FPK September

BPJS Kesehatan Cab.
SERANG
FORMULIR PENGAJUAN KLAIM TINGKAT PERTAMA
Nomor FPK : P2309000018522
Provider : LABKESDA KAB. LEBAK

Bulan Pelayanan : September 2023
Pelayanan : Promotif
Total Data : 300
Total Tagihan : Rp. 126.780.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA
219.00
0220L0020923P000001 JAMINAH 14/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
137.00
0220L0020923P000001 JAMINAH 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
283.00
0220L0020923P000001 JAMINAH 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000001 JAMINAH 14/09/2023 Kolesterol HDL 42.00 mgr/dl Rp. 45.000
236.00
0220L0020923P000001 JAMINAH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000001 JAMINAH 14/09/2023 Kreatinin 0.90 mgr/dl Rp. 30.000
0220L0020923P000001 JAMINAH 14/09/2023 Ureum 27.00 mgr/dl Rp. 30.000
0220L0020923P000001 JAMINAH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000002 ARNAWATI 14/09/2023 Microalbuminaria 30.00 mgr/dl Rp. 120.000
0220L0020923P000002 ARNAWATI 14/09/2023 Kolesterol LDL 86.00 mgr/dl Rp. 60.000
243.00
0220L0020923P000002 ARNAWATI 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000002 ARNAWATI 14/09/2023 Kolesterol HDL 61.00 mgr/dl Rp. 45.000
195.00
0220L0020923P000002 ARNAWATI 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000002 ARNAWATI 14/09/2023 Kreatinin 1.05 mgr/dl Rp. 30.000
0220L0020923P000002 ARNAWATI 14/09/2023 Ureum 15.00 mgr/dl Rp. 30.000

0220L0020923P000002 ARNAWATI 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000003 SUMAH 14/09/2023 Microalbuminaria 18.00 mgr/dl Rp. 120.000
103.00
0220L0020923P000003 SUMAH 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
102.00
0220L0020923P000003 SUMAH 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000003 SUMAH 14/09/2023 Kolesterol HDL 45.00 mgr/dl Rp. 45.000
168.00
0220L0020923P000003 SUMAH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000003 SUMAH 14/09/2023 Kreatinin 1.15 mgr/dl Rp. 30.000
0220L0020923P000003 SUMAH 14/09/2023 Ureum 22.00 mgr/dl Rp. 30.000
0220L0020923P000003 SUMAH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000004 ECIN 14/09/2023 Microalbuminaria 36.00 mgr/dl Rp. 120.000
161.00
0220L0020923P000004 ECIN 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
150.00
0220L0020923P000004 ECIN 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000004 ECIN 14/09/2023 Kolesterol HDL 37.00 mgr/dl Rp. 45.000
228.00
0220L0020923P000004 ECIN 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000004 ECIN 14/09/2023 Kreatinin 0.90 mgr/dl Rp. 30.000
0220L0020923P000004 ECIN 14/09/2023 Ureum 16.00 mgr/dl Rp. 30.000
0220L0020923P000004 ECIN 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000005 AMAH 14/09/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000
120.00
0220L0020923P000005 AMAH 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
169.00
0220L0020923P000005 AMAH 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000005 AMAH 14/09/2023 Kolesterol HDL 45.00 mgr/dl Rp. 45.000
189.00
0220L0020923P000005 AMAH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000005 AMAH 14/09/2023 Kreatinin 0.92 mgr/dl Rp. 30.000
0220L0020923P000005 AMAH 14/09/2023 Ureum 22.00 mgr/dl Rp. 30.000
0220L0020923P000005 AMAH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000006 BAIROH 14/09/2023 Microalbuminaria 16.00 mgr/dl Rp. 120.000
144.00
0220L0020923P000006 BAIROH 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000006 BAIROH 14/09/2023 Kolesterol Trigliserida 69.00 mgr/dl Rp. 50.000
0220L0020923P000006 BAIROH 14/09/2023 Kolesterol HDL 34.00 mgr/dl Rp. 45.000
192.00
0220L0020923P000006 BAIROH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000006 BAIROH 14/09/2023 Kreatinin 0.91 mgr/dl Rp. 30.000
0220L0020923P000006 BAIROH 14/09/2023 Ureum 14.00 mgr/dl Rp. 30.000
0220L0020923P000006 BAIROH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000007 MARYATI 14/09/2023 Microalbuminaria 27.00 mgr/dl Rp. 120.000
145.00
0220L0020923P000007 MARYATI 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
134.00
0220L0020923P000007 MARYATI 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000007 MARYATI 14/09/2023 Kolesterol HDL 32.00 mgr/dl Rp. 45.000
203.00
0220L0020923P000007 MARYATI 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000007 MARYATI 14/09/2023 Kreatinin 0.87 mgr/dl Rp. 30.000
0220L0020923P000007 MARYATI 14/09/2023 Ureum 27.00 mgr/dl Rp. 30.000
0220L0020923P000007 MARYATI 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000008 ECIH SUARSIH 14/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000
0220L0020923P000008 ECIH SUARSIH 14/09/2023 Kolesterol LDL 81.00 mgr/dl Rp. 60.000
0220L0020923P000008 ECIH SUARSIH 14/09/2023 Kolesterol Trigliserida 73.00 mgr/dl Rp. 50.000
0220L0020923P000008 ECIH SUARSIH 14/09/2023 Kolesterol HDL 39.00 mgr/dl Rp. 45.000
135.00
0220L0020923P000008 ECIH SUARSIH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000008 ECIH SUARSIH 14/09/2023 Kreatinin 1.23 mgr/dl Rp. 30.000
0220L0020923P000008 ECIH SUARSIH 14/09/2023 Ureum 24.00 mgr/dl Rp. 30.000
0220L0020923P000008 ECIH SUARSIH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000009 DIDI SUPARDI 14/09/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000
123.00
0220L0020923P000009 DIDI SUPARDI 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
100.00
0220L0020923P000009 DIDI SUPARDI 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000009 DIDI SUPARDI 14/09/2023 Kolesterol HDL 47.00 mgr/dl Rp. 45.000
190.00
0220L0020923P000009 DIDI SUPARDI 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000009 DIDI SUPARDI 14/09/2023 Kreatinin 0.95 mgr/dl Rp. 30.000
0220L0020923P000009 DIDI SUPARDI 14/09/2023 Ureum 22.00 mgr/dl Rp. 30.000
0220L0020923P000009 DIDI SUPARDI 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000010 SURTI 14/09/2023 Microalbuminaria 33.00 mgr/dl Rp. 120.000
152.00
0220L0020923P000010 SURTI 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
163.00
0220L0020923P000010 SURTI 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000010 SURTI 14/09/2023 Kolesterol HDL 29.00 mgr/dl Rp. 45.000
214.00
0220L0020923P000010 SURTI 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000010 SURTI 14/09/2023 Kreatinin 0.92 mgr/dl Rp. 30.000
0220L0020923P000010 SURTI 14/09/2023 Ureum 30.00 mgr/dl Rp. 30.000
0220L0020923P000010 SURTI 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000011 RENI SRI SUNDARI 14/09/2023 Microalbuminaria 40.00 mgr/dl Rp. 120.000
0220L0020923P000011 RENI SRI SUNDARI 14/09/2023 Kolesterol LDL 90.00 mgr/dl Rp. 60.000
122.00
0220L0020923P000011 RENI SRI SUNDARI 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000011 RENI SRI SUNDARI 14/09/2023 Kolesterol HDL 53.00 mgr/dl Rp. 45.000
167.00
0220L0020923P000011 RENI SRI SUNDARI 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000011 RENI SRI SUNDARI 14/09/2023 Kreatinin 0.90 mgr/dl Rp. 30.000
0220L0020923P000011 RENI SRI SUNDARI 14/09/2023 Ureum 20.00 mgr/dl Rp. 30.000
0220L0020923P000011 RENI SRI SUNDARI 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000012 SITI YANTI 14/09/2023 Microalbuminaria 28.00 mgr/dl Rp. 120.000
159.00
0220L0020923P000012 SITI YANTI 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
104.00
0220L0020923P000012 SITI YANTI 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000012 SITI YANTI 14/09/2023 Kolesterol HDL 42.00 mgr/dl Rp. 45.000
222.00
0220L0020923P000012 SITI YANTI 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000012 SITI YANTI 14/09/2023 Kreatinin 1.34 mgr/dl Rp. 30.000
0220L0020923P000012 SITI YANTI 14/09/2023 Ureum 27.00 mgr/dl Rp. 30.000
0220L0020923P000012 SITI YANTI 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000013 JANASIH 14/09/2023 Microalbuminaria 27.00 mgr/dl Rp. 120.000
170.00
0220L0020923P000013 JANASIH 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000013 JANASIH 14/09/2023 Kolesterol Trigliserida 70.00 mgr/dl Rp. 50.000
0220L0020923P000013 JANASIH 14/09/2023 Kolesterol HDL 50.00 mgr/dl Rp. 45.000
234.00
0220L0020923P000013 JANASIH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000013 JANASIH 14/09/2023 Kreatinin 1.11 mgr/dl Rp. 30.000
0220L0020923P000013 JANASIH 14/09/2023 Ureum 30.00 mgr/dl Rp. 30.000
0220L0020923P000013 JANASIH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000014 RENGGA CIPTA PRATAMA 14/09/2023 Microalbuminaria 30.00 mgr/dl Rp. 120.000
186.00
0220L0020923P000014 RENGGA CIPTA PRATAMA 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
133.00
0220L0020923P000014 RENGGA CIPTA PRATAMA 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000014 RENGGA CIPTA PRATAMA 14/09/2023 Kolesterol HDL 29.00 mgr/dl Rp. 45.000
242.00
0220L0020923P000014 RENGGA CIPTA PRATAMA 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000014 RENGGA CIPTA PRATAMA 14/09/2023 Kreatinin 0.90 mgr/dl Rp. 30.000
0220L0020923P000014 RENGGA CIPTA PRATAMA 14/09/2023 Ureum 27.00 mgr/dl Rp. 30.000
0220L0020923P000014 RENGGA CIPTA PRATAMA 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000015 MURSAH 14/09/2023 Microalbuminaria 31.00 mgr/dl Rp. 120.000
0220L0020923P000015 MURSAH 14/09/2023 Kolesterol LDL 80.00 mgr/dl Rp. 60.000
118.00
0220L0020923P000015 MURSAH 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000015 MURSAH 14/09/2023 Kolesterol HDL 42.00 mgr/dl Rp. 45.000

