Jam Jam

No Tanggal No. Register Lab Nama NIK/BPJS Tgl Lahir Umur (Th) JK
masuk selesai

1 2/1/2023 001/2/LANSIA RIYANSYAH 6371030901560008 1/9/1956 67 L

2 2/1/2023 002/2/KIA MONIKA S 6371036511990007 11/26/1999 23 P
3 2/1/2023 003/2/KIA ARIDA MARIANI 6371348039800002 03/08/1998 25 P
4 2/1/2023 004/2/LANSIA MARITI 6371035401680001 01/14/1968 55 P
5 2/1/2023 005/2/Catin RUKMA ABDIYAH 6371035103960002 3/11/1996 27 P
6 2/1/2023 006/2/GIGI RUSMAWATI 6371034603970005 3/6/1997 26 P
7 2/1/2023 007/2/KIA RAUDHAH 6371036603970001 03/26/1997 26 P
8 2/1/2023 008/2/LANSIA SARMIDAH 6371034910660008 10/9/1966 56 P
9 2/1/2023 009/2/KIA NINA FITRIANA 6371036803930001 3/28/1993 30 P
10 2/1/2023 010/2/KIA SITI RAHMAH 6371035420000008 01/21/2000 23 P
11 2/1/2023 011/2/KR LUKMAN NUR HAKIM A 6371032108900005 08/21/1990 32 L
12 3/1/2023 001/3/LANSIA FIRDA ROSALINDA 6371037011620004 11/30/1962 60 P
13 3/1/2023 002/3/KIA KARTIKA SARI 6371035109900005 9/11/1990 32 P
14 3/1/2023 003/3/ANAK ASYIFA 6371036007180002 7/26/2018 4 P
15 3/1/2023 004/3/KIA LUCIANA MAULIDYA 6371036040600010 06/24/2000 22 P
16 3/1/2023 005/3/UMUM SITI FARIADAH 6371371127000023 12/31/1997 25 P
17 3/1/2023 006/3/KIA HABIBAH 3527096007020001 7/20/2002 20 P
18 3/1/2023 007/3/UMUM (TB) JAMIATUR RAHMI 6371034811970008 11/8/1997 25 P
19 3/1/2023 008/3/KIA HAJARRIYAH 6207017008030003 8/30/2003 19 P
20 4/1/2023 08.15 001/4/UGD RISKI 6371032909110003 9/29/2011 11 L
21 4/1/2023 002/4/TB SUGIONO 6371031202660013 2/12/1966 57 L
22 4/1/2023 003/4/LANSIA HARINAH 6371034106630011 6/1/1963 59 P
23 4/1/2023 004/4/CATIN FITRIA 6371034311030003 11/3/2003 19 P
24 4/1/2023 005/4/TB MUNAWAR HALIL 6371032012750004 12/20/1975 47 L
25 4/1/2023 006/4/KIA SITI NAJENA 6371045607040004 7/16/2004 18 P
26 4/1/2023 007/4/ANAK AZKIA NURHAFIZA 6371055062200002 6/15/2022 0 P
27 4/1/2023 008/4/TB MASLIANI 6371036510890005 10/25/1989 33 P
28 4/1/2023 009/4/UMUM FIRYAL AKIFA ULFAIRA 6371034812130002 12/6/2013 9 P
29 4/1/2023 010/4/LANSIA NOOR HAYATI 6371045701810002 1/17/1981 42 P
30 4/1/2023 011/4/UMUM ENDANG MAULIANIE 6371024705620007 5/7/1982 41 P
31 4/1/2023 012/4/ANAK MAULIDIA 6371036110200006 10/21/2020 2 P
32 5/1/2023 08.20 11.00 001/5/UMUM SELVIA WULANDARI 6371034208940008 8/2/1994 28 P
33 5/1/2023 002/5/CATIN SIDAH 6371035604060006 4/16/2006 17 P
34 5/1/2023 003/5/LANSIA MISBAH 6371036008760008 8/20/1976 46 P
35 5/1/2023 004/5/LANSIA H. USMAN 6371032703520002 3/27/1952 71 L
36 5/1/2023 005/5/UMUM NIDA NASYWA ROYANA 6371044112040005 2/1/2004 18 P
37 5/1/2023 006/5/LANSIA NOOR HAINAH 6271034703650009 3/7/1965 58 P
38 5/1/2023 007/5/UMUM AKHMAD RIZALI 6371031006810006 6/10/1981 41 L
39 5/1/2023 008/5/LANSIA HELEN 6371034806720010 6/8/1972 50 P
40 5/1/2023 009/5/KIA SRI MURDIANA 6371034306990012 6/3/1999 23 P
41 5/1/2023 010/5/GIGI SITI HAMDANAH 6371036303580002 3/23/1958 72 P
42 5/1/2023 011/5/KIA NURJENNAH 6371034408800016 8/3/1980 42 P
43 5/1/2023 012/5/KIA WAHIDAH 6371034311883001 11/11/1983 39 P
44 06/1/2023 001/06/UMUM DANEEN NAULA - 3 P
45 06/1/2023 002/06/UMUM AHMAD DAFFA 0001275951431 - 9 L
46 06/1/2023 003/06/LANSIA ANANG ASMANI 6371030908750010 08/09/1975 47 L
47 06/1/2023 004/06/UMUM HIDAYATULLAH 6371032301150001 - 7 L
48 06/1/2023 006/06/LANSIA ANI DINI MARIANI 6371034610700005 6/10/1970 52 L
49 06/1/2023 007/06/LANSIA TUTI YARNI 6371361087400009 8/21/1974 48 P
50 07/01/2023 001/07/UMUM SYARIFUDDIN, HB 6371030711680008 11/07/1968 54 L
51 07/01/2023 002/07/KIA HERMAYANTI 6371035839000006 03/18/1990 33 P
52 9/1/2023 08.27 11.00 001/9/UMUM MEGA SARIAWTI 6371035106840006 6/11/1984 38 P
53 9/1/2023 002/9/UMUM NORHAYATI 6371036011850007 11/20/1985 37 P
54 9/1/2023 003/9/KIA SITI SUSILAWATI 6203125406930001 6/4/1993 29 P
55 9/1/2023 004/9/LANSIA ISNAWATI 6371034906750004 6/9/1975 47 P
56 9/1/2023 005/9/UMUM BAGUS SULAKSONO 6371031001800019 1/10/1980 43 L
57 9/1/2023 006/9/LANSIA AGUSTINAWATI 6372025408720006 8/14/1972 50 P
58 9/1/2023 007/9/LANSIA AIDAH 6371035006770011 6/10/1977 45 P
59 9/1/2023 008/9/CATIN NURHASANAH 6371037909010010 9/29/2001 21 P
60 9/1/2023 000/9/KIA MITMAINNAH 6371034101030011 1/1/2003 20 P
61 9/1/2023 010/9/LANSIA MISRAH 6371036607520007 7/16/1952 70 P
 Kimia Klinik Hematologi Widal
Alamat GDP/GDS Chol ig M & ig G HBSAg HIV HIV 2 HIV 3 Sipilis PP
AU TG HDL LDL Leu Hb Erit HCT goldar PLT LED H O AO BO CO Alb Red Bil Ket Blood
Dengue Test

JL. TANJUNG BERKAT RT. 14 93

Gg.FAMILY RT. 6 11.8 NR NG NG
JL. ANTASAN RADEN RT. 22 14.6 O NR NR NR NG NG
KOMP. ANAMAS RT. 24 101 176 3.2
Gg. PALANG MERAH RT. 31 14.2 AB NR
JL. TANJUNG BERKAT RT. 12 101
JL. TANJUNG BERKAT RT. 48
JL. ANTASAN RADEN RT. 22 234
Gg. BAKTI RT. 12 12.2 NG NG
Gg. KELUARGA RT. 14 14.4 NR NR NR NG NG
Gg. PENDAMAI RT. 9 REAKTIF
JL. AMPERA rt. 28 170
JL. ANTASAN RADEN RT. 21 14.4 A NR NR NR NG NG
JL. TANJUNG HARAPAN RT. 17 13.2
JL. TTD RT. 19 NG
JL. TTL RT. 1 72 199 4.5 331
Gg. PALANG MERAH RT. 29 15.6 O NR NR NR NG NG
JL. ANTASAN RADEN RT. 31 90 NR
JL. BAHAGIA RT. 8 13.8
JL. GARUDA V PERUMNAS BASIRIH RT. 11 4.9 11.7 4.54 31.7 B 207.000
JL. DAHLIA Gg. MJURNI RT. 27 121 NR
JL. TANJUNG HARAPAN RT. 11 300
JL. SEPAKAT RT. 5 11.9 O NR
JL. TTD RT. 27 123 NR
Gg. SA'ADAH RT 32 14.6 NR NR NR Ng Ng
KOMP. DPR Gg. V NO. 19 RT. 62 7.300 11.1 4.48 29.7 O 222.000 Neg Neg 1/80 Ng Ng
JL. TAMBANGAN RT. 001 KAB. BANJAR 104 NR
Gg. KELUARGA RT. 14 6.400 14.3 5.20 38.2 O 284.000 Neg Neg Neg 1/80 1/320
JL. TTL RT. 12 233 172 7.2 348
Gg. PALANG MERAH RT. 29 72 129 7.5 241
Gg. BAKTI RT. 12 10.1
JL. ANTASAN RADEN RT. 23 99 197 5.5
Gg. FAMILY RT. 6 14.5 O NR
JL. ANTASAN RADEN RT. 26 149
JL. SEPAKAT RT. 5 305
JL. PANGERAN 4.300 14.1 4.75 38.2 156.000 Neg 1/80 140 1/80 1/160
JL. TTD RT. 20 232 201 6.2
JL. DAHLIA Gg. BUDAYA RT. 34 107 80 8.1 90
JL. TANJUNG HARAPAN RT. 9 70 282 6.6 O
Gg. SA'ADAH RT. 5 11.1 NR NR NR Ng Ng
JL. ANTASAN RADEN RT. 31 91
Gg. SAFA'AT RT 12.0 O NR NR NR Pos Ng Ng
Gg. SEPAKAT RT. 5 Neg
JL. PRAMUKA KM. 6 13.800 12.1 4.05 31.9 274.000 NEG 1/160 1/80 NG 1/80
JL. ANTASAN RADEN RT. 20 6600 13.2 5.11 36.56 226.000 NEG 1/80 1/160 1/80 1/320
JL. TANJUNG BERKAT
JL. TTD RT. 5 KEL. TELUK TIRAM 12.100 12.4 5.18 31.7 192.000 NEG
JL. TANJUNG HARAPAN RT. 9 106 216 6.6
JL. TTL RT. 12 97 205 4.5
JL. RE MARTADINATA RT. 23
Gg. ABC RT. 13 10.8 NR NG NG
JL TANJUNG BERKAT RT. 17 81 188 6.4
Gg. PENDAMAI RT. 10 170
JL. TANJUNG HARAPAN RT. 9 12.0 NR Ng Ng
JL. SEPAKAT UJUNG RT. 4 193
JL. TTD Gg. MU'ALIM RT. 2 95 278 8.6
JL. TTD RT. 23 86 217 4.4
JL. CEMPAKA SARI IV RT. 47 100 273 6.2 72 O
JL. TANJUNG BERKAT RT. 18 11.8
JL TTL RT. 1 15.2 B NR NR NR Ng Ng
JL. TTD Gg. BAKTI RT. 15 113 225 5.1
 Urinologi Feces Dll
Sisa Amoeba Rafid BTA KET
Nit Leu Bj Vol Warna Ep Er Leu Bak Sedimen KonsistensiBau Warna Mak Lendir Darah Pus Telor KeterangaSGOT SGPT UreumCreat CT BT DD Mal NAPZA covid
Jam

