REKAPITULASI DATA MASTER LABORATORIUM

Puskesmas : Muntok
Jenis :

NO Item Pemeriksaan Nilai Normal Satuan Tarif (Rp)

Darah Rutin
Hemoglobin (HB) (L : 13 - 18) (P : 11 - 16) gr% 10,000
Hematokrit (Hct) (L : 40 - 50) (P : 37 - 43) % 15,000
Hitung Eritrosit (RBC) (L : 4.5 - 5.5) (P : 4 - 5) jt/mm3 15,000
MCV 82 - 92 /u3
MCH 27 - 31 pg
MCHC 32 - 36 %
RDW 42278 H%
Hitung Trombosit (Pct) 150.000 - 400.000 mm3 15,000
MVP 6 - 11 µm 3

PDW 10 - 18 %
Hitung Leokosit (WBC) 4.000 - 10.000 mm3 15,000
Neutrofil 50 - 70 %
Lymphosit 20 - 40 %
Monosit 2-8 %
Eosin 1-3 %
Basofil 0-1 %
Golongan Darah A, B, AB, O 15,000

Urinalisa/Urin Rutin 15,000

Leukocytes Negatif Cells/µL
Nitrite Negatif
Urobulinogen 3.2 - 16 µmol/L
Protein Negatif g/L
pH 5-7
Blood Negatif Cells/µL
Specifi Gravity 1.000 - 1.015
Ketone Negatif mmol/L
Bilirubin Negatif mmol/L
Glucose Negatif
Tes Kehamilan 15,000

Kinis Klinik
Glokosa puasa/Nuchter (N) 80 - 100 mg/dl 20,000
2 jam post prandial (PP) < 150 mg/dl
Glokosa sewaktu (GDS) < 200 mg/dl
Asam Urat (AU) 3 - 6.5 mg/dl 20,000
Trigliserida(tg) 60 - 150 mg/dl 35,000
Kolesterol Total (Chol) 150 - 200 mg/dl 18,000

Mikroba & Parasit

BTA SPUTUM = Mycobacterium Tuberculosis Negative Cells/µL 15,000
Malaria Negative Cells/µL 15,000

Imunologi
Salmonella Typhi O Negative Cells/µL
Salmonella Typhi H Negative Cells/µL
WIDAL TEST Salmonella Paratyphi AO Negative Cells/µL
Salmonella Paratyphi BO Negative Cells/µL 15,000
 NO Item Pemeriksaan Nilai Normal Satuan Tarif (Rp)
Salmonella Paratyphi CO Negative Cells/µL
Salmonella Paratyphi AH Negative Cells/µL
Salmonella Paratyphi BH Negative Cells/µL
Salmonella Paratyphi CH Negative Cells/µL
Anti HIV-1 Non Reaktif Cells/µL GRATIS
Anti HIV-2 & 3 Non Reaktif Cells/µL
Dengue Test Antigen Dengue/DBD(NS 1) Non Reaktif Cells/µL 125,000
Syphilis Non Reaktif Cells/µL GRATIS
HBsAg Non Reaktif Cells/µL 15,000
 REKAPITULASI DATA MASTER LABORATORIUM

Klinik : INFOKES

Jenis :

NO Item Pemeriksaan Nilai Normal Satuan Tarif (Rp)

LED 5,000
Darah Rutin 50,000
HB Sahli 10,000
Malaria Mikroskopis 15,000
Golongan Darah 15,000
Gula Darah 20,000
Gula Darah Puasa 20,000
Asam Urat Darah 20,000
Kolesterol 18,000
Urin Stik 20,000
Test Widal 15,000
Test Kehamilan 15,000
Trigliseride 35,000
Dengue Test 125,000
Doopler 10,000
Eritrosit 15,000
Lekosit 15,000
Retikulosit 15,000
Hitung Jenis Leukosit 15,000
Trombosit 15,000
Eosinofil 15,000
Malaria 15,000
Ureum Urin 15,000
Urin Rutin 15,000
Feses Rutin 15,000
HBS Ag 15,000
BTA/ Sputum 15,000

CONTOH
Hemoglobin 11,50 - 16,0 g% 25,000