Gula darah 2 Gula darah 2

1 38 Rp.612.000 43
jam pp jam pp
Edta dan Edta dan
Rp.1.809.00
2 Swab 1,206 Swab 1153
0
alkohol alkohol

3 D 3 cc 848 Rp.1.272.00 D 3 cc 774

Laju endap Laju endap

4 6 Rp.65.000 11
darah darah
Hemoglobin Rp.1.629.00 Hemoglobin
5 45 57
( HB ) 0 ( HB )
Darah Rp.30.055.0 Darah
6 473 433
lengkap 00 lengkap
Cholesterol Cholesterol
7 25 Rp.658.000 36
Total Total
8 Trigliceride 15 Rp.397.000 Trigliceride 21
LDL - LDL -
9 2 Rp.0 1
Cholesterol Cholesterol
HDL - HDL -
10 2 Rp.62.000 1
Cholesterol Cholesterol
Gula darah Rp.7.219.00 Gula darah
11 457 428
acak 0 acak
Rp.1.554.00
12 HbA1C 8 HbA1C 2
0
Trombosit / Trombosit /
13 22 Rp.810.500 14
platelet platelet
Golongan Golongan
14 82 Rp.870.000 89
Darah Darah
Rp.3.278.00
15 Widal 121 Widal 127
0
Gula darah Gula darah
16 49 Rp.0 63
stik(POCT) stik(POCT)

17 Urine LKP 32 Rp.672.000 Urine LKP 45

SGOT ( AST Rp.4.077.50 SGOT ( AST

18 215 244
) 0 )
SGPT Rp.4.077.50 SGPT
19 215 242
( ALT ) 0 ( ALT )
Rp.5.665.00
20 BUN 263 BUN 269
0
Creatinin Rp.5.665.00 Creatinin
21 263 269
serum 0 serum
 Rp.1.740.00
22 Uric acid 109 Uric acid 114
0
Bleeding Rp.1.013.50 Bleeding
23 100 83
time 0 time
Clothing Rp.1.013.50 Clothing
24 100 83
time 0 time
Rp.2.075.00
25 HBsAg rapid 83 HBsAg rapid 88
0
Rp.5.850.00
26 Tes PICT 78 Tes PICT 78
0

27 Protein urine 33 Rp.495.000 Protein urine 17

Sperma Sperma
28 10 Rp.750.000 4
( SA) ( SA)
29 BTA 4 Rp.235.500 BTA 1
Bilirubin Bilirubin
30 15 Rp.324.000 6
Total Total
Bilirubin Bilirubin
31 15 Rp.324.000 6
Direck Direck
Gula darah Gula darah
32 9 Rp.135.000 12
puasa puasa

33 Total protein 8 Rp.337.000 Total protein 2

34 Albumin 10 Rp.272.000 Albumin 3

35 Globulin 8 Rp.0 Globulin 2
Patologi
36 TSHS 1 Rp.275.000 Anatomi 3
sedang

37 FT-4 1 Rp.350.000 TSHS 1

Cito ( diluar Cito ( diluar

38 9 Rp.360.000 6
jam kerja ) jam kerja )
39 Needle 25 2 Rp.3.000 Needle 25 2
40 FSH 2 Rp.900.000 FT-4 1
41 D 5 CC 2 Rp.4.000 D 5 CC 1
BTA
42 PA Kecil 1 Rp.400.000 1
mikrobilogi
HCG /Tes HCG /Tes
43 10 Rp.150.000 5
kehamilan kehamilan
Paket
44 1 Rp.300.000
elektrolit
45 Culture pus 1 Rp300.000