5 Menit 2,5

TCM
TCM
 Jam Jam
No Tanggal No. Register Lab Nama NIK/BPJS Tgl Lahir Umur (Th) JK
masuk selesai

1 01/02/2023 08.15 11.00 001/01/P EKA AYU PURNAMASARI 6371036501980008 7/25/1998 24 P

2 01/02/2023 002/01/P MARLIANA 6213055211840001 11/12/1984 38 P
3 01/02/2023 003/01/P NISA NAZMI 11/30/2002 20 P
4 01/02/2023 004/01/LANSIA BARLIAN 6371037112570049 12/31/1957 65 P
5 01/02/2023 005/01/TB RIDUANSYAH 6371032108550005 8/21/1955 66 L
6 01/02/2023 006/01/UMUM ARMASNYAH 6371032706840009 6/27/1984 38 L
7 01/02/2023 007/01/KIA FITRIA 6310016001050003 1/20/2003 20 P
8 01/02/2023 008/01/P M. RICKY ABDILLAH 6371010911000003 11/9/2000 22 L
9 01/02/2023 009/01/P MASITA 6371036501760010 1/25/1976 47 P
10 01/02/2023 010/01/KIA KHAIRINA 6371036308830008 8/23/1989 33 P
11 01/02/2023 011/01/P MUSLIMAH 6371036309020001 9/23/2002 20 P
12 01/02/2023 012/01/P JAMILAH 6371035604030004 4/16/2003 20 P
13 01/02/2023 013/01/P ELLIYANTI 6371034510000012 10/5/2000 22 P
14 01/02/2023 014/01/P JUMIATI 6371035008900006 08/10/1990 32 P
15 01/02/2023 015/01/P INTAN RAMADHAN 12/4/2000 22 P
16 1/2/2023 016/01/p MUHAMMAD ARSYAD 6371033009220001 9/30/2022 4 Bln L
17 1/2/2023 017/01/P VIVI YULISTIADI 6371036104000003 4/21/2000 23 P
18 02/02/2023 08.35 11.00 001/02/P IDRUS 6371032005660005 5/20/1966 57 L
19 02/02/2023 002/02/P ALDI 8/26/1961 61 L
20 02/02/2023 003/02/GIGI BANDI ARPAN 6371030405640008 5/4/1964 59 L
21 02/02/2023 004/02/P RIZKANSYAH 26 P
22 02/02/2023 005/02/KIA FITRIA Y 6371003590199009 1/19/1995 28 P
23 03/02/2023 08.15 10.00 001/3/P MILAWATI 6371036711990009 11/7/1999 23 P
24 03/02/2023 OO2/3/P MAULIDO RIZKY 6371032405010010 5/24/2001 22 L
25 03/02/2023 003/3/UMUM AHMAT ILHAM 6303023009920003 9/30/1992 30 L
26 03/02/2023 004/3/LANSIA NOR FARIDAH 6371036509740004 9/25/1974 48 P
27 03/02/2023 005/3/UMUM ERMA DESTIANI 6371034812950005 12/8/1995 27 P
28 03/02/2023 006/3/LANSIA HJ. RAHMAWATI 6372024302530005 2/3/1953 70 P
29 03/02/2023 007/3/KIA LISAWATI 3/10/1993 30 P
30 03/02/2023 008/3/KIA ANNISA 6371036110970004 10/21/1997 25 P
31 04/02/2023 001/04/LANSIA HALIMATUS SA'DIYAH 6371036347500004 4/23/1975 48 P
32 04/02/2023 002/04/UMUM ARIDHA QORY 6304146402110001 01/24/2011 28 P
33 04/02/2023 003/04/UMUM DIANA 6202087105790001 05/31/1979 43 P
34 04/02/2023 004/04/LANSIA NURSIDAH 6371035808750011 8/18/1975 47 P
35 04/02/2023 005/04/KIA/KR RAHMANSYAH 637103141104009 11/14/2004 18 L
36 04/02/2023 006/04/LANSIA SRI NURMIYANI 00013460255 10/8/1958 64 P
37 04/02/2023 007/04/KIA SYARIFAH HATIMAH 0000895419415 07/10/2002 20 P
38 04/02/2023 008/04/UMUM DIANA RIZKY UMUM 2/6/2007 16 P
39 04/02/2023 009/04/KIA DAHLIA 6372024409930002 09/04/1993 29 P
40 06/02/2023 08.00 001/06/KIA NAZWA ARNA SAPUTRI 6371034101060013 01/01/2006 17 P
41 06/02/2023 002/06/lansia MISBAH 6371036008760008 8/20/1976 46 P
42 06/02/2023 003/06/ANAK IRMA FAHRIYANI 6371035701180001 1/17/2018 5 P
43 06/02/2023 004/06/UMUM ARI AGUS WAHYUDI 6204050401900004 1/4/1990 33 L
44 06/02/2023 005/06/LANSIA RUSNAINI 6310036504660002 4/25/1966 57 P
45 06/02/2023 006/06/KIA SAMSIAH 6371035812010014 12/18/2001 21 P
46 06/02/2023 007/06/LANSIA HJ. RATNAWATI 6371035402570002 2/14/1957 66 P
47 06/02/2023 008/06/CATIN SITI FATIMAH 6371034708930011 08/07/1993 29 P
48 06/02/2023 009/06/LANSIA NOOR HAFNI 6303055301760009 1/13/1976 47 P
49 06/02/2023 010/06/KIA PUTRI MUNAWARAH 6371034407000005 07/04/2000 22 P
50 06/02/2023 011/06/UMUM LILI MAREYANI 6371034905880004 5/9/1988 35 P
51 06/02/2023 012/06/LANSIA SAPARUDIN 6371030603570001 3/6/1957 66 P
52 06/02/2023 013/06/KIA ELLIYANTI 6371034510000012 10/5/2000 22 P
53 06/02/2023 014/06/KIA MIRNA 6371034202920016 02/02/1992 31 P
54 06/02/2023 015/06/LANSIA MARLINA 6371034308750006 8/3/1975 47 P
55 06/02/2023 016/06/UMUM NEMAFRESHTA 11/21/2006 16 P
56 06/02/2023 017/06/TB M. RAJUDIN 63710309098500024 9/9/1985 37 L
57 06/02/2023 018/06/KIA RISKA SARI 6371035309950004 9/13/1995 27 P
58 06/02/2023 019/06/KIA FITRIANI 6371034201000001 1/2/2000 23 P
59 06/02/2023 020/16/UMUM PUTRI AMANDA 5/3/2006 17 P
60 06/02/2023 021/06/UMUM MUTIARA INDAH 4/14/2007 16 P
61 06/02/2023 12.30 022/06/KIA NOOR JENAH 6371036811890010 11/28/1989 33 P
 Kimia Klinik Hematologi Widal
Alamat GDP/GDS Chol ig M & ig G HBSAg HIV HIV 2 HIV 3 Sipilis PP
AU TG HDL LDL Leu Hb Erit HCT goldar PLT LED H O AO BO CO Alb Red Bil Ket Blood
Dengue Test

JL. ANTASAN RADEN RT. 20 118/ 144

JL. TTD Gg. SEPAKAT RT.2 76 178
JL. TANJUNG HARAPAN RT. 11 85 175
JL. BAHAGIA RT. 8 75 264 5.4 314 12.8
JL. TTD RT. 26
JL. TTD RT. 16 O NR
Gg. REFORMASI RT. 5 NG
JL. ANTASAN RADEN RT. 21 108 214
JL. DAHLIA GG BUDAYA RT. 28 79 186
JL. ANTASAN RADEN RT.23 NG
JL. BAHAGIA RT. 7 85 175
JL. BAHAGIA RT. 7 80 190 B
Gg. BAKTI RT. 16 NG
JL. KELAYAN A II RT. 19 POS
JL. TTD Gg. BUDAYA RT.8 106 206
JL. BAHAGIA RT. 8 12.9
JL. SIMPANG BELITUNG RT. 5 14.0
JL. TANJUNG BERKAT. 15 126 196
JL. TTD RT. 16 NO.3 77 178
JL. TTD RT. 16 219
JL. TEMBUS MANTUIL 92 209
JL. TTL RT. 12 Neg
JL. TTD Gg. PENDAMAI RT. 9 96 139
JL. SEPAKAT UJUNG RT. 5 70 216
Gg. BAKTI RT. 16 2.500 16.7 5.69 45.6 50.000
JL. ANTASAN RADEN RT. 22 74 218 3.7 288
JL. TANJUNG BERKAT. 15 12.5
JL. TTL RT. 12 246
JL. TTD RT. 14 14.3
Gg. ABC RT. 13 15.0 O NR NR NR Pos Ng Ng
JL. TANJUNG HARAPAN RT. 9 76 224 5.4 155
JL. TANJUNG HARAPAN RT. 5 O
JL. TANJUNG HARAPAN RT. 9 98 219 5.1
JL. ANTASAN RADENR RT. 31 240 355
JL. AMPERA RT. 28 REAKTIF
JL. SEPAKAT UJUNG RT. 5 70 172 5.8 172
JL. ANTASAN RADEN RT. 16 11.4 NG NG
JL. TT GG BUNGA A
GG BAKTI RT. 16 12.8 NR NR NR NG NG
JL. TANJUNG BERKAt RT. 16
JL. ANTASAN RADEN RT. 19 164
JL.. TTT Gg. BAKTI RT. 15 15700 11.3 4.61 31.2 488.000.
JL. TTD RT. 13 5100 8.4 3.90 24.9 272.000
JL. TANJUNG HARAPAN RT. 11 93 361 7.1 91
Gg. ABC RT. 13 14.4
GG PENDAMAI RT. 10 112 293 6.2 61
JL. RE MARTADINAT RT. 23 14.8 NG
JL. TTD RT. 26 12.0
GG II INDRAPURA RT. 20 16.1 NR NR NR POS NG NG
JL. TANJUNG BERKAT RT. 13 14.300 9.5 4.12 25.9 403.000 1/160 1/80 NG NG
JL. TANJUNG HARAPAN RT. 11 15.2
GG BAKTI RT. 16 NG
GG SAFAAT RT. 6 15.2 B NR NR NR NG NG
JL. BAHAGIA RT. 8 13.2
JL. TTD GG MUSYAWARAH A
JL. TTD RT. 12
JL. ANTASAN RADEN RT. 31 13.2 NR NR NR NG NG
JL. TANJUNG BERKAT RT. 18 11.0
Gg. BUNGA RT. 6 B
Gg. MUSAFIR RT. 29 O
JL. TTL RT. 12 12.3 O NR NR NR NG NG
 Urinologi Feces Dll
Sisa Amoeba Rafid BTA KET
Nit Leu Bj Vol Warna Ep Er Leu Bak Sedimen KonsistensiBau Warna Mak Lendir Darah Pus Telor KeterangaSGOT SGPT UreumCreat CT BT DD Mal NAPZA covid
Jam