146.00
0220L0020923P000015 MURSAH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000015 MURSAH 14/09/2023 Kreatinin 1.17 mgr/dl Rp. 30.000
0220L0020923P000015 MURSAH 14/09/2023 Ureum 20.00 mgr/dl Rp. 30.000
0220L0020923P000015 MURSAH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000016 SUKMA 14/09/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000
135.00
0220L0020923P000016 SUKMA 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
146.00
0220L0020923P000016 SUKMA 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000016 SUKMA 14/09/2023 Kolesterol HDL 45.00 mgr/dl Rp. 45.000
209.00
0220L0020923P000016 SUKMA 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000016 SUKMA 14/09/2023 Kreatinin 1.17 mgr/dl Rp. 30.000
0220L0020923P000016 SUKMA 14/09/2023 Ureum 28.00 mgr/dl Rp. 30.000
0220L0020923P000016 SUKMA 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000017 SURATNO 14/09/2023 Microalbuminaria 17.00 mgr/dl Rp. 120.000
121.00
0220L0020923P000017 SURATNO 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
113.00
0220L0020923P000017 SURATNO 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000017 SURATNO 14/09/2023 Kolesterol HDL 42.00 mgr/dl Rp. 45.000
186.00
0220L0020923P000017 SURATNO 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000017 SURATNO 14/09/2023 Kreatinin 1.44 mgr/dl Rp. 30.000
0220L0020923P000017 SURATNO 14/09/2023 Ureum 23.00 mgr/dl Rp. 30.000
0220L0020923P000017 SURATNO 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000018 TUGINO 14/09/2023 Microalbuminaria 25.00 mgr/dl Rp. 120.000
136.00
0220L0020923P000018 TUGINO 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
192.00
0220L0020923P000018 TUGINO 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000018 TUGINO 14/09/2023 Kolesterol HDL 34.00 mgr/dl Rp. 45.000
209.00
0220L0020923P000018 TUGINO 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000018 TUGINO 14/09/2023 Kreatinin 1.31 mgr/dl Rp. 30.000
0220L0020923P000018 TUGINO 14/09/2023 Ureum 16.00 mgr/dl Rp. 30.000
0220L0020923P000018 TUGINO 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000019 MUNTALIAH 14/09/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000
135.00
0220L0020923P000019 MUNTALIAH 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
333.00
0220L0020923P000019 MUNTALIAH 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000019 MUNTALIAH 14/09/2023 Kolesterol HDL 26.00 mgr/dl Rp. 45.000
228.00
0220L0020923P000019 MUNTALIAH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000019 MUNTALIAH 14/09/2023 Kreatinin 0.85 mgr/dl Rp. 30.000
0220L0020923P000019 MUNTALIAH 14/09/2023 Ureum 23.00 mgr/dl Rp. 30.000
0220L0020923P000019 MUNTALIAH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000020 MUTAJAH 14/09/2023 Microalbuminaria 23.00 mgr/dl Rp. 120.000
132.00
0220L0020923P000020 MUTAJAH 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
123.00
0220L0020923P000020 MUTAJAH 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000020 MUTAJAH 14/09/2023 Kolesterol HDL 45.00 mgr/dl Rp. 45.000
201.00
0220L0020923P000020 MUTAJAH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000020 MUTAJAH 14/09/2023 Kreatinin 2.39 mgr/dl Rp. 30.000
0220L0020923P000020 MUTAJAH 14/09/2023 Ureum 58.00 mgr/dl Rp. 30.000
0220L0020923P000020 MUTAJAH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000021 NURHASANAH 14/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000
139.00
0220L0020923P000021 NURHASANAH 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000021 NURHASANAH 14/09/2023 Kolesterol Trigliserida 76.00 mgr/dl Rp. 50.000
0220L0020923P000021 NURHASANAH 14/09/2023 Kolesterol HDL 47.00 mgr/dl Rp. 45.000
202.00
0220L0020923P000021 NURHASANAH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000021 NURHASANAH 14/09/2023 Kreatinin 9.10 mgr/dl Rp. 30.000

0220L0020923P000021 NURHASANAH 14/09/2023 Ureum 65.00 mgr/dl Rp. 30.000
0220L0020923P000021 NURHASANAH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000022 MIMI MULYANINGSIH 14/09/2023 Microalbuminaria 15.00 mgr/dl Rp. 120.000
105.00
0220L0020923P000022 MIMI MULYANINGSIH 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
764.00
0220L0020923P000022 MIMI MULYANINGSIH 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000022 MIMI MULYANINGSIH 14/09/2023 Kolesterol HDL 37.00 mgr/dl Rp. 45.000
295.00
0220L0020923P000022 MIMI MULYANINGSIH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000022 MIMI MULYANINGSIH 14/09/2023 Kreatinin 0.91 mgr/dl Rp. 30.000
0220L0020923P000022 MIMI MULYANINGSIH 14/09/2023 Ureum 27.00 mgr/dl Rp. 30.000
0220L0020923P000022 MIMI MULYANINGSIH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000023 ERIN HERLINA 14/09/2023 Microalbuminaria 31.00 mgr/dl Rp. 120.000
124.00
0220L0020923P000023 ERIN HERLINA 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
112.00
0220L0020923P000023 ERIN HERLINA 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000023 ERIN HERLINA 14/09/2023 Kolesterol HDL 29.00 mgr/dl Rp. 45.000
175.00
0220L0020923P000023 ERIN HERLINA 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000023 ERIN HERLINA 14/09/2023 Kreatinin 0.90 mgr/dl Rp. 30.000
0220L0020923P000023 ERIN HERLINA 14/09/2023 Ureum 18.00 mgr/dl Rp. 30.000
0220L0020923P000023 ERIN HERLINA 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
301.00
0220L0020923P000024 YENNI SOMADI 14/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
119.00
0220L0020923P000024 YENNI SOMADI 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
111.00
0220L0020923P000024 YENNI SOMADI 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000024 YENNI SOMADI 14/09/2023 Kolesterol HDL 39.00 mgr/dl Rp. 45.000
181.00
0220L0020923P000024 YENNI SOMADI 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000024 YENNI SOMADI 14/09/2023 Kreatinin 1.71 mgr/dl Rp. 30.000
0220L0020923P000024 YENNI SOMADI 14/09/2023 Ureum 28.00 mgr/dl Rp. 30.000

0220L0020923P000025 MURNAH 14/09/2023 Microalbuminaria 9.00 mgr/dl Rp. 120.000
180.00
0220L0020923P000025 MURNAH 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
190.00
0220L0020923P000025 MURNAH 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000025 MURNAH 14/09/2023 Kolesterol HDL 37.00 mgr/dl Rp. 45.000
255.00
0220L0020923P000025 MURNAH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000025 MURNAH 14/09/2023 Kreatinin 0.95 mgr/dl Rp. 30.000
0220L0020923P000025 MURNAH 14/09/2023 Ureum 16.00 mgr/dl Rp. 30.000
0220L0020923P000025 MURNAH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000026 AGUS 14/09/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000
104.00
0220L0020923P000026 AGUS 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
113.00
0220L0020923P000026 AGUS 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000026 AGUS 14/09/2023 Kolesterol HDL 42.00 mgr/dl Rp. 45.000
169.00
0220L0020923P000026 AGUS 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000026 AGUS 14/09/2023 Kreatinin 1.23 mgr/dl Rp. 30.000
0220L0020923P000026 AGUS 14/09/2023 Ureum 24.00 mgr/dl Rp. 30.000
0220L0020923P000026 AGUS 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000027 SITI AMINAH 14/09/2023 Microalbuminaria 8.00 mgr/dl Rp. 120.000
145.00
0220L0020923P000027 SITI AMINAH 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000027 SITI AMINAH 14/09/2023 Kolesterol Trigliserida 78.00 mgr/dl Rp. 50.000
0220L0020923P000027 SITI AMINAH 14/09/2023 Kolesterol HDL 45.00 mgr/dl Rp. 45.000
205.00
0220L0020923P000027 SITI AMINAH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000027 SITI AMINAH 14/09/2023 Kreatinin 9.42 mgr/dl Rp. 30.000
0220L0020923P000027 SITI AMINAH 14/09/2023 Ureum 66.00 mgr/dl Rp. 30.000
0220L0020923P000027 SITI AMINAH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000028 RABUDIN 14/09/2023 Microalbuminaria 18.00 mgr/dl Rp. 120.000