Feces
46 1 Rp.50.000
lengkap
 Gula darah 2
Rp.694.000 1 47 Rp.733.000
jam pp
Edta dan
Rp.2.234.50
Rp.2.36.000 2 Swab 1169
0
alkohol
Rp.1.161.00 Rp.1.210.50
3 D 3 cc 807
0 0
Laju endap
Rp.110.000 4 7 Rp.70.000
darah
Rp.2.103.00 Hemoglobin Rp.1.699.00
5 47
0 ( HB ) 0
Rp.27.430.0 Darah Rp.29.030.0
6 463
00 lengkap 00
Cholesterol
Rp.944.000 7 33 Rp.869.000
Total
Rp.558.000 8 Trigliceride 13 Rp.358.000
LDL -
Rp.0 9 2 Rp.0
Cholesterol
HDL -
Rp.31.000 10 2 Rp.89.000
Cholesterol
Rp.6.707.00 Gula darah Rp.5.964.00
11 385
0 acak 0
Rp.1.400.00
Rp.460.000 12 HbA1C 7
0
Trombosit /
Rp.490.000 13 26 Rp.937.000
platelet
Golongan Rp.1.210.00
Rp.925.000 14 120
Darah 0
Rp.3.351.00 Rp.2.893.00
15 Widal 110
0 0
Gula darah
Rp.0 16 66 Rp.45.000
stik(POCT)
Rp.1.036.00
Rp.916.000 17 Urine LKP 47
0
Rp.4.564.00 SGOT ( AST Rp.3.629.50
18 197
0 ) 0
Rp.4.515.00 SGPT Rp.3.629.50
19 197
0 ( ALT ) 0
Rp.5.686.00 Rp.4.709.00
20 BUN 226
0 0
Rp.5.686.00 Creatinin Rp.4.709.00
21 226
0 serum 0
Rp.1.773.00 Rp.1.480.00
22 Uric acid 94
0 0
Bleeding Rp.1.158.00
Rp.834.500 23 114
time 0
Clothing Rp.1.158.00
Rp.834.500 24 114
time 0
Rp.3.370.00 Rp.3.835.00
25 HBsAg rapid 106
0 0
Rp.5.850.00 Rp.7.500.00
26 Tes PICT 100
0 0

Rp.255.000 27 Protein urine 25 Rp.375.000

Sperma
Rp.300.000 28 4 Rp.300.000
( SA)
Rp.0 29 BTA 2 Rp.107.000
Bilirubin
Rp.126.000 30 5 Rp.105.000
Total
Bilirubin
Rp.126.000 31 5 Rp.105.000
Direck
Gula darah
Rp.180.000 32 16 Rp.240.000
puasa

Rp.97.000 33 Total protein 4 Rp.160.000

Rp.97.000 34 Albumin 4 Rp.100.000

Rp.0 35 Globulin 4 Rp.0
Patologi
Rp.1.350.00
36 Anatomi 1 Rp.600.000
0
Besar
Patologi
Rp.300.000 37 Anatomi 1 Rp.400.000
kecil
Cito ( diluar
Rp.240.000 38 7 Rp.280.000
jam kerja )
Rp.3.000 39 Needle 25 17 Rp.25.500
Rp.350.000 40 HDT 1 Rp.220.000
Rp.2.000 41 D 5 CC 1 Rp.2.000

Rp.53.500 42 PA Sedang 1 Rp.400.000

HCG /Tes
Rp.82.000 43 4 Rp.60.000
kehamilan
Paket
44 1 Rp.300.000
elektrolit
 IgM
45 1 Rp330.000
Toxoplasma

46 IgM Rubella 1 Rp.475.000

Rp.86.470.5
Total
00
 612000 694000 733000 2039000 128

1809000 2360000 2234500 6403500 3528

1272000 1161000 1210500 3643500 2429

65000 110000 70000 245000 24

1629000 2103000 1699000 5431000 149

30055000 27430000 29030000 86515000 1369

658000 944000 869000 2471000 94

397000 558000 358000 1313000 49

0 5

62000 31000 89000 182000 5

7219000 6707000 5964000 19890000 1270

1554000 460000 1400000 3414000 17

810500 490000 937000 2237500 62

870000 925000 1210000 3005000 291

3278000 3351000 2893000 9522000 358

45000 45000 178

672000 916000 1036000 2624000 124

4077500 4564000 3629000 12270500 656

4077500 4515000 3629500 12222000 654

5665000 5686000 4709000 16060000 758

5665000 5686000 4709000 16060000 758

1740000 1773000 1480000 4993000 317

1013500 834500 1158000 3006000 297

1013500 834500 1158000 3006000 297

2075000 3370000 3835000 9280000 277

5850000 5850000 7500000 19200000 256

495000 255000 375000 1125000 75

750000 300000 300000 1350000 18

235500 53000 107000 395500 7

324000 126000 105000 555000 26

324000 126000 105000 555000 26

135000 1800000 240000 2175000 37

337000 97000 160000 594000 14

272000 97000 100000 469000 17
0 14

575000

700000

360000 240000 280000 880000

3000 3000 25500 31500
900000
8000

800000

150000 82000 60000 1750000

600000
 292000

600000

300000
50000
220000
330000
475000

260808000