BTA AP NEGATIF RUJUKAN rs Islam

49 56
TCM
 Jam Jam
No Tanggal No. Register Lab Nama NIK/BPJS Tgl Lahir Umur (Th) JK
masuk selesai

1 01/03/2023 009/28/UGD HERLIA ANNISA BPJS 30 30 P

2 01/03/2023 001/01/LANSIA RUSNAH 6371035202640009 2/12/1964 59 P
3 01/03/2023 002/01/TB NUR AKHMADI 6371032512700006 01/01/1970 53 L
4 01/03/2023 003/01/UMUM NITA NUSIANI 6371036008840011 8/20/1984 38 P
5 01/03/2023 004/01/KIA FITRIYANI 6371035304920005 4/13/1992 31 P
6 01/03/2023 005/01/LANSIA MASLIANI 6371034707036005 3/7/1960 63 P
7 01/03/2023 006/01/LANSIA MARDIANA 6371035011580003 11/1/1958 64 P
8 01/03/2023 007/01/UMUM SITI JAMIYAH 6371036412820005 12/24/1982 42 P
9 01/03/2023 008/01/KIA DEWI RIYATMI 6371035612970003 12/16/1997 25 P
10 01/03/2023 009/01/KIA ELLIYANI 6371037108970005 08/31/1997 23 P
11 01/03/2023 010/01/KIA AMELIA HASANAH 6304086703600002 3/27/2000 23 P
12 02/03/2023 001/02/LANSIA ALIANSYAH 6371031809610002 9/18/1961 61 L
13 02/03/2023 002/02/LANSIA WAGINAH 6371034711680005 11/9/1968 54 P
14 02/03/2023 003/02/LANSIA NORHAYATI 6371035008540008 8/10/1954 68 P
15 02/03/2023 004/02/KIA FITRIA 6371034705890006 5/7/1989 34 P
16 02/03/2023 005/02/LANSIA RAHIMAH 6371036102740005 49 P
17 02/03/2023 006/02/KIA MAULIDA SAFITRI 6371035105040004 4/11/2004 19 P
18 02/03/2023 007/02/KIA GINA MAULIANA S 63710354102920006 2/1/1992 31 P
19 02/03/2023 008/02/LANSIA MULIANI 6371036007640005 7/20/1964 58 P
20 02/03/2023 009/02/KIA ISNAWATI 6371034407960004 7/4/1996 26 P
21 02/03/2023 010/02/UMUM NORLIANA 6371035108960001 8/11/1996 26 P
22 03/03/2023 001/03/LANSIA SETIA NINGSIH 6371035103780009 3/11/1978 45 P
23 03/03/2023 002/03/LANSIA MARJENAH 6371034308740005 8/3/1974 48 P
24 03/03/2023 003/03/LANSIA ASRIFIN 6371311085400004 8/4/1954 68 L
25 03/03/2023 004/03/LANSIA MUTAWIYAH 55 P
26 03/03/2023 005/03/GIGI RUSDI 6371030305730013 5/8/1973 50 L
27 03/03/2023 006/03/UMUM SRI AULIA 6371036912960004 12/29/1996 26 P
28 03/03/2023 007/03/KIA SARAH 6371036+105830014 5/21/1983 70 P
29 03/03/2023 008/03/KIA YULIA ASTUTI 6371037009960005 9/30/1996 26 P
30 04/03/2023 001/04/LANSIA SYAHRUM 000192924421 10/18/1967 55 L
31 04/03/2023 002/04/UMUM RITA WAHYUDI 6371032701820006 1/27/1982 41 P
32 04/03/2023 003/04/LANSIA RITA YOHANA 6371035703770011 3/17/1977 46 P
33 04/03/2023 004/04/UMUM MAULIDA 6371037310112002 1/31/2012 11 P
34 04/03/2023 005/04/LANSIA SAROJO,SE 6371031807660003 7/18/1966 56 L
35 04/03/2023 006/04/UMUM YULIANI 6371034507810014 7/5/1981 41 P
36 04/03/2023 007/04/UMUM MULIANI 6371037005020006 5/30/2002 20 P
37 04/03/2023 008/04/ANAK RARA SYA'BANI 6304056803200001 3/28/2020 3 P
38 04/03/2023 009/04/UMUM WINDA 6371033470988001 9/7/1988 34 P
39 04/03/2023 010/04/GIGI M. RAIHAN 6371326120100006 12/26/2001 21 L
40 04/03/2023 011/04/UMUM FITRIAH 43 P
41 04/03/2023 012/04/UMUM SITI AMINAH ULLA 63710366606090001 6/26/2009 13 P
42 6/3/2023 08.25 08/35 001/06/LANSIA MISBAH 63710360087600008 8/20/1976 46 P
43 6/3/2023 002/06/KIA FATIMAH 63050642109700001 11/26/1998 24 P
44 6/3/2023 003/06/UMUM ABDUL HADI 63710033101920005 1/3/1992 31 L
45 6/3/2023 004/06/KIA SALASIAH 63010141119700001 11/1/1997 25 P
46 6/3/2023 005/06/LANSIA SYAIPIAH 6371035709710007 9/17/1971 51 P
47 6/3/2023 006/06/LANSIA TOTO SUHARYONO 6371031104710006 4/11/1971 52 L
48 6/3/2023 007/06/LANSIA NOOR HIDAYAH 6371036096400002 9/29/1964 58 P
49 6/3/2023 008/06/UMUM MUHAMMAD HAFIDZ 6371032303170004 3/23/2017 6 L
50 6/3/2023 009/06/LANSIA RAUDATUL NINDRIATI 1/20/1973 50 P
51 6/3/2023 010/06/LANSIA RUMI 6371035006660013 6/10/1966 56 P
52 6/3/2023 011/06/KIA CAMELIA 6371026711030007 11/27/2003 19 P
53 6/3/2023 012/06/KIA RAUDATUL JANNAH 6304056311040003 11/23/2004 18 P
54 6/3/2023 013/06/UMUM M. RIDHO MAULANA 6371032006120004 6/20/2012 10 L
55 6/3/2023 014/06/KIA AIDA THEZA 6371048312820003 12/23/1982 40 P
56 6/3/2023 015/06/LANSIA DRS. M. NATSIR 6371031712530005 12/17/1953 69 L
57 6/3/2023 016/06/KIA LUTVIYANTI 6371036007970009 7/20/1997 25 P
58 6/3/2023 017/06/KIA RICCA CEMPAKA WULANDARI 6307076104960003 14/21/1996 26 P
59 6/3/2023 018/06/GIGI NOR ASMI OKTAVIANI 6371035810990002 10/18/1999 23 P
60 07/03/2023 001/07/LANSIA NURHAYANI 6371036810680008 10/28/1968 54 P
61 07/03/2023 002/07/LANSIA MUHYAR 6371030101720027 1/1/972 51 L
 Kimia Klinik Hematologi Widal
Alamat GDP/GDS Chol ig M & ig G HBSAg HIV HIV 2 HIV 3 Sipilis PP
AU TG HDL LDL Leu Hb Erit HCT goldar PLT LED H O AO BO CO Alb Red Bil Ket Blood
Dengue Test

JL. TEMBUS MANTUIL 121 139 15.8

JL. TANJUNG BERKAT RT. 13 14.2
JL. BAHAGIA RT. 14 147 NR
JL. TTD RT. 12 12.0
JL. TANJUNG HARAPAN RT. 11 12.7 A NR NR NR POS +1 NG
GG ABC RT. 13 102 139 6.6 83
GG BAKTI RT. 15 128
JL. TANJUNG HARAPAN RT. 9 90 142 4.0 78
JL. TTL RT. 4 14.4 O NR
JL. SEPUJUNG RT. 11.1 NR NG NG
JL. ANTASAN RADEN RT. 20 15.8 O NR NR NR NG NG
JL. TANJUNG HARAPAN RT. 14 120 150 5.2 72 15.5
JL. RE MARTADINATA RT. 24 109 159 4.9 106 14.8
JL. TANJUNG BERKAT RT. 16 138 180 6.6 99
JL. TTD RT. 13 NG NG
TELAWANG RT. 21 NG NG NG NG NG
JL. TANJUNG BERKAT RT. 15 11.6 NG NG
JL. CEMPAKA 11.9 NR NG NG
JL. TANJUNG HARAPAN RT. 11 13.0
Gg. KELAURGA RT. 14 14.6 NR NR NR NG NG
JL. DAHLIA GG BUDAYA RT. 29 NG NG NG NG NG
JL. BAHAGIA RT. 14 98 148 3.2 82
JL. TANJUNG BERKAT RT. 15 93 171 4.3 140
JL. TANJUNG BERKAT RT. 9 88 151 7.6 280
JL. SOETOYO S RT. 20 89 186 5.1 137
JL. ANTASAN RADEN 141
Gg. BUNGA 11.3
GG BAKTI RT. 15 10.2 NG NG
JL. ANTASAN ARDEN RT. 25 NG
JL. BAHAGIA RT. 14 122
JL. TTD RT. 19 7.4
Gg PENDAMAI RT. 10 106 160 7.7 150
JL. TTD Gg. PENDAMAI RT. 10 6300 13.3 4.85 36.4 373.000 NG Jan-80 1/160 NG 1/320
JL. CEMPAKA SARI RT. 18 126
JL. ANTASAN RADEN 84 159 6.2 75
JL. ANTASAN RADEN RT. 22
JL. TTL RT. 22 21.400 12.0 4.63 32.1 250.000 POS 1NG NG NG NG
JL. TTD Gg. KELUAGA RT. 14 99 171
JL. TTD RT. 25 111
JENAMAS KALTENG 78 185 4.6 13.3
JL. ANTASAN RADEN RT. 24 3.000 15.3 5.35 42.5 50.000 IGM POS IGG NG 1/320 1/320 1/80 1/320
JL. ANTASAN RADEN RT. 26 159
Gg. BUDAYA RT. 30 9.0
JL. TANJUNG BERKAT RT. 13 11.3
JL. BANYIUR DALAM RT. 41 14.8 O NR NR Neg Pos Neg Neg
Gg. BAKTI RT. 11 252 183 5.9 90
Gg. BAKTI RT. 11 95 201 6.6 197
JL. SEPAKAT RT. 4 134 165 5.4 145
JL. TTD Gg. FAMILI RT. 6 8.600 11.4 4.01 28.6 374.000 Neg 1/80 1/160 1/80 1/80
JL. BEITUNG DARAT 152
Gg. HIDAYAH RT. 21 418
JL. DAHLIA Gg. BUDAYA RT. 32 15.4 O NR NR Neg Pos +3 Neg
Gg. II INDRAPURA RT. 20 Neg
Gg. II INDRAPURA RT. 20 103 7.200 12.6 5.41 64.4 239.000 1/80 1/160 Neg 1/160
Gg. EXPRESS RT. 25 +1 Neg
JL. AMPERA RT. 46 112 251
Gg. BAKTI RT. 15 14.8 O NR NR Neg Neg Neg
Gg. PROKLAMASI RT. 21 Neg +1
JL. TANJUNG HARAPAN RT. 11 109
JL. TTD RT. 9 95 380 4.8
Gg. DELTA RT. 1 410 323 7.8
 Urinologi Feces Dll
Sisa Amoeba Rafid SHK BTA KET
Nit Leu Bj Vol Warna Ep Er Leu Bak Sedimen KonsistensiBau Warna Mak Lendir Darah Pus Telor KeterangaSGOT SGPT UreumCreat CT BT DD Mal NAPZA covid
Jam