139.00
0220L0020923P000028 RABUDIN 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
129.00
0220L0020923P000028 RABUDIN 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000028 RABUDIN 14/09/2023 Kolesterol HDL 47.00 mgr/dl Rp. 45.000
212.00
0220L0020923P000028 RABUDIN 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000028 RABUDIN 14/09/2023 Kreatinin 1.07 mgr/dl Rp. 30.000
0220L0020923P000028 RABUDIN 14/09/2023 Ureum 29.00 mgr/dl Rp. 30.000
0220L0020923P000028 RABUDIN 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000029 HAMDAH 14/09/2023 Microalbuminaria 25.00 mgr/dl Rp. 120.000
167.00
0220L0020923P000029 HAMDAH 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
168.00
0220L0020923P000029 HAMDAH 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000029 HAMDAH 14/09/2023 Kolesterol HDL 45.00 mgr/dl Rp. 45.000
245.00
0220L0020923P000029 HAMDAH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000029 HAMDAH 14/09/2023 Kreatinin 1.02 mgr/dl Rp. 30.000
0220L0020923P000029 HAMDAH 14/09/2023 Ureum 17.00 mgr/dl Rp. 30.000
0220L0020923P000029 HAMDAH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000030 jamsah 14/09/2023 Microalbuminaria 17.00 mgr/dl Rp. 120.000
126.00
0220L0020923P000030 jamsah 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000030 jamsah 14/09/2023 Kolesterol Trigliserida 88.00 mgr/dl Rp. 50.000
0220L0020923P000030 jamsah 14/09/2023 Kolesterol HDL 34.00 mgr/dl Rp. 45.000
178.00
0220L0020923P000030 jamsah 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000030 jamsah 14/09/2023 Kreatinin 1.23 mgr/dl Rp. 30.000
0220L0020923P000030 jamsah 14/09/2023 Ureum 20.00 mgr/dl Rp. 30.000
0220L0020923P000030 jamsah 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000031 SARNI 14/09/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000
133.00
0220L0020923P000031 SARNI 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
132.00
0220L0020923P000031 SARNI 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000031 SARNI 14/09/2023 Kolesterol HDL 47.00 mgr/dl Rp. 45.000
207.00
0220L0020923P000031 SARNI 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000031 SARNI 14/09/2023 Kreatinin 0.96 mgr/dl Rp. 30.000
0220L0020923P000031 SARNI 14/09/2023 Ureum 16.00 mgr/dl Rp. 30.000
0220L0020923P000031 SARNI 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000032 RUNTAH 14/09/2023 Microalbuminaria 15.00 mgr/dl Rp. 120.000
134.00
0220L0020923P000032 RUNTAH 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
153.00
0220L0020923P000032 RUNTAH 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000032 RUNTAH 14/09/2023 Kolesterol HDL 42.00 mgr/dl Rp. 45.000
207.00
0220L0020923P000032 RUNTAH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000032 RUNTAH 14/09/2023 Kreatinin 1.20 mgr/dl Rp. 30.000
0220L0020923P000032 RUNTAH 14/09/2023 Ureum 29.00 mgr/dl Rp. 30.000
0220L0020923P000032 RUNTAH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000033 JUMA'IAH 14/09/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000
0220L0020923P000033 JUMA'IAH 14/09/2023 Kolesterol LDL 97.00 mgr/dl Rp. 60.000
114.00
0220L0020923P000033 JUMA'IAH 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000033 JUMA'IAH 14/09/2023 Kolesterol HDL 42.00 mgr/dl Rp. 45.000
163.00
0220L0020923P000033 JUMA'IAH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000033 JUMA'IAH 14/09/2023 Kreatinin 1.11 mgr/dl Rp. 30.000
0220L0020923P000033 JUMA'IAH 14/09/2023 Ureum 15.00 mgr/dl Rp. 30.000
0220L0020923P000033 JUMA'IAH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000034 DATI 14/09/2023 Microalbuminaria 35.00 mgr/dl Rp. 120.000
135.00
0220L0020923P000034 DATI 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
131.00
0220L0020923P000034 DATI 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000034 DATI 14/09/2023 Kolesterol HDL 47.00 mgr/dl Rp. 45.000
209.00
0220L0020923P000034 DATI 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000034 DATI 14/09/2023 Kreatinin 0.97 mgr/dl Rp. 30.000
0220L0020923P000034 DATI 14/09/2023 Ureum 16.00 mgr/dl Rp. 30.000
0220L0020923P000034 DATI 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000035 SANTI TRISNAWATI 14/09/2023 Microalbuminaria 14.00 mgr/dl Rp. 120.000
103.00
0220L0020923P000035 SANTI TRISNAWATI 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000035 SANTI TRISNAWATI 14/09/2023 Kolesterol Trigliserida 48.00 mgr/dl Rp. 50.000
0220L0020923P000035 SANTI TRISNAWATI 14/09/2023 Kolesterol HDL 58.00 mgr/dl Rp. 45.000
170.00
0220L0020923P000035 SANTI TRISNAWATI 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000035 SANTI TRISNAWATI 14/09/2023 Kreatinin 0.87 mgr/dl Rp. 30.000
0220L0020923P000035 SANTI TRISNAWATI 14/09/2023 Ureum 17.00 mgr/dl Rp. 30.000
0220L0020923P000035 SANTI TRISNAWATI 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
202.00
0220L0020923P000036 ARNASIH 14/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
0220L0020923P000036 ARNASIH 14/09/2023 Kolesterol LDL 87.00 mgr/dl Rp. 60.000
132.00
0220L0020923P000036 ARNASIH 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000036 ARNASIH 14/09/2023 Kolesterol HDL 50.00 mgr/dl Rp. 45.000
163.00
0220L0020923P000036 ARNASIH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000036 ARNASIH 14/09/2023 Kreatinin 0.91 mgr/dl Rp. 30.000
0220L0020923P000036 ARNASIH 14/09/2023 Ureum 19.00 mgr/dl Rp. 30.000
0220L0020923P000036 ARNASIH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000037 JUMIRAH 14/09/2023 Microalbuminaria 19.00 mgr/dl Rp. 120.000
254.00
0220L0020923P000037 JUMIRAH 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000037 JUMIRAH 14/09/2023 Kolesterol Trigliserida 77.00 mgr/dl Rp. 50.000
0220L0020923P000037 JUMIRAH 14/09/2023 Kolesterol HDL 37.00 mgr/dl Rp. 45.000

