HASIL PEMERIKSAAN LABORATORIUM

No. Transaksi : 103P221107395 Asal Ruangan : Rawat Jalan

Transaction No. Ordering Location
No. R.M : 1030429992 Tgl. Sampling : 07/11/2022
Medical Record Collection Date
Number
Nama Pasien : Nn. Atiqa Lutfiah (P) Jam Sampling : 18:37
Patient Name Collection Time
Tgl. Lahir/Umur : 09/12/1998/ 23 Thn 10 Bln Tgl. Hasil : 07/11/2022
Date of Birth / Age Result Date
Dokter Pengirim : dr. Ika Fitriana, Sp.PD-KGER Jam Hasil : 20:44
Ordered Doctor Result Time

Pemeriksaan Hasil Nilai Normal Satuan Keterangan

Investigation Result Normal Range Unit Comments

Hematologi Rutin-1

Hemoglobin 9.1 L 11.7-15.5 g/dl

Hematokrit 27.6 L 35.0-47.0 %

Leukosit 2.37 L 3.6-11.0 10^3/uL

Trombosit 176 150.0-350.0 10^3/uL

dr. Agustine Matatula, Sp.PK Yuli Vidiastuti

Dokter Spesialis Patologi Klinik Analis

Penanggung Jawab:

dr. Agustine Matatula, Sp.PK , Dr. dr. Demak Lumban Tobing, Sp.PK

User Ny. Yuli Vidiastuti, 003150314 Dicetak 07/11/2022 20:44

Page 1 of 1
 HASIL PEMERIKSAAN LABORATORIUM

No. Transaksi : 103P221107394 Asal Ruangan : Rawat Jalan

Transaction No. Ordering Location
No. R.M : 1030429992 Tgl. Sampling : 07/11/2022
Medical Record Collection Date
Number
Nama Pasien : Nn. Atiqa Lutfiah (P) Jam Sampling : 18:37
Patient Name Collection Time
Tgl. Lahir/Umur : 09/12/1998/ 23 Thn 10 Bln Tgl. Hasil : 07/11/2022
Date of Birth / Age Result Date
Dokter Pengirim : dr. Ika Fitriana, Sp.PD-KGER Jam Hasil : 20:44
Ordered Doctor Result Time

Pemeriksaan Hasil Nilai Normal Satuan Keterangan

Investigation Result Normal Range Unit Comments

Bilirubin Total - LI 2.70 H 0.1-1.0 mg/dl

dr. Agustine Matatula, Sp.PK Yuli Vidiastuti

Dokter Spesialis Patologi Klinik Analis

Penanggung Jawab:

dr. Agustine Matatula, Sp.PK , Dr. dr. Demak Lumban Tobing, Sp.PK

User Ny. Yuli Vidiastuti, 003150314 Dicetak 07/11/2022 20:44

Page 1 of 1