NG NG 1.015 7 KM 2/7 0/3 2/4 NG

NG NG 1.010 7K 3/5 1/3 4/6 NG

NG POS1 1.020 9 KUNING 4/6 3/8 2/8 NG NG

TCM???
 Jam Jam
No Tanggal No. Register Lab Nama NIK/BPJS Tgl Lahir Umur (Th) JK
masuk selesai

1 01/04/2023 08.10 08.35 001/01/UMUM M. RIZA SAFARI 6371031806960005 6/18/1996 26 L

2 01/04/2023 002/01/UMUM M. RENDRA ABDILAH 6371032208820007 8/22/1982 40 L
3 01/04/2023 003/01/UMUM AGUSTINA 6371035808020003 8/18/2002 20 P
4 01/04/2023 004/01/UMUM AKHMAD SYA'RANI 6371032705080007 5/27/2008 14 L
5 01/04/2023 005/01/KIA HERLINDA 6371036805920009 5/28/1992 30 P
6 01/04/2023 006/01/UMUM LISA 6371035512850002 12/15/1985 37 P
7 03/04/2023 08.10 001/03/LANSIA KUSNAWATI 6371036811740004 11/28/1974 48 P
8 03/04/2023 002/03/UMUM ZAIN FIRDAUS 6371022202010005 1/22/2001 22 L
9 03/04/2023 003/03/GIGI DEWI HARIANI 6371034511910003 11/30/1991 31 P
10 03/04/2023 004/03/UMUM AZKA SALSABILA 6372037003030003 3/30/2003 20 P
11 03/04/2023 005/03/KIA FITRIA SAHRIRAHMADANI 6371015211010006 11/12/2001 21 P
12 03/04/2023 006/03/LANSIA ULIN NIKMAH 6371035507770013 7/15/1977 45 P
13 03/04/2023 007/03/KIA JUMIATI 6371036808980007 8/28/1998 24 P
14 03/04/2023 008/03/GIGI HENDRA 6371032110800007 10/21/1980 42 L
15 03/04/2023 009/03/KIA RISDA 6371055507980006 7/15/1998 24 P
16 03/04/2023 010/03/KIA RITA MARIYANTI 6371036307020005 7/23/2002 20 P
17 03/04/2023 011/03/LANSIA KASIMAH 6371036012610003 12/20/1961 61 P
18 4/4/2023 08.15 08.35 001/04/UMUM NABAWI 6371030903020015 3/9/2002 21 L
19 4/4/2023 002/04/LANSIA HIDAYYAH 6371035303710008 3/13/1971 52 P
20 4/4/2023 003/04/UMUM M. SYAHDAN 6371032710950001 10/27/1995 27 L
21 4/4/2023 004/04/GIGI MASTORA 6371035508680005 8/15/1968 54 P
22 4/4/2023 005/04/UMUM RIZKY MAULANA 6371031505040002 5/15/2004 19 L
23 4/4/2023 006/04/LANSIA ALPIANSYAH 6371030808480009 8/8/1948 74 L
24 4/4/2023 007/04/UMUM SRI GUS SANTI 1371025308830005 8/13/1983 39 P
25 4/4/2023 008/04/GIGI RUSDIANA 6371037112700019 12/31/1970 52 P
26 4/4/2023 009/04/KIA DEWI RIYATMI 6371035612970003 12/16/1997 25 P
27 4/4/2023 010/04/LANSIA RAHMAWATI 6371034505680002 5/1/1968 55 P
28 5/4/2023 08.35 08.50 001/05/KIA PUTRI WAHYUNINGSIH 6371036211970011 11/22/1997 25 P
29 5/4/2023 002/05/UMUM JOKO HERMAWAN 6371033110970006 10/31/1997 25 L
30 5/4/2023 003/05/UMUM SITI AMINAH 6371036802180001 2/28/2018 5 P
31 5/4/2023 004/05/LANSIA MAIYATI 6371035005590012 5/10/1959 64 P
32 5/4/2023 005/05/UMUM RUDI 6371031510060011 10/15/2006 16 L
33 5/4/2023 006/05/KIA WAHDAH 6308034111990003 11/1/1999 23 P
34 5/4/2023 006/05/LANSIA ATIAH 6371035505710009 5/15/1971 52 P
35 6/4/2023 08.35 11.00 001/06/LANSIA MISBAH 6371036008760008 8/20/1976 46 P
36 6/4/2023 002/06/KIA CAMELIA 6371026711030007 11/27/2003 19 P
37 6/4/2023 003/06/UMUM MUHAMMAD RESTU MAULANA 6371036004050006 4/20/2005 18 L
38 6/4/2023 004/06/GIGI RUSDIANA 6371035003930009 3/10/1993 30 P
39 6/4/2023 005/06/KIA KOMARIAH 6371014505850034 5/5/1985 38 P
40 8/4/2023 08.45 11.00 001/08/LANSIA KHAIRUDDIN 6371052501550003 1/25/1955 68 L
41 8/4/2023 002/08/KIA NADIA PRADINI PUTRI 6371036802030012 2/28/2003 20 P
42 8/4/2023 003/08/UMUM LAMSI 6371030207820006 7/2/1982 40 L
43 8/4/2023 004/08/LANSIA MASTA 6371035002680010 2/10/1968 55 P
44 8/4/2023 005/08/LANSIA AHMAD JAIS 6371031111730006 11/11/1973 49 L
45 8/4/2023 006/08/LANSIA KATIYO 6371031010610012 10/10/1961 61 L
46 8/4/2023 007/08/KIA NADIA 6303014503020003 3/5/2002 21 P
47 10/4/2023 08.25 11.00 001/10/UMUM MISNAWATI 6371034507860020 7/5/1986 36 P
48 10/4/2023 002/10/LANSIA MUHYAR 6371030101720027 1/1/1972 51 L
49 10/4/2023 003/10/LANSIA JAILANI 6371010902610005 2/9/1961 62 L
50 10/4/2023 004/10/UMUM WAHYU RIZQI NUUROHIM 6371032911040007 11/29/2004 18 L
51 10/4/2023 005/10/LANSIA M. HUSNI 6371032312770002 12/23/1977 45 L
52 10/4/2023 006/10/UMUM RITA KESUMAWATI 6371026310840003 10/23/1984 38 P
53 10/4/2023 007/10/KIA NADIA SAFITRI 6371034601000008 1/6/2000 23 P
54 10/4/2023 008/10/LANSIA HJ. ISAM 6371025011540005 11/10/1954 68 P
55 11/04/2023 08.20 08.50 001/11/UMUM JAUZAA DZIKRA FAHREZA 6371032104120004 4/21/2012 11 L
56 11/04/2023 002/11/LANSIA M. AMIN 5206042601690001 3/26/1969 54 L
57 11/04/2023 003/11/KIA HIDAYATUS SHOLEHAH 6371034507970008 7/5/1997 25 P
58 11/04/2023 004/11/KIA PATIMAH 6305064210970001 11/26/1998 24 P
59 11/04/2023 005/11/KIA MARIYAH 6371035006910009 6/10/1991 31 P
60 11/04/2023 006/11/UMUM M. ADITYA 6371032706070003 6/27/2007 15 L
61 12/04/2023 08.25 08.35 001/12/UMUM MAIMUNAH 6371035106790010 6/11/1979 43 P
 Kimia Klinik Hematologi Widal
Alamat GDP/GDS Chol ig M & ig G HBSAg HIV HIV 2 HIV 3 Sipilis PP
AU TG HDL LDL Leu Hb Erit HCT goldar PLT LED H O AO BO CO Alb Red Bil Ket
Dengue Test

JL. TANJUNG BERKAT RT.16 14.500 15.5 5.10 42.1 361.000 1/320 1/80 Neg 1/320
JL. TANJUNG HARAPAN RT. 10 10.6
JL. TTD RT. 26 5.800 12.9 4.48 35.7 197.000 1/160 1/160 1/80 1/320
Gg. II INDRAPURA RT. 20 3.600 18.8 6.60 50.6 16.000 1/80 Neg 1/80 1/80
JL. SIMP. BELITUNG Gg. RAMA RT. 1 14.4 Pos Neg Neg
JL. AMPERA RT. 28 Neg Neg Neg Neg
JL. IR PHM NOOR RT. 46
JL. TTD RT. 13 94
JL. ANTASAN RADEN RT. 22 102
JL. AMPERA RT. 3 2.500 13.7 4.20 36.4 110.000
JL.TTD Gg. SETIA RT. 4 16.2 Pos
JL. DAHLIA RT. 31 76 176 5.9 77
Gg. SRIKATON RT. 6 11.5 Neg Neg
JL. TTD RT. 31 122
JL. TTD Gg. SETIA RT. 1 15.0 NR NR Neg Neg Neg
JL. TANJUNG BERKAT RT.15 14.4 NR NR Neg Neg Neg
JL. TTD Gg. PENDAMAI RT. 9 514 328 5.8
JL. TANJUNG HARAPAN RT. 11 Neg Neg Neg Neg
JL. TTD Gg. TIRAM 16 RT. 1 123 220 5.9 116
JL. BAHAGIA RT. 11
JL. AMPERA III UJUNG RT. 38 380
JL. TTD Gg. ABC RT. 13 A
JL. TTL RT. 12 87 205 7.1 131
JL. BEITUNG DARAT RT. 10 237 4.7
JL. TANJUNG HARAPAN RT. 11 143
JL. TTL RT. 4 Neg
JL. TTD RT. 1 104 243 5.1 13.8
JL. RE MARTADINATA RT. 24 10.5
Gg. MPH RT. 6 NR NR
JL. ANTASAN RADEN RT. 19 4.300 12.8 4.98 34.9 165.000 1/160 Neg Neg 1/320
JL. RE MARTADINATA RT. 24 100 150 5.2 102 Neg Neg Neg Neg
JL. SOETOYO S RT. 7 PELAMBUAN O
JL. TTL RT. 3 10.4
JL. SOETOYO S RT. 7 PELAMBUAN 192 238 5.7 O
JL. ANTASAN RADEN RT. 26 207 254 6.5 123
JL. DAHLIA Gg. BUDAYA RT. 32 Neg Neg
JL. SOETOYO S Gg. PURNAWIRAWAN RT. 12 B
JL. TANJUNG HARAPAN RT. 11 107
JL. ANTASAN RADEN RT. 23 8.6 NR NR Neg Neg Neg
JL. HKSN RT. 22 110 231 7.0 292
JL. SAKA PERMAI RT. 13 Neg
JL. TTD Gg. BAKTI RT. 12 AB
JL. SEPAKAT UJUNG RT. 27 9.6
JL. S. PARMAN Gg. NUSA INDAH RT. 4
JL. TTD RT. 13 95
JL. BAHAGIA RT. 9 12.9 A NR NR Neg Neg Neg
KOMP. ANAMAS RT. 24 199 4.2
Gg. DELTA RT. 1 522
Gg. H. MUNKIN RT. 14 196
JL. TTD RT. 10 TELAWANG B
JL. KUIN SELATAN RT. 6 16.8
JL. CEMPAKA SARI RT. 48 BASIRIH Neg Neg Neg Neg
JL. ANTASAN RADEN RT. 20 14.6 NR NR Neg Neg Neg
JL. JAFRI ZAM-ZAM RT. 19 103 +1 Neg Neg Neg
JL. TTD RT. 17 4.500 15.9 6.12 42.2 65.000 1/80 Neg Neg Neg
JL. TTD Gg. II INDRAPURA RT. 20 8.0
JL. TANJUNG BERKAT RT. 13 11.3
JL. DAHLIA Gg. BUDAYA RT. 30 8.7 Neg Neg
Gg. BAKTI RT. 11 13.6 B NR NR Neg Neg Neg
JL. TANJUNG BERKAT RT. 14
Gg. MPH RT. 3 143 12.5
 Urinologi Feces Dll
Sisa Amoeba Rafid SHK BTA KET
Blood Nit Leu Bj Vol Warna Ep Er Leu Bak Sedimen KonsistensiBau Warna Mak Lendir Darah Pus Telor KeterangaSGOT SGPT UreumCreat CT BT DD Mal NAPZA covid
Jam

Neg Neg +2 1.025 6 Ml Kuning 2/8 3/15 2/8 Neg Neg Neg
TCM??

