9/11/23, 6:07 PM Electronic Health Record

RSUPN DR CIPTO MANGUNKUSUMO

LABORATORIUM
DEPARTEMEN PATOLOGI KLINIK
SID / Waktu Order : 830911586 / 11 September 2023 16:01
SID / Order Datetime

Nama Pasien Bangsal/Poli

Patient Name
: IDA YULIANTI HJ Ward/Clinic
:
No. RM. Kamar
Medical Record Number
: 471-83-14 Room
:
Umur Jenis Kelamin
Age
: 68Y/2M/13D Sex
: Perempuan
Dokter
Doctor
: Pringgodigdo Nugroho, dr, SpPD, K-GH
Diagnosa
Diagnose
:

IDA YULIANTI HJ / 471-83-14 / 11 September 2023 16:01 / 830911586

Nama
No. Test Flag Hasil Satuan Nilai Rujukan Catatan
No. Test Flag Result Unit Normal Range Notes
Name

UREUM DARAH
1 UREUM D H 132.7 MG/DL 21 - 43
ARAH

SGPT (ALT)
1 SGPT (A 44 U/L 0.00 - 55.00
LT)
SGOT (AST)

1 SGOT (A H 48 U/L 5.00 - 34.00

ST)
PT
1 PASIEN 11.9 DETIK 11.6 - 14.5
2 KONTROL 14.2 DETIK
MAGNESIUM (MG) DARAH
1 MAGNESI L 1.53 MG/DL 1.60 - 2.60
UM (MG)
DARAH
ELEKTROLIT (NA, K, CL)
1 NATRIUM L 134 MEQ/L 136 - 145
(NA) D
ARAH
2 KALIUM 3.5 MEQ/L 3.5 - 5.1 PREMATUR <= 48 JAM 3-6 MMOL/L
(K) DAR 0 - 28 HARI 3.7 - 5.9 MMOL/L
AH 1 - 12 BULAN 4.1 - 5.3 MMOL/L
1 - 18 TAHUN 3.4 - 4.7 MMOL/L
> 18 TAHUN 3.5 - 5.1 MMOL/L
3 KLORIDA 98.5 MEQ/L 98.0 - 107.0
(CL) D
ARAH
EGFR
1 KREATIN H 7.10 MG/DL 0.55 - 1.02
IN DARA
H
2 EGFR L 5.4 ML/MIN 45 - 104 EPI - 2009
/1.73M^
2
3
DARAH PERIFER LENGKAP LED

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9/11/23, 6:07 PM Electronic Health Record
IDA YULIANTI HJ / 471-83-14 / 11 September 2023 16:01 / 830911586
Nama
No. Test Flag Hasil Satuan Nilai Rujukan Catatan
No. Test Flag Result Unit Normal Range Notes
Name
1 HEMOGLO L 11.9 G/DL 12.0 - 15.0
BIN
2 HEMATOK 36.0 % 36.0 - 46.0
RIT
3 ERITROS 3.96 10^6/ 3.80 - 4.80
IT µL
4 MCV/VER 90.9 FL 83.0 - 101.0
5 MCH/HER 30.1 PG 27.0 - 32.0
6 MCHC/KH 33.1 G/DL 31.5 - 34.5
ER
7 JUMLAH L 143 10^3/ 150 - 410
TROMBOS µL
IT
8 JUMLAH H 12.49 10^3/ 4.00 - 10.00
LEUKOSI µL
T
9 HITUNG
JENIS
10 BASOFIL 0.1 % 0 - 2
11 EOSINOF L 0.0 % 1 - 6
IL
12 NEUTROF H 95.0 % 40.0 - 80.0
IL
13 LIMFOSI L 3.0 % 20 - 40
T
14 MONOSIT L 1.9 % 2 - 10
15 SELISIH 0.0 %
16 LAJU EN 15 MM 0 - 20
DAP DAR
AH
17 NEUT. L
YMP. CO
UNT RAT
IO
18 NEUTROP H 11.87 10^3/ 1.70 - 7.50
HIL COU µL
NT
19 LYMPHOC L 0.37 10^3/ 1.00 - 3.20
YTE COU µL
NT
20 NLCR 32.08
URIN LENGKAP
1 WARNA * KUNING
KEMERAHAN
2 KEJERNI * AGAK JERNIH
HAN KERUH
3 SEDIMEN
4 LEUKOSI 5-6 /LPB 0 - 5
T
5 ERITROS >50 /LPB 0-2
IT
6 SILINDE NEGATIF NILAI RUJUKAN: 0-2/LPK, SILINDER HIALIN
R
7 SEL EPI 1+ NILAI RUJUKAN: +1 (ADA), SEL EPITEL GEPENG
TEL
8 KRISTAL NEGATIF NEGATIF
9 BAKTERI * POSITIF NEGATIF
A
10 LAIN- !
LAIN
11 BERAT J <=1.005 1.005 - 1.030
ENIS
12 PH 6.5 4.5 - 8.0

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IDA YULIANTI HJ / 471-83-14 / 11 September 2023 16:01 / 830911586
Nama
No. Test Flag Hasil Satuan Nilai Rujukan Catatan
No. Test Flag Result Unit Normal Range Notes
Name
13 ALBUMIN * 2+ NEGATIF
14 GLUKOSA NEGATIF NEGATIF
15 KETON NEGATIF NEGATIF
16 DARAH / * 3+ NEGATIF
HB
17 BILIRUB NEGATIF NEGATIF
IN
18 UROBILI 3.2 µMOL/L 3.2 - 16.0
NOGEN
19 NITRIT NEGATIF NEGATIF
20 LEUKOSI TRACE NEGATIF
T ESTER
ASE
KALSIUM (CA++) ION
1 KALSIUM L 1.00 MMOL/L 1.01 - 1.31
(CA++)
ION
KALSIUM (CA) DARAH
1 KALSIUM L 8.2 MG/DL 8.8 - 10.2
(CA) D
ARAH
2 KALSIUM L 1.00 MMOL/L 1.01 - 1.31
(CA++)
ION
APTT
1 PASIEN L 24.8 DETIK 28.6 - 41.6
2 KONTROL 30.7 DETIK
ALBUMIN
1 ALBUMIN 4.20 G/DL 3.20 - 4.60

Dokter Jaga:
Physician In Charge
DR. NINIK S, DMM,SPPK
DR. RILANO VIKTORISON SONDAKH UMBOH
11 September 2023 17:15

This is a computer generated report, no signature is required.

Print Datetime: 11 September 2023 18:07
Print By: 19180 - dr, Abdul Rahman SpPD

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