306.00
0220L0020923P000037 JUMIRAH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000037 JUMIRAH 14/09/2023 Kreatinin 0.94 mgr/dl Rp. 30.000
0220L0020923P000037 JUMIRAH 14/09/2023 Ureum 14.00 mgr/dl Rp. 30.000
0220L0020923P000037 JUMIRAH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000038 SUHEMAH 14/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000
107.00
0220L0020923P000038 SUHEMAH 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
165.00
0220L0020923P000038 SUHEMAH 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000038 SUHEMAH 14/09/2023 Kolesterol HDL 53.00 mgr/dl Rp. 45.000
193.00
0220L0020923P000038 SUHEMAH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000038 SUHEMAH 14/09/2023 Kreatinin 1.35 mgr/dl Rp. 30.000
0220L0020923P000038 SUHEMAH 14/09/2023 Ureum 26.00 mgr/dl Rp. 30.000
0220L0020923P000038 SUHEMAH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000039 SUEB 14/09/2023 Microalbuminaria 26.00 mgr/dl Rp. 120.000
194.00
0220L0020923P000039 SUEB 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
114.00
0220L0020923P000039 SUEB 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000039 SUEB 14/09/2023 Kolesterol HDL 34.00 mgr/dl Rp. 45.000
251.00
0220L0020923P000039 SUEB 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000039 SUEB 14/09/2023 Kreatinin 1.14 mgr/dl Rp. 30.000
0220L0020923P000039 SUEB 14/09/2023 Ureum 21.00 mgr/dl Rp. 30.000
0220L0020923P000039 SUEB 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000040 MARYATI 14/09/2023 Kolesterol LDL 97.00 mgr/dl Rp. 60.000
222.00
mgr/dl
222.00
mgr/dl
0220L0020923P000041 KACIH 14/09/2023 Microalbuminaria 30.00 mgr/dl Rp. 120.000
0220L0020923P000041 KACIH 14/09/2023 Kolesterol LDL 83.00 mgr/dl Rp. 60.000
272.00
0220L0020923P000041 KACIH 14/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000041 KACIH 14/09/2023 Kolesterol HDL 39.00 mgr/dl Rp. 45.000
177.00
0220L0020923P000041 KACIH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000041 KACIH 14/09/2023 Kreatinin 0.96 mgr/dl Rp. 30.000
0220L0020923P000041 KACIH 14/09/2023 Ureum 29.00 mgr/dl Rp. 30.000
0220L0020923P000041 KACIH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000042 SAMAH 14/09/2023 Microalbuminaria 31.00 mgr/dl Rp. 120.000
0220L0020923P000042 SAMAH 14/09/2023 Kolesterol LDL 97.00 mgr/dl Rp. 60.000
0220L0020923P000042 SAMAH 14/09/2023 Kolesterol Trigliserida 52.00 mgr/dl Rp. 50.000
0220L0020923P000042 SAMAH 14/09/2023 Kolesterol HDL 63.00 mgr/dl Rp. 45.000
171.00
0220L0020923P000042 SAMAH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000042 SAMAH 14/09/2023 Kreatinin 0.82 mgr/dl Rp. 30.000
0220L0020923P000042 SAMAH 14/09/2023 Ureum 2.00 mgr/dl Rp. 30.000
0220L0020923P000042 SAMAH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000043 MUNAH 14/09/2023 Microalbuminaria 19.00 mgr/dl Rp. 120.000
0220L0020923P000043 MUNAH 14/09/2023 Kolesterol LDL 50.00 mgr/dl Rp. 60.000
0220L0020923P000043 MUNAH 14/09/2023 Kolesterol Trigliserida 73.00 mgr/dl Rp. 50.000
0220L0020923P000043 MUNAH 14/09/2023 Kolesterol HDL 50.00 mgr/dl Rp. 45.000
115.00
0220L0020923P000043 MUNAH 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000043 MUNAH 14/09/2023 Kreatinin 0.65 mgr/dl Rp. 30.000
0220L0020923P000043 MUNAH 14/09/2023 Ureum 13.00 mgr/dl Rp. 30.000
0220L0020923P000043 MUNAH 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000044 EMIN 14/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000
116.00
0220L0020923P000044 EMIN 14/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000044 EMIN 14/09/2023 Kolesterol Trigliserida 65.00 mgr/dl Rp. 50.000
0220L0020923P000044 EMIN 14/09/2023 Kolesterol HDL 50.00 mgr/dl Rp. 45.000
179.00
0220L0020923P000044 EMIN 14/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000044 EMIN 14/09/2023 Kreatinin 1.01 mgr/dl Rp. 30.000
0220L0020923P000044 EMIN 14/09/2023 Ureum 18.00 mgr/dl Rp. 30.000
0220L0020923P000044 EMIN 14/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000045 TITIN SUHARTINI 20/09/2023 Microalbuminaria 56.00 mgr/dl Rp. 120.000
176.00
0220L0020923P000045 TITIN SUHARTINI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
187.00
0220L0020923P000045 TITIN SUHARTINI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000045 TITIN SUHARTINI 20/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
257.00
0220L0020923P000045 TITIN SUHARTINI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000045 TITIN SUHARTINI 20/09/2023 Kreatinin 0.62 mgr/dl Rp. 30.000
0220L0020923P000045 TITIN SUHARTINI 20/09/2023 Ureum 22.00 mgr/dl Rp. 30.000
0220L0020923P000045 TITIN SUHARTINI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
172.00
0220L0020923P000046 LESI KURNIASIH 20/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
139.00
0220L0020923P000046 LESI KURNIASIH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000046 LESI KURNIASIH 20/09/2023 Kolesterol Trigliserida 89.00 mgr/dl Rp. 50.000
0220L0020923P000046 LESI KURNIASIH 20/09/2023 Kolesterol HDL 73.00 mgr/dl Rp. 45.000
230.00
0220L0020923P000046 LESI KURNIASIH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000046 LESI KURNIASIH 20/09/2023 Kreatinin 0.98 mgr/dl Rp. 30.000
0220L0020923P000046 LESI KURNIASIH 20/09/2023 Ureum 23.00 mgr/dl Rp. 30.000
0220L0020923P000046 LESI KURNIASIH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000047 EMPAR SUPARTINI 20/09/2023 Microalbuminaria 26.00 mgr/dl Rp. 120.000

248.00
0220L0020923P000047 EMPAR SUPARTINI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
168.00
0220L0020923P000047 EMPAR SUPARTINI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000047 EMPAR SUPARTINI 20/09/2023 Kolesterol HDL 30.00 mgr/dl Rp. 45.000
311.00
0220L0020923P000047 EMPAR SUPARTINI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000047 EMPAR SUPARTINI 20/09/2023 Kreatinin 1.24 mgr/dl Rp. 30.000
0220L0020923P000047 EMPAR SUPARTINI 20/09/2023 Ureum 40.00 mgr/dl Rp. 30.000
0220L0020923P000047 EMPAR SUPARTINI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000048 IIS SOLIKAH 20/09/2023 Microalbuminaria 66.00 mgr/dl Rp. 120.000
230.00
0220L0020923P000048 IIS SOLIKAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
161.00
0220L0020923P000048 IIS SOLIKAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000048 IIS SOLIKAH 20/09/2023 Kolesterol HDL 32.00 mgr/dl Rp. 45.000
295.00
0220L0020923P000048 IIS SOLIKAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000048 IIS SOLIKAH 20/09/2023 Kreatinin 1.38 mgr/dl Rp. 30.000
0220L0020923P000048 IIS SOLIKAH 20/09/2023 Ureum 22.00 mgr/dl Rp. 30.000
0220L0020923P000048 IIS SOLIKAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000049 YULINAWATI 20/09/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000
279.00
0220L0020923P000049 YULINAWATI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
425.00
0220L0020923P000049 YULINAWATI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000049 YULINAWATI 20/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
415.00
0220L0020923P000049 YULINAWATI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000049 YULINAWATI 20/09/2023 Kreatinin 0.95 mgr/dl Rp. 30.000
0220L0020923P000049 YULINAWATI 20/09/2023 Ureum 30.00 mgr/dl Rp. 30.000
0220L0020923P000049 YULINAWATI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
130.00
0220L0020923P000050 TATI HASANAH 20/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
226.00
0220L0020923P000050 TATI HASANAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
155.00
0220L0020923P000050 TATI HASANAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000050 TATI HASANAH 20/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
298.00
0220L0020923P000050 TATI HASANAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000050 TATI HASANAH 20/09/2023 Kreatinin 1.27 mgr/dl Rp. 30.000
0220L0020923P000050 TATI HASANAH 20/09/2023 Ureum 32.00 mgr/dl Rp. 30.000
0220L0020923P000050 TATI HASANAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000051 JUHETI 20/09/2023 Microalbuminaria 17.00 mgr/dl Rp. 120.000
225.00
0220L0020923P000051 JUHETI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
153.00
0220L0020923P000051 JUHETI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000051 JUHETI 20/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
293.00
0220L0020923P000051 JUHETI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000051 JUHETI 20/09/2023 Kreatinin 1.92 mgr/dl Rp. 30.000
0220L0020923P000051 JUHETI 20/09/2023 Ureum 48.00 mgr/dl Rp. 30.000
0220L0020923P000051 JUHETI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000052 JUARSIH 20/09/2023 Microalbuminaria 16.00 mgr/dl Rp. 120.000
106.00
0220L0020923P000052 JUARSIH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
119.00
0220L0020923P000052 JUARSIH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000052 JUARSIH 20/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
173.00
0220L0020923P000052 JUARSIH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000052 JUARSIH 20/09/2023 Kreatinin 1.02 mgr/dl Rp. 30.000
0220L0020923P000052 JUARSIH 20/09/2023 Ureum 44.00 mgr/dl Rp. 30.000
0220L0020923P000052 JUARSIH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000053 LILIH YULIPAH 20/09/2023 Microalbuminaria 15.00 mgr/dl Rp. 120.000
105.00
0220L0020923P000053 LILIH YULIPAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000053 LILIH YULIPAH 20/09/2023 Kolesterol Trigliserida 55.00 mgr/dl Rp. 50.000
0220L0020923P000053 LILIH YULIPAH 20/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
157.00
0220L0020923P000053 LILIH YULIPAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000053 LILIH YULIPAH 20/09/2023 Kreatinin 1.70 mgr/dl Rp. 30.000
0220L0020923P000053 LILIH YULIPAH 20/09/2023 Ureum 41.00 mgr/dl Rp. 30.000
0220L0020923P000053 LILIH YULIPAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000054 AAM 20/09/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000
160.00
0220L0020923P000054 AAM 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
154.00
0220L0020923P000054 AAM 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000054 AAM 20/09/2023 Kolesterol HDL 62.00 mgr/dl Rp. 45.000
253.00
0220L0020923P000054 AAM 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000054 AAM 20/09/2023 Kreatinin 1.27 mgr/dl Rp. 30.000
0220L0020923P000054 AAM 20/09/2023 Ureum 31.00 mgr/dl Rp. 30.000
0220L0020923P000054 AAM 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000055 SAMSIAH 20/09/2023 Microalbuminaria 32.00 mgr/dl Rp. 120.000
214.00
0220L0020923P000055 SAMSIAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
171.00
0220L0020923P000055 SAMSIAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000055 SAMSIAH 20/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
300.00
0220L0020923P000055 SAMSIAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000055 SAMSIAH 20/09/2023 Kreatinin 1.62 mgr/dl Rp. 30.000
0220L0020923P000055 SAMSIAH 20/09/2023 Ureum 50.00 mgr/dl Rp. 30.000
0220L0020923P000055 SAMSIAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
101.00
0220L0020923P000056 SAMSIAH 20/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
255.00
0220L0020923P000056 SAMSIAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
191.00
0220L0020923P000056 SAMSIAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000056 SAMSIAH 20/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
336.00
0220L0020923P000056 SAMSIAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000056 SAMSIAH 20/09/2023 Kreatinin 1.28 mgr/dl Rp. 30.000
0220L0020923P000056 SAMSIAH 20/09/2023 Ureum 36.00 mgr/dl Rp. 30.000
0220L0020923P000056 SAMSIAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000057 IMAS 20/09/2023 Microalbuminaria 17.00 mgr/dl Rp. 120.000
151.00
0220L0020923P000057 IMAS 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
117.00
0220L0020923P000057 IMAS 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000057 IMAS 20/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
218.00
0220L0020923P000057 IMAS 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000057 IMAS 20/09/2023 Kreatinin 1.05 mgr/dl Rp. 30.000
0220L0020923P000057 IMAS 20/09/2023 Ureum 16.00 mgr/dl Rp. 30.000
0220L0020923P000057 IMAS 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
300.00
0220L0020923P000058 ROSMAWATI 20/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
277.00
0220L0020923P000058 ROSMAWATI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
345.00
0220L0020923P000058 ROSMAWATI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000058 ROSMAWATI 20/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
387.00
0220L0020923P000058 ROSMAWATI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000058 ROSMAWATI 20/09/2023 Kreatinin 1.18 mgr/dl Rp. 30.000
0220L0020923P000058 ROSMAWATI 20/09/2023 Ureum 33.00 mgr/dl Rp. 30.000
0220L0020923P000058 ROSMAWATI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000059 SRI MUSTIKA 20/09/2023 Microalbuminaria 8.00 mgr/dl Rp. 120.000
196.00
0220L0020923P000059 SRI MUSTIKA 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
312.00
0220L0020923P000059 SRI MUSTIKA 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000059 SRI MUSTIKA 20/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
302.00
0220L0020923P000059 SRI MUSTIKA 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000059 SRI MUSTIKA 20/09/2023 Kreatinin 1.15 mgr/dl Rp. 30.000
0220L0020923P000059 SRI MUSTIKA 20/09/2023 Ureum 54.00 mgr/dl Rp. 30.000
0220L0020923P000059 SRI MUSTIKA 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
256.00
0220L0020923P000060 MARYATI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
237.00
mgr/dl
352.00
mgr/dl
0220L0020923P000061 HADAILAH 20/09/2023 Microalbuminaria 19.00 mgr/dl Rp. 120.000
176.00
0220L0020923P000061 HADAILAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
173.00
0220L0020923P000061 HADAILAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000061 HADAILAH 20/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
262.00
0220L0020923P000061 HADAILAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000061 HADAILAH 20/09/2023 Kreatinin 1.34 mgr/dl Rp. 30.000
0220L0020923P000061 HADAILAH 20/09/2023 Ureum 30.00 mgr/dl Rp. 30.000
0220L0020923P000061 HADAILAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000062 SUHAENI 20/09/2023 Microalbuminaria 85.00 mgr/dl Rp. 120.000
180.00
0220L0020923P000062 SUHAENI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
177.00
0220L0020923P000062 SUHAENI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000062 SUHAENI 20/09/2023 Kolesterol HDL 27.00 mgr/dl Rp. 45.000
242.00
0220L0020923P000062 SUHAENI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000062 SUHAENI 20/09/2023 Kreatinin 2.59 mgr/dl Rp. 30.000
0220L0020923P000062 SUHAENI 20/09/2023 Ureum 58.00 mgr/dl Rp. 30.000
0220L0020923P000062 SUHAENI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
119.00
0220L0020923P000063 UHE 20/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
192.00
0220L0020923P000063 UHE 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000063 UHE 20/09/2023 Kolesterol Trigliserida 81.00 mgr/dl Rp. 50.000
0220L0020923P000063 UHE 20/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
246.00
0220L0020923P000063 UHE 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000063 UHE 20/09/2023 Kreatinin 1.10 mgr/dl Rp. 30.000
0220L0020923P000063 UHE 20/09/2023 Ureum 45.00 mgr/dl Rp. 30.000
0220L0020923P000063 UHE 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000064 MURHANAH 21/09/2023 Microalbuminaria 15.00 mgr/dl Rp. 120.000
167.00
0220L0020923P000064 MURHANAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
116.00
0220L0020923P000064 MURHANAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000064 MURHANAH 21/09/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000
250.00
0220L0020923P000064 MURHANAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000064 MURHANAH 21/09/2023 Kreatinin 1.25 mgr/dl Rp. 30.000
0220L0020923P000064 MURHANAH 21/09/2023 Ureum 31.00 mgr/dl Rp. 30.000
0220L0020923P000064 MURHANAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000065 MARIAM 21/09/2023 Microalbuminaria 18.00 mgr/dl Rp. 120.000
118.00
0220L0020923P000065 MARIAM 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000065 MARIAM 21/09/2023 Kolesterol Trigliserida 53.00 mgr/dl Rp. 50.000
0220L0020923P000065 MARIAM 21/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
188.00
0220L0020923P000065 MARIAM 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000065 MARIAM 21/09/2023 Kreatinin 0.96 mgr/dl Rp. 30.000