Neg Neg Neg 1.015 6 Ml K. Muda 1/5 0/3 2/5 Neg Neg Neg

TCM??

+1 Neg +1 1.025 5 Ml Kuning 2/5 0/3 2/8 Neg Neg Neg

TCM??
Neg Neg +2 1.020 6 Ml Kuning 7/10 3/5 8/12 Pos Neg Neg

+3 +3 +3 1.025 5 Ml Kuning M 3/5 8/12 7/10 Pos Neg Neg

TCM??
 Jam Jam
No Tanggal No. Register Lab Nama NIK/BPJS Tgl Lahir Umur (Th) JK
masuk selesai

1 2/5/2023 001/02/KIA LAILI RAHMADAYANTI 637103645019800007 01/25/1998 25 P

2 2/5/2023 002/02/LANSIA ARBAINAH 6371034103580009 65 P
3 2/5/2023 003/02/KIA EKA MERDEKA WATI 6371036408870003 208/24/1984 #VALUE! P
4 2/5/2023 004/02/KIA APRIOLA 637103410950006 4/1/1995 28 P
5 2/5/2023 005/02/GIGI SARI HAPIPAH 6371036112830006 40 P
6 2/5/2023 006/02/LANSIA MUHYAR 63710301017200027 1/1/1972 51 L
7 2/5/2023 007/02/KIA DEA ALFISA 6304024106040001 6/1/2004 18 P
8 2/5/2023 008/02/POLI UMUM M. ZAILAINI 6371031601130002 1/16/2013 10 L
9 2/5/2023 009/02/LANSIA ABDUL WAHID 6371031806690003 53 L
10 2/5/2023 010/02/LANSIA MUDIKAH 63710345125400021 12/5/1954 68 P
11 2/5/2023 011/02/ANAK M. AUFAR RIZKI 1/23/2019 4 L
12 2/5/2023 013/02/KIA NUR HASANAH 637103690910010 9/29/2001 21 P
13 2/5/2023 014/02/LANSIA CHAIRUL 6371031111640005 11/11/1964 58 L
14 2/5/2023 015/02/KIA MARIATUL NISA 637102410690009 6/1/1990 32 P
15 2/5/2023 016/02/LANSIA SUPIATUN 637109111500005 72 P
16 2/5/2023 017/02/LANSIA SYARIFAH 6371012301190001 1/23/1969 54 P
17 2/5/2023 018/02/LANSIA MARKONAH 52 P
18 2/5/2023 019/02/CATIN NOVRILDA ROSA 27 P
19 2/5/2023 020/02/KIA RUMAINAH 6371036606830007 6/26/1983 39 P
20 2/5/2023 021/02/LANSIA SUPIAN NOOR 56 L
21 3/5/2023 001/03/LANSIA RITA KESUMAWATI BPJS P
22 3/5/2023 002/03/LANSIA RACHMANI 0000895486836 74 L
23 3/5/2023 003/03/LANSIA NUR SUHENI 6371034204710021 52 P
24 3/5/2023 004/03/UMUM SAYYID MUHAMMAD 0002590076709 26 L
25 3/5/2023 005/03/UMUM M. REDHA 0002053680366 40 L
26 3/5/2023 006/03/KIA LISDA AGUSTINA 6371035808980004 8/18/1998 24 P
27 3/5/2023 007/03/KIA SARAH 06/29/1996 26 P
28 3/5/2023 008/03/KIA NORHASANAH 000506557723 05/01/2006 17 P
29 3/5/2023 009/03/CATIN NORHALIDAH 63710354059900004 5/3/2021 2 P
30 3/5/2023 010/03/KIA DEWI MARDHIATI 10/13/1983 39 P
31 3/5/2023 011/03/;ANSIA SUHARNI 6371030107610224 7/1/1961 61 L
32 4/5/2023 001/04/LANSIA MASNIAH 6371034402740008 49 P
33 4/5/2024 002/04/UMUM ANSHOR 6371031104100004 4/11/2010 13 L
34 4/5/2025 003/04/KIA SUCI ARIYANI 6/4/2000 22 P
35 4/5/2026 004/04/UMUM ANNISA F 26 P
36 4/5/2027 005/04/LANSIA MISBAH 6371036008760008 46 P
37 4/5/2028 006/04/KIA RIZKI AULIA 6371035806980007 6/18/1998 24 P
38 4/5/2029 007/04/LANSIA HERLINA 6371035512770022 46 P
39 4/5/2030 008/04/KIA NORMAYA 6203045811980001 11/18/1998 24 P
40 4/5/2031 009/04/CATIN LENI LESTARY 6371036906020013 20 P
41 4/5/2032 010/04/KIA RAUDATUL JANNAH 6304056311040003 11/23/2004 18 P
42 5/5/2024 001/05/LANSIA NOORMINA 0000895769739 62 P
43 5/5/2025 002/05/LANSIA RIYANSYAH 637103091560008 67 L
44 5/5/2026 003/05/LANSIA FIDRIANA 6371034805730008 49 P
45 5/5/2027 004/05/GIGI MASLIAH 637103500780008 42 P
46 5/5/2028 005/05/KIA HOLILAH 6371034505860018 5/5/1986 37 P
47 5/5/2029 006/05/KIA LIS SOLEHAH 6371017005950005 5/30/1995 27 P
48 5/5/2030 007/05/GIGI RUSYAH 6371034902020008 21 P
49 5/5/2031 008/05/KIA HOLILAH 5/5/1986 37 P
50 5/5/2032 009/05/UMUM FITRIA WATI 6371036006850014 43 P
51 5/5/2033 010/05/UMUM M. MAULANA 6371031904160002 4/19/2016 7 L
52 5/5/2034 011/05/UMUM M. RAYYAN H 6371032307170003 5 L
53 6/5/2023 001/05/LANSIA PRIYO UTOMO 3510040708750007 45 L
54 6/5/2023 002/05/LANSIA MAJEDIANA 6371036107650013 57 P
55 6/5/2023 003/05/UMUM SUPATMA 6527065603860004 37 P
56 6/5/2023 004/05/LANSIA RUSMINI 6204369015700001 64 P
57 6/5/2023 005/05/UMUM JUMIATI 6371034403800012 43 P
58 6/5/2023 006/05/LANSIA BUDIMAN 6371032705770004 45 L
59 123
60 123
61 123
 Kimia Klinik Hematologi Widal
Alamat GDP/GDS Chol ig M & ig G HBSAg HIV HIV 2 HIV 3 Sipilis PP
AU TG HDL LDL Leu Hb Erit HCT goldar PLT LED H O AO BO CO Alb Red Bil Ket
Dengue Test

JL. TTD RT. 19 14.6 REAKTIF NR NR POS NG NG

JL. TTD GG ODI 110 257 4,8 156
GG. BAKTI RT.15 10,5 NR NR NR NG NG
GG. BAKTI RT.15 14,8 NR NR NR NG NG
GG. MUALIM RT.3 135
GG DELTA 303
JL ANTASAN RADEN RT 20 12,2 NR NR NR NG NG
JL. ATASAN RADEN RT. 31 5.100 4,64 33,1 247.000 1/160 NG NG NG
GG BAKTI 87 247 6 97
JL TELUK TIRAM DARAT 76 246 7,7 83
JL TTD GG. MELATI 12.400 12,9 5,16 34 54.000
JL. TANJUNG BERKAT RT.18 12,5 NR NR NR NG NG
GG. ABC 66 181 6,7 58
JL BELTUNG DARAT 12,9 NR NR NR NG NG
JL. DAHLIA 144
JL MUSYAWARAH 183 226 5,5 87
JL SEPAKAT 332
JL SURGI MUFTI 13,3 A
JL ANTASAN RADEN RT 23 9,2 NG NG
JL TTD 304 347 4,5
PUSKESMAS 77 243 3.0 62
GG BAKTI RT. 16 106 255 6.0 119
GG BAKTI LUPA
JL. BELITUNG DARAI 83 247 6.8 168
JL. TANJUNG HARAPAN 7.7
JL. TTD GG ABC 12.3
JL. TANJUNG BERKAT RT. 15 14.1 AB NR NR NR POS NG NG
JL. TTD GG BAKTI RT. 16 11.4 O NR NR NR NG NG
PELAMBUAN 9.6
RT. 23 NG
JL. TTD 127
GG.ABC 76 310 4,7 91 O
GG. MURNI 3.900 12,6 4,57 33,3 A 193 1/80 NG NG 1/160
JL. TTD GG. KELINCI 12,3 NR NR NR
JL. RAWASARI 5.500 14,4 4,85 39,2 1/160 1/80 NG NG
ANTASAN RADEN 210
JL. ANTASAN RADEN 12,3 NR NR NR
JL. ANTASAN RADEN 99 340 4,4 128
JL. SEPAKAT RT. 5 NG
JL. ANTASAN RADEN RT. 22 12,1
GG. INDRAPURA RT.19 10,2 NR NR NR
TTL 199
TANJUNG BERKAT 7,0
GG. DAHLIA 68 261 3,0 80
SEPAKAT RT.04 155
GG. HIDAYAH 9,9
JL. ANTASAN RADEN RT. 23 11,0
TANJUNG HARAPAN RT.11 93
GG. HIDAYAH RT.15 9,9
TANJUNG BERKAT 94 169 4,2 70
JL. TTD RT.8 2.000 12,2 5,02 33,2
JL. TTD RT.10 10.900 12,5 4,20 33,5 1/80 NEG NEG NEG
JL. TANJUNG BERKAT 7600 16.2 5.42 43.9 223.000
GG ODI 86 260 5.3 67
JL. TELUK TIRAM 62 255 4.5
JL. URBANUS MARTUCUB 108 531 95
JL. TANJUNG HARAPAN 84 238 4.1
JL. ANTASAN RADEN 7.2
 Urinologi Feces Dll
Sisa Amoeba Rafid SHK BTA KET
Blood Nit Leu Bj Vol Warna Ep Er Leu Bak Sedimen KonsistensiBau Warna Mak Lendir Darah Pus Telor KeterangaSGOT SGPT UreumCreat CT BT DD Mal NAPZA covid
Jam
 No Jenis Pemeriksaan JAN FEB
1 Hematolgi 146 137
2 Kimia Klinik 475 282
3 Urinalisa 46 50
4 Mikrobiologi dan Parasitologi 21 41
5 Imunologi 128 126
6 Tinja 0 0
Laki-laki
Perempuan

