No. Transaksi : 106P230912157 Asal Ruangan : Rawat Jalan
Transaction No. Ordering Location No. R.M : 1060366956 Tgl. Sampling : 12/09/2023 Medical Record Collection Date Number Nama Pasien : dr. AMMALIA RACHMI (P) Jam Sampling : 13:42 Patient Name Collection Time Tgl. Lahir/Umur : 09/10/1995/ 27 Thn 11 Bln Tgl. Hasil : 13/09/2023 Date of Birth / Age Result Date Dokter Pengirim : dr. Andriani Sheila Anastasia, Sp. P Jam Hasil : 13:18 Ordered Doctor Result Time
Pemeriksaan Hasil Nilai Normal Satuan Keterangan
Investigation Result Normal Range Unit Comments
Pewarnaan Gram - LI
Leukosit 10 - 15 -
Erytrosit 0-1 -
Epithel sel POSITIF -
Batang Gram Negatif POSITIF -
Coccus Gram Positif POSITIF -
dr. Mariana Salim, Sp.PK Nurkhikmah
Dokter Spesialis Patologi Klinik Analis
Penanggung Jawab:
dr. Mariana Salim, Sp.PK , dr. Tanty Herdiyani, Sp.PK
User Ny. Hevti Winarni, 006210119 Dicetak 26/09/2023 20:10