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Klinik Pratama
As - Salamah
Jl. Stadion No. 217 – Pamekasan
Telp. 0852 3628 9192
Email : klinikpratama.assalamah@gmail.com

PEMERIKSAAN LABORATORIUM

Nama : An. RAYHAN

Umur : 13 Th
Alamat : JL. DIRGAHAYU
JENIS PEMERIKSAAN
HEMATOLOGI KIMIA KLINIK

1. Hemoglobin 15.1 (L : 13,2-17,3 g/dl)

................ 1. GDS Sewaktu ................ (<115 mg/dl)
................ (P : 11,7-15,5 g/dl)
4.200 (4000-10.000 sel/ul) GDS 2 JAM PP ................ (<155 mg/dl)
2. Lekosit ................
3. Eritrosit 5.480.000 (L : 4,4-5,9 sel/ul)
................ 2. Urid Acid ................ (L : 3,0-7,0 mg/dl)
................ (P : 3,8-5,2 sel/ul) ................ (P : 3,0-6,0 mg/dl)
4. Hematokrit 40% (L : 40-52 %)
................ 3. Cholesterol ................ (<200 mg/dl)
................ (P : 35-47 %) 4. SGOT ................ (0-35 U/I)
5. Trombosit 122.000 (150.000-440.000sel/ul)
................ 5. SGPT ................ (0-37 U/I)
6. LED ... ............. (0-15 mm) 6. BUN ................ (10-24)
7. Creatinin ................ (0,5-1,5 mg/dl)
8. Trigliserida ................ (50-200 mg/dl)
IMONOLOGI URINALISA
1. WIDAL ................ (Negatif) 1. SG ................ (1.000)
a. O 1/400 (Negatif)
................ 2. pH ................ ( 5 )
b. H 1/400 (Negatif)
................ 3. Lekosit ................ (Neg)
c. PA 1/200 (Negatif)
................ 4. Nitrit ................ (Neg)
d. PB 1/200 (Negatif)
................ 5. Protein ................ (Neg)
2. Tes Kehamilan ................ (Negatif) 6. Glikose ................ (Neg)
3. Tes Golongan Darah ................ (Negatif) 7. Keton ................ (Neg)
4. Hbs Ag ................ (Negatif) 8. Urobilin ................ (Neg)
5. VDRL ................ (Negatif) 9. Bilirubin ................ (Neg)
6. HIV ................ (Negatif) 10.Eritrosit ................ (Neg)

IMONOLOGI Eri /LP

Leko /LP
1. BTA/Sputum
Epitel /LP
a. Sewaktu ................ (Negatif)
Kristal
b. Pagi ................ (Negatif)
Silinder Hyalin /LP
c. Sewaktu ................ (Negatif)
Silinder Eritrosit /LP
2. BTA/MH ................ (Negatif)
Silinder Leokosit /LP
Lain – lain

Pamekasan, 15 MEI 2022

DILA DWI PUTRI L, A.Md.Kes