Ket
Hematologi Hb, Goldar, , CT,BT, LED, dl 74 18
Kimia Klinik GDP,Chou Au TG, OT, PT 67 48
Urinalisa Urin rutin, UL, Narkoba 37
Mikro+partasit BTA, Malaria, 18
Imuno HIV.HBSAg, Sipilis, PP test, rapid test covid, widal 19 19
Tinja FL

KEGITAN DALAM GEDUNG

BULAN HB GDP
NO
1 JANUARI 75 94
2 FEBRUARI 72 58
3 MARET 77 108
4 APRIL 65 56
5 MEI 88 99
6 JUNI 83 102
7 JULI 61 108
8 AGUSTUS 87 106
9 SEPTEMBER 93 90
10 OKTOBER 72 98
11 NOVEMBER 84 99
12 DESEMBER 93 98
JUMLAH 950 1116

tanggal koleseter
NO glukosa ol
1 8/2/2022 30
2 15/2/2022 10
 3 22/2/2022 19
4 2/3/2022 28
5 12/3/2022 16
6 19/3/2022 17
7 24/3/2022 15
8 5/4/2022 41
9 12/4/2022 30
10 20/4/2022 23
11 9/6/2022 28
12 11/6/2022 17
13 16/06/2022 17
14 23/6/2022 19
15 12/8/2022
16 19/7/2022
17 10/8/2022
18 3/9/2022 35
19 10/9/2022 17
20 27/9/2022 24 15
21 29/9/2022 25 25
22 4/10/2022
23 6/10/2022
24 10/2022 25
25 25/9/2022
26 30/11/2022 25 25
27 8/12/2022 26
28 10/12/2022 18
29 19/12/2022 31
30 26/12/2022 27
31 kel tt
32 bumil
33 kel tl
34 udang
35 ar
36 pos remaja
37 anak sekolah
38
39
40 jumlah 374 254
MAR APRIL MEI JUN JUL AGST SEPT OKT NOV DES
129 92
282 190
61 37
25 18
98 75
0 0

92
43 31 1 190
37
18
19 18 75
0

JLH
DARAH URIN FECES TOTAL KUNJUNG
RUTI RUTIN AN
12 45 0 226 194
3 37 0 170 158
0 57 0 242 212
0 51 1 173 148
0 63 0 250 204
0 45 0 230 210
0 45 0 214 192
0 71 0 264 236
25 8 0 216 261
21 37 0 228 277
17 42 0 242 233
24 55 0 270 244
102 556 1 2725 2569

Asam Hemogol
Urat obin hiv tb
29
36
24

29
24

24
25

22
2
17
5
5
6
200

114 277 57 0 1076

Total
504
1229
194
105
427
0
041 RAHMAWATI,. S.HUT BJM, 04/05/1980 6371034405800011 P JL. GOTONG ROYONG RT. 17 KEL. SUNGAI SIPAI 002/11/MCUHAJI DR. SUSANTI AGUSTINA - 11/03/2023 10.3 4.97

NO NAMA UMUR/ TTL NIK JK ALAMAT NO. LAB PENGIRIM NO. TELP TGL PERIKSA LEU ERY

0852.4636.8
001 HALIMATUS SA'DIAH BINTI JANI ISMAIL BABIRIK,12/05/1964 6371035205640009 P JL. ANTASAN RADEN RT. 31 KEL. TELUK TIRAM 001/20/MCUHAJI DR. SUSANTI AGUSTINA 790 20/02/2023 5.0 4.18

JL, CEMPAKA RAYA SIMP. KENANGA RT. 43 KEL. 0852.4733.8

002 YUNITAL GINA BINTI RACHMADI HASYIM BJM, 26/12/1981 6371036612810006 P TELAGA BIRU 002/20/MCUHAJI DR. SUSANTI AGUSTINA 183 20/02/2023 7.6 4.07
0831.4240.4
006 SADDAM HUSNI BIN ARDIANYAH BJM, 08/02/1991 6371030802910008 L JL. BANYIUR DALAM RT. 15 KEL. BASIRIH 003/21/MCUHAJI DR. SUSANTI AGUSTINA 653 21/02/2023 8.8 5.22
004 NOORJENAH BINTI NORDIANSYAH BJM, 07/10/1969 6371034710690018 P JL. TTD RT. 25 KEL. TELUK TIRAM 001/21/MCUHAJI DR. SUSANTI AGUSTINA - 21/02/2023 10.1 4.24
005 RUSMADIANYAH BIN SUPIAN AMUNTAI, 05/05/1965 6371030505650031 L JL. TTD RT. 25 KEL TELUK TIRAM 002/21/MCUHAJI DR. SUSANTI AGUSTINA - 21/02/2023 8.2 4.83
0831.4240.4
006 SADDAM HUSNI BIN ARDIANYAH BJM, 08/02/1991 6371030802910008 L JL. BANYIUR DALAM RT. 15 KEL. BASIRIH 003/21/MCUHAJI DR. SUSANTI AGUSTINA 653
0813.4936.4 21/02/2023 8.8 5.22
007 RUHILA MARTAPURA. 10/09/1969 6303035009690004 P JL. WIDAN SARI V RT. 4 KEL. TELAGA BIRU 004/21/MCUHAJI DR. SUSANTI AGUSTINA 711 21/02/2023 8.1 4.02
0813.4936.4
008 GUSTI NIRWANSYAH BIN GUSTI RAHMANSY BJM, 01/12/1967 6371030112670005 L JL. WIDAN SARI V RT. 4 KEL. TELAGA BIRU 005/21/MCUHAJI DR. SUSANTI AGUSTINA 711 21/02/2023 5.9 5.96
0821.5839.3
009 LATIFAH BINTI HELMI SEI TELAN MUARA, 11/06/19806304015106800002 P SEI. TELAN MUARA RT. 5 KEC. TABUNGANEN 006/21/MCUHAJI DR. SUSANTI AGUSTINA 323
0821.5829.3 21/02/2023 8.7 4.83
010 ARIFIN BIN SYAHRAN BANJAR, 07/12/1973 6304010712730002 L SEI. TELAN MUARA RT. 5 KEC. TABUNGANEN 007/21/MCUHAJI DR. SUSANTI AGUSTINA 323 21/02/2023 7.1 4.66
0821.07759.
011 NUR JANNAH AMUNTAI, 01/01/1955 6371034101550017 P JL. KUIN SELATAN RT. 17 KEL KUIN SELATAN 008/21/MCUHAJI DR. SUSANTI AGUSTINA 458 21/02/2023 7.4 3.52

012 AHDIANSYAH BIN H. AMAT BJM, 14/01/1963 6371031401630002 L JL. BANYIUR LUAR RT. 13 KEL. BASIRIH 009/21/MCUHAJI DR. SUSANTI AGUSTINA - 21/02/2023 6.9 4.35

013 SANIAH BJM, 05/01/1970 6371034501700013 P JL. BANYIUR LUAR RT. 13 KEL. BASIRIH 010/21/MCUHAJI DR. SUSANTI AGUSTINA - 21/02/2023 5.4 4.15
014 KARTINI BINTI DARMAWAN YUDA BJM, 27/07/1959 6371028707590001 P JL. BANYIUR RT. 12 KEL BASIRIH 001/22/MCUHAJI DR. SUSANTI AGUSTINA - 22/02/2023 7.7 3.75

015 BURHANI BIN RABIDIN BJM, 18/05/1958 6371032805580003 L JL. BANYIUR RT. 12 KEL BASIRIH 002/22/MCUHAJI DR. SUSANTI AGUSTINA 22/02/2023 8.8 4.81
016 GALUH BIN HAMID BJM, 10/01/1952 6371035001520003 P JL. BANYIUR RT. 12 KEL BASIRIH 003/22/MCUHAJI DR. SUSANTI AGUSTINA 22/02/2023 8.9 4.49

017 ANTUNG MUZZAKIR HSU, 07/02/1964 6371030702640005 L JL. BELITUNG DARAT RT. 17 KEL KUIN CERUCUK 004/22/MCUHAJI DR. SUSANTI AGUSTINA 22/02/2023 7.1 5.05

018 MUHAMMAD TAUFIK HIDAYAT BJM,17/08/1999 6371031708990007 L JL. BELITUNG DARAT RT. 17 KEL KUIN CERUCUK 005/22/MCUHAJI DR. SUSANTI AGUSTINA 22/02/2023 10.3 5.57

019 NURDIN BULU KUMBA, 12/07/1952 6371031207520007 L JL. YOS SUDARSO RT. 35 TELAGA BIRU 001/23/MCUHAJI DR. SUSANTI AGUSTINA 23/02/2023 8.3 4.64
020 NURSYAM BJM, 02/07/1959 6371034207590007 P JL. YOS SUDARSO RT. 35 TELAGA BIRU 002/23/MCUHAJI DR. SUSANTI AGUSTINA 23/02/2023 9.4 4.81

021 RIFQI WARDANI BJM, 19/06/1996 6371031906960005 L JL. CEMPAKA RAYA RT. 42 TELAGA BIRU 003/23/MCUHAJI DR. SUSANTI AGUSTINA - 23/02/2023 10.0 6.20
JL. SUTOYO KOMP. WILDAN RT. 2 KEL TELAGA
022 CHALISAH MUSPHYARITA BJM, 20/10/1962 6371036010620011 P BIRU 001/24/MCUHAJI DR. SUSANTI AGUSTINA - 24/02/2023 7.4 4.39
JL. SUTOYO KOMP. WILDAN RT. 2 KEL TELAGA
023 GT. YUHARI BUDIMAN BJM, 14/10/1953 6371031410530004 L BIRU 002/24/MCUHAJI DR. SUSANTI AGUSTINA - 24/02/2023 4.9 4.36
022 LILIANI BJM, 27/07/1963 6371036707630004 P JL. SEPAKAT RT. 5 KEL. TELUK TIRAM 003/24/MCUHAJI DR. SUSANTI AGUSTINA - 24/02/2023 7.5 4.67

025 RASIDI BJM, 04/04/1958 6371030404580004 L JL. SEPAKAT RT. 5 KEL. TELUK TIRAM 004/24/MCUHAJI DR. SUSANTI AGUSTINA - 24/02/2023 7.2 5.31

026 M. SHALEH BATOLA., 18/08/1968 63040410808680001 L ANJIR MUARA RT. 4 KEL. ANJIR MUARA 005/24/MCUHAJI DR. SUSANTI AGUSTINA - 24/02/2023 8.2 4.08
027 NORHASANAH ANJIR MUARA, 07/11/1974 6304044711740002 P ANJIR MUARA RT. 4 KEL. ANJIR MUARA 006/24/MCUHAJI DR. SUSANTI AGUSTINA - 24/02/2023 7.8 4.98
028 MEGA ARIYANI BANJARMASIN 01/05/1987 6371044101870009 P JL. INTAN SARI RT. 34 KEL BASIRIH 007/24/MCUHAJI DR. SUSANTI AGUSTINA - 24/02/2023 4.7 3.95

029 ADAM HIDAYAT BJM, 04/03/1991 63710344101870009 L JL. INTAN SARI RT. 34 KEL BASIRIH 008/24/MCUHAJI DR. SUSANTI AGUSTINA - 24/02/2023 6.4 5.03

