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    This document summarizes the laboratory examination results for a patient named By. Adiba Afshin Meysa. It includes the patient's identification information, doctor and laboratory details, and the results of a neonatal TSH program test. The TSH level was measured at 1.40 micro units/mL, which is within the negative/normal reference range of below 9 micro units/mL. The results were verified by the laboratory director Dr. Hartono. This document has been electronically validated according to the hospital's standards.

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    This document summarizes the laboratory examination results for a patient named By. Adiba Afshin Meysa. It includes the patient's identification information, doctor and laboratory details, and the results of a neonatal TSH program test. The TSH level was measured at 1.40 micro units/mL, which is within the negative/normal reference range of below 9 micro units/mL. The results were verified by the laboratory director Dr. Hartono. This document has been electronically validated according to the hospital's standards.

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    © All Rights Reserved
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    8 views1 page

    Hasil Pemeriksaan Rujukan

    Uploaded by

    keselamatan pasien
    This document summarizes the laboratory examination results for a patient named By. Adiba Afshin Meysa. It includes the patient's identification information, doctor and laboratory details, and the results of a neonatal TSH program test. The TSH level was measured at 1.40 micro units/mL, which is within the negative/normal reference range of below 9 micro units/mL. The results were verified by the laboratory director Dr. Hartono. This document has been electronically validated according to the hospital's standards.

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    © All Rights Reserved
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    INSTALASI LABORATORIUM SENTRAL

    HASIL PEMERIKSAAN LABORATORIUM


    Laboratory Examination Results

    NAMA PASIEN : By. Adiba Afshin Meysa (p) NAMA DOKTER : dr.Ekasari Meynar K.S
    Patient's Name Doctor Name

    NIK : - TGL. ORDER : 15-05-2023 11:10:06


    ID Number Order Date

    TANGGAL LAHIR : 24-05-2023 (00 Tahun) TGL. SAMPEL DITERIMA : 24-05-2023 09:01:33


    Date of Birth Sample Date Received

    ALAMAT : Dsn.Beweh 07/04 Ds.Ngogri DPJTM : Dr. HARTONO, dr., Sp.PK.,


    Address Kec.Megaluh DPJTM MQIH.
    NO. TELEPON : 85645131619 TGL. VALIDASI : 24-05-2023 13:22:03
    Phone Number Validation Date

    SID : PK20230524037
    a

      JENIS   NILAI  
    NO. PEMERIKSAAN HASIL RUJUKAN KETERANGAN
    Number Checking Type Result Reference Value Description

    1 NEONATAL TSH 1,40 NEGATIF:<9, -


    PROGRAM INDETERMINTE:
    9-18, POSITIF:
    >18 mikro
    unit/mL

    Diverifikasi oleh DPJTM : Dr. HARTONO, dr., Sp.PK.,


    Verified by DPJTM   MQIH.

    NIP : 195905311986111001
    Employee Identification
    Number  

    a
    Dokumen ini sah dan telah divalidasi secara sistem elektronik sesuai SK Direktur Utama No.
    188.4/11483/301/2020
    This document is valid and has been electronically validated in accordance with the President Director's Decree No.
    188.4/11483/301/2020

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