0220L0020923P000065 MARIAM 21/09/2023 Ureum 31.00 mgr/dl Rp. 30.000
0220L0020923P000065 MARIAM 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000066 MURTAPIAH 21/09/2023 HbA1c 8.00 % Rp. 160.000
0220L0020923P000066 MURTAPIAH 21/09/2023 Microalbuminaria 40.00 mgr/dl Rp. 120.000
118.00
0220L0020923P000066 MURTAPIAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
129.00
0220L0020923P000066 MURTAPIAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000066 MURTAPIAH 21/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
192.00
0220L0020923P000066 MURTAPIAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000066 MURTAPIAH 21/09/2023 Kreatinin 1.13 mgr/dl Rp. 30.000
0220L0020923P000066 MURTAPIAH 21/09/2023 Ureum 12.00 mgr/dl Rp. 30.000
300.00
0220L0020923P000066 MURTAPIAH 21/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000067 IKAH 21/09/2023 HbA1c 6.50 % Rp. 160.000
0220L0020923P000067 IKAH 21/09/2023 Microalbuminaria 31.00 mgr/dl Rp. 120.000
0220L0020923P000067 IKAH 21/09/2023 Kolesterol LDL 99.00 mgr/dl Rp. 60.000
144.00
0220L0020923P000067 IKAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000067 IKAH 21/09/2023 Kolesterol HDL 76.00 mgr/dl Rp. 45.000
203.00
0220L0020923P000067 IKAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000067 IKAH 21/09/2023 Kreatinin 1.29 mgr/dl Rp. 30.000
0220L0020923P000067 IKAH 21/09/2023 Ureum 21.00 mgr/dl Rp. 30.000
0220L0020923P000068 YUSNI 21/09/2023 HbA1c 11.50 % Rp. 160.000
0220L0020923P000068 YUSNI 21/09/2023 Microalbuminaria 50.00 mgr/dl Rp. 120.000
107.00
0220L0020923P000068 YUSNI 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
108.00
0220L0020923P000068 YUSNI 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000068 YUSNI 21/09/2023 Kolesterol HDL 78.00 mgr/dl Rp. 45.000
207.00
0220L0020923P000068 YUSNI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000068 YUSNI 21/09/2023 Kreatinin 0.94 mgr/dl Rp. 30.000
0220L0020923P000068 YUSNI 21/09/2023 Ureum 30.00 mgr/dl Rp. 30.000
137.00
0220L0020923P000068 YUSNI 21/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000069 ENI 21/09/2023 Microalbuminaria 17.00 mgr/dl Rp. 120.000
0220L0020923P000069 ENI 21/09/2023 Kolesterol LDL 88.00 mgr/dl Rp. 60.000
127.00
0220L0020923P000069 ENI 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000069 ENI 21/09/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000
167.00
0220L0020923P000069 ENI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000069 ENI 21/09/2023 Kreatinin 1.03 mgr/dl Rp. 30.000
0220L0020923P000069 ENI 21/09/2023 Ureum 20.00 mgr/dl Rp. 30.000
0220L0020923P000069 ENI 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000070 SUNARIAH 21/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000
107.00
0220L0020923P000070 SUNARIAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
133.00
0220L0020923P000070 SUNARIAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000070 SUNARIAH 21/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
182.00
0220L0020923P000070 SUNARIAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000070 SUNARIAH 21/09/2023 Kreatinin 1.36 mgr/dl Rp. 30.000
0220L0020923P000070 SUNARIAH 21/09/2023 Ureum 38.00 mgr/dl Rp. 30.000
0220L0020923P000070 SUNARIAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000071 HJ. TATI RATNANINGSIH 21/09/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000
106.00
0220L0020923P000071 HJ. TATI RATNANINGSIH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
249.00
0220L0020923P000071 HJ. TATI RATNANINGSIH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000071 HJ. TATI RATNANINGSIH 21/09/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
201.00
0220L0020923P000071 HJ. TATI RATNANINGSIH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000071 HJ. TATI RATNANINGSIH 21/09/2023 Kreatinin 0.99 mgr/dl Rp. 30.000
0220L0020923P000071 HJ. TATI RATNANINGSIH 21/09/2023 Ureum 11.00 mgr/dl Rp. 30.000
0220L0020923P000071 HJ. TATI RATNANINGSIH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000072 HJ. ICOT 21/09/2023 Microalbuminaria 26.00 mgr/dl Rp. 120.000
0220L0020923P000072 HJ. ICOT 21/09/2023 Kolesterol LDL 99.00 mgr/dl Rp. 60.000
0220L0020923P000072 HJ. ICOT 21/09/2023 Kolesterol Trigliserida 77.00 mgr/dl Rp. 50.000
0220L0020923P000072 HJ. ICOT 21/09/2023 Kolesterol HDL 65.00 mgr/dl Rp. 45.000
179.00
0220L0020923P000072 HJ. ICOT 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000072 HJ. ICOT 21/09/2023 Kreatinin 1.25 mgr/dl Rp. 30.000
0220L0020923P000072 HJ. ICOT 21/09/2023 Ureum 23.00 mgr/dl Rp. 30.000
0220L0020923P000072 HJ. ICOT 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000073 SULAS 21/09/2023 Microalbuminaria 16.00 mgr/dl Rp. 120.000
0220L0020923P000073 SULAS 21/09/2023 Kolesterol LDL 69.00 mgr/dl Rp. 60.000
122.00
0220L0020923P000073 SULAS 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000073 SULAS 21/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
134.00
0220L0020923P000073 SULAS 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000073 SULAS 21/09/2023 Kreatinin 1.21 mgr/dl Rp. 30.000
0220L0020923P000073 SULAS 21/09/2023 Ureum 30.00 mgr/dl Rp. 30.000
0220L0020923P000073 SULAS 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000074 SUMINAH 21/09/2023 HbA1c 12.30 % Rp. 160.000
0220L0020923P000074 SUMINAH 21/09/2023 Microalbuminaria 17.00 mgr/dl Rp. 120.000
111.00
0220L0020923P000074 SUMINAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
269.00
0220L0020923P000074 SUMINAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000074 SUMINAH 21/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
216.00
0220L0020923P000074 SUMINAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000074 SUMINAH 21/09/2023 Kreatinin 1.46 mgr/dl Rp. 30.000
0220L0020923P000074 SUMINAH 21/09/2023 Ureum 33.00 mgr/dl Rp. 30.000