030 HARUN T BJM, 03/04/1940 6371030304400005 L JL. TTD GG BAKTI RT. 11 KEL. TELAWANG 001/27/MCUHAJI DR. SUSANTI AGUSTINA - 27/02/2023 6.8 5.04

031 IRNAWATI PINDAHAN BARU, 01/07/1985 6303014107650060 P DESA SUNGAI MUSANG RT. 4 KEC. ALUH-ALUH 002/27/MCUHAJI DR. SUSANTI AGUSTINA - 27/02/2023 6.1 4.21
JL. BELITUNG DARAT RT. 16 KEL. BELITUNG
032 HAMDI HASAN BJM, 08/08/1969 6372052712570001 L UTARA 001/01/MCUHAJI DR. SUSANTI AGUSTINA - 01/03/2023 11.6 5.34

033 YUSMAN NEGARA, 08/03/1968 6371030803680008 L JL. KUIN SELATAN RT. 2 KEL.KUIN CERUCUK 001/03/MCUHAJI DR. SUSANTI AGUSTINA - 03/03/2023 7.8 4.50

034 AHMAD RIFA'I BIN YUSMAN BJM, 17/10/1999 6371031710990006 L JL. KUIN SELATAN RT. 2 KEL.KUIN CERUCUK 002/03/MCUHAJI DR. SUSANTI AGUSTINA - 03/03/2023 7.1 5.13
035 ARBAYAH AMUNTAI, 06/08/1958 6371034608580011 P JL. YOS SUDARSO RT. 22 KEL. TELAGA BIRU 003/03/MCUHAJI DR. SUSANTI AGUSTINA - 03/03/2023 7.3 4.55

036 JARNI BARABAI, 10/08/1963 637103100863003 L JL. CEMPAKA RAYA RT. 24 KEL. BASIRIH 004/03/MCUHAJI DR. SUSANTI AGUSTINA - 03/03/2023 9.0 4.62
037 NOORHIDAYATI BARABAI, 09/11/1972 6371034911720010 P JL. CEMPAKA RAYA RT. 24 KEL. BASIRIH 005/03/MCUHAJI DR. SUSANTI AGUSTINA - 03/03/2023 6.7 4.60
JL. CEMPAKA RAYA III NO. 151 RT. 042 TELAGA
038 ERNI ERAWATI HAJJAH BANJARMASIN, 24/11/1967 6371036411670005 P BIRU 001/06/MCU HAJI DR. SUSANTI AGUSTINA - 06/03/2023 8.8 4.96
JL. CEMPAKA RAYA III NO. 151 RT. 042 TELAGA
039 ANWAR. H BANJARMASIN, 06/06/1964 6371030606640005 L BIRU 002/06/MCUHAJI DR. SUSANTI AGUSTINA - 06/03/2023 11.7 3.73
040 NORZAKIAH, S.PD.HJ BJM, 12/08/1955 6371035208550009 P JL. T GG AMPERA RT. 46 KEL. BASIRIH 001/11/MCUHAJI DR. SUSANTI AGUSTINA - 11/03/2023 6.2 3.93

041 RAHMAWATI,. S.HUT BJM, 04/05/1980 6371034405800011 P JL. GOTONG ROYONG RT. 17 KEL. SUNGAI SIPAI 002/11/MCUHAJI DR. SUSANTI AGUSTINA - 11/03/2023 10.3 4.97
042 DR. SUSANTI AGUSTINA -
043 DR. SUSANTI AGUSTINA -
044 DR. SUSANTI AGUSTINA -
045 DR. SUSANTI AGUSTINA -
046 DR. SUSANTI AGUSTINA -
047 DR. SUSANTI AGUSTINA -
048 DR. SUSANTI AGUSTINA -
049 DR. SUSANTI AGUSTINA -
050 DR. SUSANTI AGUSTINA -
051 DR. SUSANTI AGUSTINA -
052 DR. SUSANTI AGUSTINA -
053 DR. SUSANTI AGUSTINA -
054 DR. SUSANTI AGUSTINA -
055 DR. SUSANTI AGUSTINA -
056 DR. SUSANTI AGUSTINA -
057 DR. SUSANTI AGUSTINA -
058 DR. SUSANTI AGUSTINA -
059 DR. SUSANTI AGUSTINA -
060 DR. SUSANTI AGUSTINA -
061 DR. SUSANTI AGUSTINA -
062 DR. SUSANTI AGUSTINA -
063 DR. SUSANTI AGUSTINA -
064 DR. SUSANTI AGUSTINA -
065
066
067
068
13.6 37.7 75.8 27.5 36.2 368 32.0 6.3 61.7 12.1 0.28 7.8 39.0 15 A 124 5.9 212 168 30 33 18 0.4 KUNING MUDA JERNIH 1.020 6.0

krestini
HB HT MCV MCH MCHC PLT LIMF MONO GRA RDW PCT MPV PDW LED GOLDA GDP AU chol TG SGOT SGPT ureum n warna Kejernihan BJ PH

12.3 34.4 82.3 29.4 35.7 202 28.2 0.4 8.1 11.7 0.17 8.8 11.6 50.0 A 129 4.6 169 81 47 49 31 0.7 KUN. MUDA JERNIH 1.010 5.5

12.2 33.4 82.0 30.1 36.7 317 28.8 6.2 65.6 11.0 0.25 7.8 10.2 23 O 77 4.0 140 170 58 56 34 0.58 KUN. MUDA JERNIH 1.015 6.0

15.7 44.6 85.4 30.1 35.2 349 27.3 7.1 65.6 11.8 0.25 7.3 9.6 50 O 87 3.7 218 196 46 44 31 0.8 KUNING MUDA JERNIH 1.020 6.0
12.5 33.7 79.5 29.5 37.1 344 43.5 8.1 48.4 11.9 0.30 8.7 11.1 100 B 104 4.2 271 232 42 32 41 1.3 KUNING JERNIH 1.025 5.0
14.4 40.2 83.1 29.9 36.0 268 33.5 7.9 58.6 11.2 0.21 8.1 10.5 30 A 92 3.0 235 259 33 30 52 1 KUNING MUDA AGAK KERUH 1.020 6.5

15.7 44.6 85.4 30.1 35.2 349 27.3 7.1 65.6 11.8 0.25 7.3 9.6 50 O 87 3.7 218 196 46 44 31 0.8 KUNING MUDA JERNIH 1.020 6.0
12.6 34.3 85.4 31.4 36.7 243 36.8 8 55.2 11 0.22 9.3 12.4 75 A 80 3.2 275 172 59 56 48 0.6 KUNING MUDA JERNIH 1010 6.5
13.9 40.7 68.4 23.4 34.2 163 26.2 7.3 66.5 15 0.16 9.8 13.1 13 A 93 4.0 202 187 28 30 28 1.2 KUNING JERNIH 1.020 6.0
14 38.5 79.5 29 36.5 361 29.1 6.3 64.6 12.0 0.30 8.4 11.0 42 O 81 3.8 214 192 37 36 34 0.9 KUNING JERNIH 1.020 5.0
13.6 36.7 78.6 29.1 37.0 291 33.9 6.2 59.9 11.2 0.22 7.6 10.0 18 B 83 4.5 155 234 46 40 36 0.7 KUNING JERNIH '1.015 6.0
9.3 27.2 77.3 26.5 34.2 348 29.0 7.4 63.6 13.6 0.24 7.1 9.3 110 B 75 3.6 109 218 23 20 25 1 KUNING MUDA JERNIH 1.015 6.0

12.9 35.8 82.3 29.6 36.0 382 30.7 6.5 62.8 10.7 0.29 7.7 10.0 30 O 86 4.1 186 298 41 47 23 0.6 KUNING JERNIH 1.020 6.0

12.0 33.4 80.5 29.0 36.0 248 27.1 4.6 68.3 12.0 0.17 7.0 9.3 20 O 111 5.0 312 227 28 25 19 0.9 KUNING MUDA AGAK KERUH 1.020 5.0
11.9 32.3 86.0 31.7 36.8 151 31.1 6.4 62.5 42.4 0.14 9.2 12.1 15 B 75 2.6 231 174 45 43 43 0.6 KUNING MUDA JERNIH 1.010 6.5

14.5 39.0 81.0 30.1 37.2 267 35.9 8.2 55.0 59.5 0.20 7.7 10.3 3 O 94 3 169 201 39 48 31 0.8 KUNING MUDA JERNIH 1.005 6.0
13.3 36.7 81.6 29.7 36.3 266 30.6 6.8 62.6 57.0 0.21 8.0 10.8 4 A 122 3.1 203 114 31 27 24 1.2 KUNING MUDA KERUH 1.020 5.0

14.8 41.0 81.2 29.4 36.2 217 36.3 8.3 55.4 59.1 0.17 8.1 10.5 3 O 108 5.6 142 120 31 27 51 0.9 KUNING JERNIH '1.020 6.5

16.0 43.8 78.6 28.7 36.5 286 28.2 6.2 65.6 56.6 0.19 6.6 9.0 5 O 85 3.8 219 184 153 159 24 0.7 KUNING MUDA JERNIH 1.025 6.0

13.1 36.8 79.3 28.2 35.6 244 11.0 4.2 84.8 60.3 0.18 7.6 9.8 6 A 105 5.9 215 83 28 29 49 0.7 KUNING JERNIH 1.005 7.0
14.7 40.0 83.2 30.6 36.7 191 29.1 5.4 65.5 59.8 0.18 9.6 12.4 4 B 76 4.9 186 95 27 26 32 0.4 KUNING JERNIH 1.015 6.5

15.9 43.5 70.1 25.6 36.5 251 24.8 6.1 69.1 49.4 0.20 8.0 10.4 3 O 96 6.7 178 178 43 44 21 0.9 KUNING JERNIH 1.025 6.0

13.1 35.2 80.1 29.9 37.3 334 17.6 6.8 75.6 12.0 0.28 8.6 11.3 45 B 81 3.0 188 87 37 32 24 0.5 KUNING MUDA JERNIH 1.020 6.5

13.2 36.7 84.2 30.4 36.0 178 33.6 7.4 59.0 12.6 0.14 8.0 10.6 25 O 84 3.3 259 110 48 44 35 0.8 KUNING MUDA JERNIH 1.015 6.0
13.1 37.6 80.3 28.0 34.9 311 28.2 7.3 64.5 12.0 0.26 8.6 11.4 9 B 96 2.3 178 86 91 87 49 0.7 KUNING TUA AGAK KERUH 1.025 6.5

15.7 43.6 82.2 26.6 35.9 263 32.6 8.5 59.9 11.4 0.21 8.2 10.7 15 O 87 3.1 206 128 33 38 34 1.0 KUNING MUDA JERNIH 1.020 6.0

13.6 39.2 96.0 33.4 34.7 255 18.2 4.8 77.0 11.7 0.19 7.7 10.1 4 B 96 4.2 213 162 40 35 40 1.4 KUNING JERNIH 1.020 6.5
12.6 35.2 70.5 25.2 35.8 263 35.5 6.3 58.2 11.2 0.23 8.9 12.0 6 O 97 3.6 155 96 36 40 35 0.4 KUNING MUDA JERNIH 1.015 6.5
12.1 33.3 84.3 30.7 36.4 221 30.0 6.8 63.2 11.2 0.16 7.3 9.6 23 0 79 2.9 148 70 29 32 25 0.7 KUNING MUDA JERNIH 1.015 6.0

