PATHOLOGY

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MED.REC.NO : N187795 LAB.NO : 2108170087

DATE OF BIRTH : 19.10.1976 PATIENT : INDRA SUKINATA, TN ( M )
ROOM : POLI UMUM PHYSICIAN : LANNY WIDYANTO, DR
DIAGNOSIS : DATE : 17.08.2021 (10:14:38)
TEST RESULT
ASSAY RESULT REFERENCE RANGE UNITS COMMENTS
HAEMATOLOGI
Haemoglobin 13.9 13.5 - 18.0 g/dl
ESR 25 * 0 - 10 mm/hour
WBC 6,800 5,000 - 10,000 /ul
DIFFERENTIAL
COUNTING
Basophil 0 0-1 %
Eosinophil 2 1-3 %
Stab 0 * 2-6 %
Segmen 64 50 - 70 %
Lymphocyte 26 21 - 40 %
Monocyte 8 2-8 %
Haematocrit 41 * 42 - 52 vol%
PLT 238,000 150,000 - 450,000 /ul
RBC 4.66 * 4.70 - 6.00 M/ul
ERYTHROCYTE INDEX
MCV 88 78 - 100 fl
MCH 30 27 - 31 pg
MCHC 34 32 - 36 g/dl
HAEMOSTASIS
D-Dimer 0.26 <0.5 ug/mL
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 PATHOLOGY
Print Out : 17.08.2021 (14:11:53) Page. 2

MED.REC.NO : N187795 LAB.NO : 2108170087

DATE OF BIRTH : 19.10.1976 PATIENT : INDRA SUKINATA, TN ( M )
ROOM : POLI UMUM PHYSICIAN : LANNY WIDYANTO, DR
DIAGNOSIS : DATE : 17.08.2021 (10:14:38)
TEST RESULT
ASSAY RESULT REFERENCE RANGE UNITS COMMENTS
ALC 1,770 1,000 - 4,000 /ul
NLR 2.46 <3.13
CHEMISTRY
LIVER FUNCTION
AST 26 0 - 40 U/L
ALT 49 * 0 - 41 U/L
RENAL FUNCTION
Ureum 20.2 16.6 - 48.5 mg/dl
Creatinine 0.83 0.67 - 1.17 mg/dl
IMUNO - SEROLOGY
PROTEIN SPECIFIK
CRP Quantitative 4 0-5 mg/L
OTHER
Ab.SARS CoV2 Kuantitatif >250.00 U/ml
Speciment : BLOOD Approval : Fiqi Rizki M
Note : Date : 17.08.2021 (11:56:55)

# The resulting number using the decimal system with a separator dot (.) Is to use the results of thousands separator comma (,).
# Interpretation of the meaning of the results of laboratory tests can only be given by a doctor.

SD/F/LAB/11 Senyum, cinta, dan lakukan

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