0220L0020923P000075 WATI 21/09/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000
0220L0020923P000075 WATI 21/09/2023 Kolesterol LDL 98.00 mgr/dl Rp. 60.000
115.00
0220L0020923P000075 WATI 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000075 WATI 21/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
172.00
0220L0020923P000075 WATI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000075 WATI 21/09/2023 Kreatinin 1.09 mgr/dl Rp. 30.000
0220L0020923P000075 WATI 21/09/2023 Ureum 23.00 mgr/dl Rp. 30.000
0220L0020923P000075 WATI 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000076 ARNIYAH 21/09/2023 Microalbuminaria 9.00 mgr/dl Rp. 120.000
100.00
0220L0020923P000076 ARNIYAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
203.00
0220L0020923P000076 ARNIYAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000076 ARNIYAH 21/09/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000
195.00
0220L0020923P000076 ARNIYAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000076 ARNIYAH 21/09/2023 Kreatinin 1.16 mgr/dl Rp. 30.000
0220L0020923P000076 ARNIYAH 21/09/2023 Ureum 27.00 mgr/dl Rp. 30.000
0220L0020923P000076 ARNIYAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000077 SATRA 21/09/2023 HbA1c 6.30 % Rp. 160.000
0220L0020923P000077 SATRA 21/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000
0220L0020923P000077 SATRA 21/09/2023 Kolesterol LDL 42.00 mgr/dl Rp. 60.000
120.00
0220L0020923P000077 SATRA 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000077 SATRA 21/09/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
112.00
0220L0020923P000077 SATRA 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000077 SATRA 21/09/2023 Kreatinin 1.98 mgr/dl Rp. 30.000
0220L0020923P000077 SATRA 21/09/2023 Ureum 28.00 mgr/dl Rp. 30.000
0220L0020923P000078 MARNI 21/09/2023 Microalbuminaria 31.00 mgr/dl Rp. 120.000

131.00
0220L0020923P000078 MARNI 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000078 MARNI 21/09/2023 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000
0220L0020923P000078 MARNI 21/09/2023 Kolesterol HDL 68.00 mgr/dl Rp. 45.000
215.00
0220L0020923P000078 MARNI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000078 MARNI 21/09/2023 Kreatinin 1.45 mgr/dl Rp. 30.000
0220L0020923P000078 MARNI 21/09/2023 Ureum 23.00 mgr/dl Rp. 30.000
0220L0020923P000078 MARNI 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000079 SITI B. 21/09/2023 Microalbuminaria 15.00 mgr/dl Rp. 120.000
117.00
0220L0020923P000079 SITI B. 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000079 SITI B. 21/09/2023 Kolesterol Trigliserida 61.00 mgr/dl Rp. 50.000
0220L0020923P000079 SITI B. 21/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
178.00
0220L0020923P000079 SITI B. 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000079 SITI B. 21/09/2023 Kreatinin 0.91 mgr/dl Rp. 30.000
0220L0020923P000079 SITI B. 21/09/2023 Ureum 19.00 mgr/dl Rp. 30.000
0220L0020923P000079 SITI B. 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000080 SANAH 21/09/2023 Microalbuminaria 17.00 mgr/dl Rp. 120.000
124.00
0220L0020923P000080 SANAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
124.00
0220L0020923P000080 SANAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000080 SANAH 21/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
200.00
0220L0020923P000080 SANAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000080 SANAH 21/09/2023 Kreatinin 1.22 mgr/dl Rp. 30.000
0220L0020923P000080 SANAH 21/09/2023 Ureum 23.00 mgr/dl Rp. 30.000
0220L0020923P000080 SANAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000081 SATIAH 21/09/2023 HbA1c 4.50 % Rp. 160.000
0220L0020923P000081 SATIAH 21/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000

103.00
0220L0020923P000081 SATIAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
120.00
0220L0020923P000081 SATIAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000081 SATIAH 21/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
178.00
0220L0020923P000081 SATIAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000081 SATIAH 21/09/2023 Kreatinin 1.39 mgr/dl Rp. 30.000
0220L0020923P000081 SATIAH 21/09/2023 Ureum 19.00 mgr/dl Rp. 30.000
135.00
0220L0020923P000081 SATIAH 21/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000082 KAMSIAH 21/09/2023 HbA1c 10.10 % Rp. 160.000
0220L0020923P000082 KAMSIAH 21/09/2023 Microalbuminaria 16.00 mgr/dl Rp. 120.000
151.00
0220L0020923P000082 KAMSIAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
104.00
0220L0020923P000082 KAMSIAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000082 KAMSIAH 21/09/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000
226.00
0220L0020923P000082 KAMSIAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000082 KAMSIAH 21/09/2023 Kreatinin 1.42 mgr/dl Rp. 30.000
0220L0020923P000082 KAMSIAH 21/09/2023 Ureum 24.00 mgr/dl Rp. 30.000
0220L0020923P000083 MARSITI 21/09/2023 HbA1c 5.80 % Rp. 160.000
0220L0020923P000083 MARSITI 21/09/2023 Microalbuminaria 26.00 mgr/dl Rp. 120.000
142.00
0220L0020923P000083 MARSITI 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000083 MARSITI 21/09/2023 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000
0220L0020923P000083 MARSITI 21/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
211.00
0220L0020923P000083 MARSITI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000083 MARSITI 21/09/2023 Kreatinin 1.21 mgr/dl Rp. 30.000
0220L0020923P000083 MARSITI 21/09/2023 Ureum 28.00 mgr/dl Rp. 30.000
174.00
0220L0020923P000083 MARSITI 21/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000084 RASI 21/09/2023 Microalbuminaria 62.00 mgr/dl Rp. 120.000