15.6 42.3 84.1 31.0 36.8 219 29.6 6.3 64.1 11.1 0.18 8.5 11.2 8 0 74 4.0 121 116 44 41 32 1.1 KUNING JERNIH 1.020 7.0

15.1 42.7 84.8 30.0 35.4 147 25.4 6.3 68.3 11.9 0.12 8.7 11.7 6 O 83 5.0 198 136 46 39 27 1.0 KUNING TUA JERNIH 1.015 6.0

12.6 35.1 83.5 30.1 36.0 274 47.8 7.8 44.4 11.4 0.20 9.7 9.7 33 O 98 4.3 204 120 24 19 25 0.7 KUNING MUDA JERNIH 1.020 6.5

16.6 43.8 82.1 31.1 37.9 233 23.1 5.3 71.6 11.6 0.18 7.8 10.7 23 B 171 6.0 150 96 35 34 26 0.7 KUNING AGAK KERUH 1.005 5.0

13.8 37.6 83.6 30.7 36.7 289 23.9 5.0 71.1 11.6 0.21 7.4 9.7 27 0 107 6.3 203 180 42 39 33 0.6 KUING TUA KERUH 1.025 5.0

14.6 38.6 75.2 28.4 37.8 211 26.6 6.6 66.8 10.9 0.17 8.4 11.4 8 O 87 3.3 184 169 49 44 29 0.8 KUNING JERNIH 1.015 6.0
14.1 38.0 83.5 31.0 37.1 305 32.1 6.1 61.8 11.9 0.23 7.8 10.4 21 O 150 4.7 176 140 45 42 32 0.7 KUNING MUDA JERNIH 1.010 6.5

13.4 35.4 76.6 29.0 37.8 365 18.3 5.1 76.6 12.7 0.25 6.9 9.2 43 A 87 3.1 192 134 30 28 26 0.9 KUNING MUDA JERNIH 1.015 6.5
13.0 36.1 78.4 28.3 36.1 333 40.9 6.9 52.2 9.4 0.24 7.2 9.4 24 A 92 5.0 134 136 38 36 35 0.7 KUNING MUDA JERNIH 1.010 5.0

12.7 34.7 69.9 69.6 36.7 268 27.0 5.8 67.2 12.1 0.24 9.2 12.1 70 B 130 7.1 250 200 37 39 46 0.4 KUNING MUDA AGAK KERUH 1.020 5.0

10.8 28.1 75.4 28.9 38.3 545 30.0 6.3 63.7 11.9 0.36 6.7 37.8 43 O 95 5.6 132 80 28 29 38 0.6 KUNING JERNIH 1.020 6
12.4 32.9 83.6 31.5 37.6 246 30.4 5.7 63.9 11.0 0.17 7.0 38.9 9 O 207 6.2 258 180 37 39 29 0.6 KUNING MUDA JERNIH 1.015 5.0

13.6 37.7 75.8 27.5 36.2 368 32.0 6.3 61.7 12.1 0.28 7.8 39.0 15 A 124 5.9 212 168 30 33 18 0.4 KUNING MUDA JERNIH 1.020 6.0
 NEG NEG NEG NEG NEG NEG 1 NRG NEGATIF 0 1 Amoniak

PROT GLU NIT LEU blood KETON URO BIL PPT Basofil eosinofil Bau

NEG NEG NEG NEG NEG NEG 1 NEG NEGATIF 0 1 Amoniak

NEG NEG NEG NEG NEG NEG 1 NEG NEGATIF 0 2 Amoniak

TDK DI
NEG NEG NEG NEG NEG NEG 1 NEG PERIKSA 0 1 Amoniak
NEG NEG NEG NEG NEG NEG 1 NEG NEGATIF 0 1 Amoniak
TDK DI
NEG NEG NEG NEG NEG NEG 1 NEG PERIKSA 0 2 Amoniak
TDK DI
NEG NEG NEG NEG NEG NEG 1 NEG PERIKSA 0 1 Amoniak
NEG NEG NEG NEG NEG NEG 1 NEG NEGATIF 0 1 Amoniak
TDK DI
NEG NEG NEG NEG NEG NEG 1 NEG PERIKSA 0 1 Amoniak
NEG NEG NEG NEG NEG NEG 1 NEG NEGATIF
TDK DI 0 2 Amoniak
NEG NEG NEG NEG NEG NEG 1 NEG PERIKSA 0 1 Amoniak
NEG NEG NEG NEG NEG NEG 1 NEG NEGATIF 0 1 Amoniak 2 KALI DI PERIKSA GOLDAR NYA
TDK DI
NEG NEG NEG NEG NEG NEG 1 NEG PERIKSA 0 1 Amoniak
TDK DI
NEG NEG NEG NEG NEG NEG 1 NEG PERIKSA 0 1 Amoniak
NEG NEG NEG NEG NEG NEG 1 NEG NEGATIF 0 1 Amoniak
TDK DI
NEG NEG NEG NEG NEG NEG 1 NEG PERIKSA 0 2 Amoniak
NEG NEG NEG NEG NEG NEG 1 NEG NEGATIF 0 2 Amoniak
TDK DI
NEG NEG NEG NEG NEG NEG 1 NEG PERIKSA 0 1 Amoniak
TDK DI
NEG NEG NEG NEG NEG NEG 1 NEG PERIKSA 0 1 Amoniak
TDK DI
NEG NEG NEG NEG NEG NEG 1 NEG PERIKSA 0 2 Amoniak
NEG NEG NEG NEG NEG NEG 1 NEG NEGATIF 0 1 Amoniak
TDK DI
NEG NEG NEG NEG NEG NEG 1 NEG PERIKSA 0 1 Amoniak

NEG NEG NEG +1 POS NEG NEG 1 NG NEGATIF 0 1 Amoniak

TDK DI
NEG NEG NEG NEG NEG NEG 1 NEG PERIKSA 0 1 Amoniak
+1 POS NEG NEG NEG NEG NEG 2.0 +1 POS NEGATIF 0 2 Amoniak
TDK DI
NEG NEG NEG NEG NEG NEG NEG NEG PERIKSA 0 1 Amoniak
TDK DI
NEG NEG NEG NEG NEG NEG NEG NEG PERIKSA 0 2 Amoniak
 NEG NEG NEG NEG NEG NEG NEG NEG NEGATIF 0 2 Amoniak
NEG NEG NEG NEG NEG NEG NEG NEG NEGATIF 0 2 Amoniak
TDK DI
NEG NEG NEG NEG NEG NEG NEG NEG PERIKSA 0 2 Amoniak
TDK DI
NEG NEG NEG NEG NEG NEG 1 NEG PERIKSA 0 1 Amoniak

NEG NEG NEG +1 POS NEG NEG 1 NEG NEGATIF 0 1 Amoniak

TDK DI
+2 POS +2POS NEG NEG NEG NEG 1 NEG PERIKSA 0 2 Amoniak
TDK DI Sangat
+1 POS NEG NEG NEG NEG NEG 1 NEG PERIKSA 0 1 Amoniak
TDK DI
NEG NEG NEG NEG NEG +1 POS 1 NEG PERIKSA 0 1 Amoniak
NEG NEG NEG NEG NEG NEG 1 NEG NEGATIF 0 1 Amoniak
TDK DI
NEG NEG NEG NEG NEG NEG 1 NEG PERIKSA 0 2 Amoniak
NEG NEG NEG NEG NEG NEG 1 NEG NEGATIF 0 2 Amoniak

NEG NEG NEG NEG +1 NEG 1 NEG NEGATIF 0 2 Amoniak

TDK DI
+2 NEG NEG NEG NEG NEG 2 NEG PERIKSA 0 2 Amoniak
NEG NEG NEG NEG NEG NEG 1 NEG NEGATIF 0 1 Amoniak

NEG NEG NEG NEG NEG NEG 1 NRG NEGATIF 0 1 Amoniak

 PEMERINTAH KOTA BANJARMASIN
DINAS KESEHATAN
PUSKESMAS TELUK TIRAM
Jl. Teluk Tira Darat Rt. 13 No. 208 Telp. (0511) 3363260
Kelurahan Teluk Tiram Kec. Banjarmasin Barat, 70113

Nama : RAHMAWATI,. S.HUT Nomor Laboratorium : 002/11/MCUHAJI

Umur/ TTL : BJM, 04/05/1980 Pengirim : DR. SUSANTI AGUSTINA

Jenis Kelamin : P No. Telepon : -
: JL. GOTONG ROYONG RT. 17 KEL.
Alamat SUNGAI SIPAI Tanggal Pemeriksaan : 11/03/2023

HASIL PEMERIKSAAN LABORATORIUM

HEMATOLOGI KIMIA KLINIK

PARAMETER HASIL SATUAN NILAI RUJUKAN PARAMETER HASIL SATUAN NILA RUJUKAN
- Leukosit 10.3 K/ul 4.5 - 11.0 Glukosa Darah Puasa 124 Mg/dl 75-110
- Eritrosit 4.97 M/ul 4.6 - 6.1 Glukosa Darah Sewaktu TDK DIPERIKSA Mg/dl < 200

13.6 L : 14,0 - 18,0 <200

- Hemoglobin g/dl P : 12,0 - 16,0 Total Kolesterol 212 Mg/dl
L : 40 - 48 L=3.4-7.0
37.7
- Hematokrit % P : 37 - 46 Asam Urat 5.9 Mg/dl P =2.4-5.7
- MCV 75.8 fl 85 - 97 Trigliserida 168 Mg/dl < 150
- MCH 27.5 pg 27 - 31 Ureum 18 Mg/dl 10-50
- MCHC 36.2 g/dl 31,8 - 35,4 Kreatinin 0.4 Mg/dl 0.5-1.5
- Trombosit 368 K/ul 140 - 400 SGOT/AST 30 U/I 25-37
- Limfosit 32.0 % 11,0 - 49,0 SGPT/ALT 33 U/I 22-45
- Monosit 6.3 % 0,0 - 9,0
- Granolusit 61.7 % 42,0 - 85,0
- RDW 12.1 % 11,5 - 14,5 IMUNO HEMATOLOGI/SEROLOGI
- PCT 0.28 % 0,10 - 1,00 PARAMETER HASIL SATUAN NILAI RUJUKAN
- MPV 7.8 fl 6,0 - 10,0 PP TEST NEGATIF - POS/NEG
- PDW 39.0 % 10,0 - 15,0 GOLONGAN DARAH A - A/B/O/AB
-LED 15 mm/jam L: 0-10 P:0-20
Basofil 0 % 0-1
Eosinofil 1 % 1-3 Catatan :
URINOLOGI
PARAMETER HASIL NILAI RUJUKAN
Warna KUNING MUDA Kuning Muda
Kekeruhan JERNIH Jernih
Bj 1.020 1.000-1.030
PH 6.0 5-8
Urobilinogen 1 0.1 - 1.0 mg/dl
Bilirubun NRG Negatif
Keton NEG Negatif
Blood NEG Negatif Banjarmasin,
Protein NEG Negatif DPJP Pemeriksa
Nitrite NEG Negatif
Leukosit NEG Negatif
Gukosa NEG Negatif
Bau Amoniak Amoniak (Pesing)
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