negative
Eritrosit plp 0–1 Blood Negative
Lekosit plp 0–1 Mikroskopis urine
Sel epitel plp 0–1 Eritrosit plp 0–1
Kristal Negative Lekosit plp 0–1
Bakteri Negative Sel epitel plp 0–1
Jamur Negative Kristal Negative
Parasite Negative Bakteri Negative
Cast Negative Jamur Negative
Lain-lain Negative Parasite Negative
Cast Negative
Lain-lain Negative

You might also like