176.00
0220L0020923P000084 RASI 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
107.00
0220L0020923P000084 RASI 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000084 RASI 21/09/2023 Kolesterol HDL 57.00 mgr/dl Rp. 45.000
254.00
0220L0020923P000084 RASI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000084 RASI 21/09/2023 Kreatinin 1.76 mgr/dl Rp. 30.000
0220L0020923P000084 RASI 21/09/2023 Ureum 28.00 mgr/dl Rp. 30.000
0220L0020923P000084 RASI 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000085 RABIAH 21/09/2023 HbA1c 12.10 % Rp. 160.000
0220L0020923P000085 RABIAH 21/09/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000
148.00
0220L0020923P000085 RABIAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
353.00
0220L0020923P000085 RABIAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000085 RABIAH 21/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
259.00
0220L0020923P000085 RABIAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000085 RABIAH 21/09/2023 Kreatinin 2.49 mgr/dl Rp. 30.000
0220L0020923P000085 RABIAH 21/09/2023 Ureum 58.00 mgr/dl Rp. 30.000
0220L0020923P000086 LILIS 21/09/2023 HbA1c 11.20 % Rp. 160.000
0220L0020923P000086 LILIS 21/09/2023 Microalbuminaria 33.00 mgr/dl Rp. 120.000
158.00
0220L0020923P000086 LILIS 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
249.00
0220L0020923P000086 LILIS 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000086 LILIS 21/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
248.00
0220L0020923P000086 LILIS 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000086 LILIS 21/09/2023 Kreatinin 1.11 mgr/dl Rp. 30.000
0220L0020923P000086 LILIS 21/09/2023 Ureum 17.00 mgr/dl Rp. 30.000
0220L0020923P000087 IJAH 21/09/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000
137.00
0220L0020923P000087 IJAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
184.00
0220L0020923P000087 IJAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000087 IJAH 21/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
225.00
0220L0020923P000087 IJAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000087 IJAH 21/09/2023 Kreatinin 1.30 mgr/dl Rp. 30.000
0220L0020923P000087 IJAH 21/09/2023 Ureum 24.00 mgr/dl Rp. 30.000
0220L0020923P000087 IJAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000088 SURNIAH 21/09/2023 Microalbuminaria 16.00 mgr/dl Rp. 120.000
0220L0020923P000088 SURNIAH 21/09/2023 Kolesterol LDL 57.00 mgr/dl Rp. 60.000
444.00
0220L0020923P000088 SURNIAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000088 SURNIAH 21/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
184.00
0220L0020923P000088 SURNIAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000088 SURNIAH 21/09/2023 Kreatinin 1.28 mgr/dl Rp. 30.000
0220L0020923P000088 SURNIAH 21/09/2023 Ureum 28.00 mgr/dl Rp. 30.000
0220L0020923P000088 SURNIAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000089 ARNAH 21/09/2023 HbA1c 7.00 % Rp. 160.000
0220L0020923P000089 ARNAH 21/09/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000
0220L0020923P000089 ARNAH 21/09/2023 Kolesterol LDL 79.00 mgr/dl Rp. 60.000
406.00
0220L0020923P000089 ARNAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000089 ARNAH 21/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
198.00
0220L0020923P000089 ARNAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000089 ARNAH 21/09/2023 Kreatinin 0.94 mgr/dl Rp. 30.000
0220L0020923P000089 ARNAH 21/09/2023 Ureum 24.00 mgr/dl Rp. 30.000
198.00
0220L0020923P000090 SANIMAH 21/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
129.00
0220L0020923P000090 SANIMAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
129.00
0220L0020923P000090 SANIMAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000090 SANIMAH 21/09/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000
214.00
0220L0020923P000090 SANIMAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000090 SANIMAH 21/09/2023 Kreatinin 1.17 mgr/dl Rp. 30.000
0220L0020923P000090 SANIMAH 21/09/2023 Ureum 27.00 mgr/dl Rp. 30.000
0220L0020923P000090 SANIMAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000091 MARSIH 21/09/2023 Microalbuminaria 18.00 mgr/dl Rp. 120.000
108.00
0220L0020923P000091 MARSIH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000091 MARSIH 21/09/2023 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000
0220L0020923P000091 MARSIH 21/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
175.00
0220L0020923P000091 MARSIH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000091 MARSIH 21/09/2023 Kreatinin 1.12 mgr/dl Rp. 30.000
0220L0020923P000091 MARSIH 21/09/2023 Ureum 16.00 mgr/dl Rp. 30.000
0220L0020923P000091 MARSIH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000092 KAYAH 21/09/2023 Microalbuminaria 88.00 mgr/dl Rp. 120.000
0220L0020923P000092 KAYAH 21/09/2023 Kolesterol LDL 49.00 mgr/dl Rp. 60.000
103.00
0220L0020923P000092 KAYAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
103.00
0220L0020923P000092 KAYAH 21/09/2023 Kolesterol HDL Rp. 45.000
mgr/dl
205.00
0220L0020923P000092 KAYAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000092 KAYAH 21/09/2023 Kreatinin 1.48 mgr/dl Rp. 30.000
0220L0020923P000092 KAYAH 21/09/2023 Ureum 22.00 mgr/dl Rp. 30.000
0220L0020923P000092 KAYAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000093 SAIPAH 21/09/2023 Microalbuminaria 18.00 mgr/dl Rp. 120.000
0220L0020923P000093 SAIPAH 21/09/2023 Kolesterol LDL 77.00 mgr/dl Rp. 60.000
118.00
0220L0020923P000093 SAIPAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000093 SAIPAH 21/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000

177.00
0220L0020923P000093 SAIPAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000093 SAIPAH 21/09/2023 Kreatinin 1.02 mgr/dl Rp. 30.000
0220L0020923P000093 SAIPAH 21/09/2023 Ureum 18.00 mgr/dl Rp. 30.000
0220L0020923P000093 SAIPAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000094 yayah 21/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000
177.00
0220L0020923P000094 yayah 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
147.00
0220L0020923P000094 yayah 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000094 yayah 21/09/2023 Kolesterol HDL 68.00 mgr/dl Rp. 45.000
274.00
0220L0020923P000094 yayah 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000094 yayah 21/09/2023 Kreatinin 0.83 mgr/dl Rp. 30.000
0220L0020923P000094 yayah 21/09/2023 Ureum 25.00 mgr/dl Rp. 30.000
0220L0020923P000094 yayah 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000095 HENAH 21/09/2023 HbA1c 13.30 % Rp. 160.000
129.00
0220L0020923P000095 HENAH 21/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
136.00
0220L0020923P000095 HENAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
117.00
0220L0020923P000095 HENAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000095 HENAH 21/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
200.00
0220L0020923P000095 HENAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000095 HENAH 21/09/2023 Kreatinin 1.06 mgr/dl Rp. 30.000
0220L0020923P000095 HENAH 21/09/2023 Ureum 16.00 mgr/dl Rp. 30.000
0220L0020923P000096 ASMERI 21/09/2023 HbA1c 14.40 % Rp. 160.000
0220L0020923P000096 ASMERI 21/09/2023 Microalbuminaria 56.00 mgr/dl Rp. 120.000
0220L0020923P000096 ASMERI 21/09/2023 Kolesterol LDL 14.00 mgr/dl Rp. 60.000
539.00
0220L0020923P000096 ASMERI 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000096 ASMERI 21/09/2023 Kolesterol HDL 89.00 mgr/dl Rp. 45.000

211.00
0220L0020923P000096 ASMERI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000096 ASMERI 21/09/2023 Kreatinin 1.02 mgr/dl Rp. 30.000
0220L0020923P000096 ASMERI 21/09/2023 Ureum 27.00 mgr/dl Rp. 30.000
0220L0020923P000097 SUTINAH 21/09/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000
103.00
0220L0020923P000097 SUTINAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
220.00
0220L0020923P000097 SUTINAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000097 SUTINAH 21/09/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
220.00
0220L0020923P000097 SUTINAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000097 SUTINAH 21/09/2023 Kreatinin 1.15 mgr/dl Rp. 30.000
0220L0020923P000097 SUTINAH 21/09/2023 Ureum 16.00 mgr/dl Rp. 30.000
0220L0020923P000097 SUTINAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000098 SAI 21/09/2023 HbA1c 8.10 % Rp. 160.000
0220L0020923P000098 SAI 21/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000
130.00
0220L0020923P000098 SAI 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
115.00
0220L0020923P000098 SAI 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000098 SAI 21/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
204.00
0220L0020923P000098 SAI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000098 SAI 21/09/2023 Kreatinin 1.16 mgr/dl Rp. 30.000
0220L0020923P000098 SAI 21/09/2023 Ureum 19.00 mgr/dl Rp. 30.000
0220L0020923P000099 JASINAH 21/09/2023 Microalbuminaria 45.00 mgr/dl Rp. 120.000
0220L0020923P000099 JASINAH 21/09/2023 Kolesterol LDL 79.00 mgr/dl Rp. 60.000
213.00
0220L0020923P000099 JASINAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000099 JASINAH 21/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
165.00
0220L0020923P000099 JASINAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000099 JASINAH 21/09/2023 Kreatinin 1.86 mgr/dl Rp. 30.000

0220L0020923P000099 JASINAH 21/09/2023 Ureum 30.00 mgr/dl Rp. 30.000
0220L0020923P000099 JASINAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000100 DEWI RATNA 21/09/2023 Microalbuminaria 59.00 mgr/dl Rp. 120.000
195.00
0220L0020923P000100 DEWI RATNA 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
342.00
0220L0020923P000100 DEWI RATNA 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000100 DEWI RATNA 21/09/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000
317.00
0220L0020923P000100 DEWI RATNA 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000100 DEWI RATNA 21/09/2023 Kreatinin 0.97 mgr/dl Rp. 30.000
0220L0020923P000100 DEWI RATNA 21/09/2023 Ureum 25.00 mgr/dl Rp. 30.000
0220L0020923P000100 DEWI RATNA 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000101 RAKMAH 21/09/2023 Microalbuminaria 15.00 mgr/dl Rp. 120.000
0220L0020923P000101 RAKMAH 21/09/2023 Kolesterol LDL 94.00 mgr/dl Rp. 60.000
104.00
0220L0020923P000101 RAKMAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000101 RAKMAH 21/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
153.00
0220L0020923P000101 RAKMAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000101 RAKMAH 21/09/2023 Kreatinin 1.82 mgr/dl Rp. 30.000
0220L0020923P000101 RAKMAH 21/09/2023 Ureum 39.00 mgr/dl Rp. 30.000
0220L0020923P000101 RAKMAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000102 ASINEM 21/09/2023 Microalbuminaria 16.00 mgr/dl Rp. 120.000
104.00
0220L0020923P000102 ASINEM 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000102 ASINEM 21/09/2023 Kolesterol Trigliserida 70.00 mgr/dl Rp. 50.000
0220L0020923P000102 ASINEM 21/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
169.00
0220L0020923P000102 ASINEM 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000102 ASINEM 21/09/2023 Kreatinin 1.33 mgr/dl Rp. 30.000
0220L0020923P000102 ASINEM 21/09/2023 Ureum 33.00 mgr/dl Rp. 30.000
0220L0020923P000102 ASINEM 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000103 SARI 21/09/2023 HbA1c 7.20 % Rp. 160.000
0220L0020923P000103 SARI 21/09/2023 Microalbuminaria 31.00 mgr/dl Rp. 120.000
0220L0020923P000103 SARI 21/09/2023 Kolesterol LDL 75.00 mgr/dl Rp. 60.000
234.00
0220L0020923P000103 SARI 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000103 SARI 21/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
173.00
0220L0020923P000103 SARI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000103 SARI 21/09/2023 Kreatinin 1.29 mgr/dl Rp. 30.000
0220L0020923P000103 SARI 21/09/2023 Ureum 14.00 mgr/dl Rp. 30.000
178.00
0220L0020923P000103 SARI 21/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000104 YOYOH ROHAYAH 21/09/2023 Microalbuminaria 17.00 mgr/dl Rp. 120.000
0220L0020923P000104 YOYOH ROHAYAH 21/09/2023 Kolesterol LDL 97.00 mgr/dl Rp. 60.000
111.00
0220L0020923P000104 YOYOH ROHAYAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000104 YOYOH ROHAYAH 21/09/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000
179.00
0220L0020923P000104 YOYOH ROHAYAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000104 YOYOH ROHAYAH 21/09/2023 Kreatinin 1.03 mgr/dl Rp. 30.000
0220L0020923P000104 YOYOH ROHAYAH 21/09/2023 Ureum 23.00 mgr/dl Rp. 30.000
0220L0020923P000104 YOYOH ROHAYAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000105 SUMIYATI 21/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000
0220L0020923P000105 SUMIYATI 21/09/2023 Kolesterol LDL 97.00 mgr/dl Rp. 60.000
139.00
0220L0020923P000105 SUMIYATI 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000105 SUMIYATI 21/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
168.00
0220L0020923P000105 SUMIYATI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000105 SUMIYATI 21/09/2023 Kreatinin 1.86 mgr/dl Rp. 30.000
0220L0020923P000105 SUMIYATI 21/09/2023 Ureum 23.00 mgr/dl Rp. 30.000
0220L0020923P000105 SUMIYATI 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000106 MARHAMAH 21/09/2023 HbA1c 7.20 % Rp. 160.000

0220L0020923P000106 MARHAMAH 21/09/2023 Microalbuminaria 19.00 mgr/dl Rp. 120.000
167.00
0220L0020923P000106 MARHAMAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
218.00
0220L0020923P000106 MARHAMAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000106 MARHAMAH 21/09/2023 Kolesterol HDL 70.00 mgr/dl Rp. 45.000
218.00
0220L0020923P000106 MARHAMAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000106 MARHAMAH 21/09/2023 Kreatinin 1.26 mgr/dl Rp. 30.000
0220L0020923P000106 MARHAMAH 21/09/2023 Ureum 24.00 mgr/dl Rp. 30.000
0220L0020923P000107 AMINAH 21/09/2023 Microalbuminaria 9.00 mgr/dl Rp. 120.000
0220L0020923P000107 AMINAH 21/09/2023 Kolesterol LDL 27.00 mgr/dl Rp. 60.000
221.00
0220L0020923P000107 AMINAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000107 AMINAH 21/09/2023 Kolesterol HDL 57.00 mgr/dl Rp. 45.000
128.00
0220L0020923P000107 AMINAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000107 AMINAH 21/09/2023 Kreatinin 1.18 mgr/dl Rp. 30.000
0220L0020923P000107 AMINAH 21/09/2023 Ureum 22.00 mgr/dl Rp. 30.000
0220L0020923P000107 AMINAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000108 ROSITA 21/09/2023 HbA1c 10.20 % Rp. 160.000
0220L0020923P000108 ROSITA 21/09/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000
131.00
0220L0020923P000108 ROSITA 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
521.00
0220L0020923P000108 ROSITA 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000108 ROSITA 21/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
273.00
0220L0020923P000108 ROSITA 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000108 ROSITA 21/09/2023 Kreatinin 0.97 mgr/dl Rp. 30.000
0220L0020923P000108 ROSITA 21/09/2023 Ureum 18.00 mgr/dl Rp. 30.000
0220L0020923P000109 ARNAH 21/09/2023 Microalbuminaria 23.00 mgr/dl Rp. 120.000
113.00
0220L0020923P000109 ARNAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
455.00
0220L0020923P000109 ARNAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000109 ARNAH 21/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
247.00
0220L0020923P000109 ARNAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000109 ARNAH 21/09/2023 Kreatinin 1.42 mgr/dl Rp. 30.000
0220L0020923P000109 ARNAH 21/09/2023 Ureum 35.00 mgr/dl Rp. 30.000
0220L0020923P000109 ARNAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000110 OYAH 21/09/2023 Microalbuminaria 30.00 mgr/dl Rp. 120.000
133.00
0220L0020923P000110 OYAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
232.00
0220L0020923P000110 OYAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000110 OYAH 21/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
220.00
0220L0020923P000110 OYAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000110 OYAH 21/09/2023 Kreatinin 1.40 mgr/dl Rp. 30.000
0220L0020923P000110 OYAH 21/09/2023 Ureum 35.00 mgr/dl Rp. 30.000
0220L0020923P000110 OYAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000111 WARSIYEM 21/09/2023 Microalbuminaria 16.00 mgr/dl Rp. 120.000
0220L0020923P000111 WARSIYEM 21/09/2023 Kolesterol LDL 94.00 mgr/dl Rp. 60.000
238.00
0220L0020923P000111 WARSIYEM 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000111 WARSIYEM 21/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
193.00
0220L0020923P000111 WARSIYEM 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000111 WARSIYEM 21/09/2023 Kreatinin 1.19 mgr/dl Rp. 30.000
0220L0020923P000111 WARSIYEM 21/09/2023 Ureum 19.00 mgr/dl Rp. 30.000
0220L0020923P000111 WARSIYEM 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000112 SANAH 21/09/2023 Microalbuminaria 97.00 mgr/dl Rp. 120.000
156.00
0220L0020923P000112 SANAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
208.00
0220L0020923P000112 SANAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000112 SANAH 21/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
247.00
0220L0020923P000112 SANAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000112 SANAH 21/09/2023 Kreatinin 1.34 mgr/dl Rp. 30.000
0220L0020923P000112 SANAH 21/09/2023 Ureum 34.00 mgr/dl Rp. 30.000
0220L0020923P000112 SANAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000113 SAWIAH 21/09/2023 HbA1c 7.10 % Rp. 160.000
0220L0020923P000113 SAWIAH 21/09/2023 Microalbuminaria 25.00 mgr/dl Rp. 120.000
100.00
0220L0020923P000113 SAWIAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
150.00
0220L0020923P000113 SAWIAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000113 SAWIAH 21/09/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000
189.00
0220L0020923P000113 SAWIAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000113 SAWIAH 21/09/2023 Kreatinin 1.16 mgr/dl Rp. 30.000
0220L0020923P000113 SAWIAH 21/09/2023 Ureum 33.00 mgr/dl Rp. 30.000
175.00
0220L0020923P000113 SAWIAH 21/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000114 MUNAWAROH 21/09/2023 Microalbuminaria 23.00 mgr/dl Rp. 120.000
115.00
0220L0020923P000114 MUNAWAROH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
128.00
0220L0020923P000114 MUNAWAROH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000114 MUNAWAROH 21/09/2023 Kolesterol HDL 76.00 mgr/dl Rp. 45.000
217.00
0220L0020923P000114 MUNAWAROH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000114 MUNAWAROH 21/09/2023 Kreatinin 1.21 mgr/dl Rp. 30.000
0220L0020923P000114 MUNAWAROH 21/09/2023 Ureum 18.00 mgr/dl Rp. 30.000
0220L0020923P000114 MUNAWAROH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000115 MISRI 21/09/2023 Microalbuminaria 31.00 mgr/dl Rp. 120.000
106.00
0220L0020923P000115 MISRI 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
123.00
0220L0020923P000115 MISRI 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000115 MISRI 21/09/2023 Kolesterol HDL 84.00 mgr/dl Rp. 45.000
215.00
0220L0020923P000115 MISRI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000115 MISRI 21/09/2023 Kreatinin 1.22 mgr/dl Rp. 30.000
0220L0020923P000115 MISRI 21/09/2023 Ureum 22.00 mgr/dl Rp. 30.000
0220L0020923P000115 MISRI 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000116 MUMUN 21/09/2023 HbA1c 11.10 % Rp. 160.000
300.00
0220L0020923P000116 MUMUN 21/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
0220L0020923P000116 MUMUN 21/09/2023 Kolesterol LDL 10.00 mgr/dl Rp. 60.000
913.00
0220L0020923P000116 MUMUN 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
135.00
0220L0020923P000116 MUMUN 21/09/2023 Kolesterol HDL Rp. 45.000
mgr/dl
308.00
0220L0020923P000116 MUMUN 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000116 MUMUN 21/09/2023 Kreatinin 1.00 mgr/dl Rp. 30.000
0220L0020923P000116 MUMUN 21/09/2023 Ureum 18.00 mgr/dl Rp. 30.000
0220L0020923P000117 TIRAH 21/09/2023 HbA1c 6.10 % Rp. 160.000
0220L0020923P000117 TIRAH 21/09/2023 Microalbuminaria 19.00 mgr/dl Rp. 120.000
133.00
0220L0020923P000117 TIRAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
315.00
0220L0020923P000117 TIRAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000117 TIRAH 21/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
234.00
0220L0020923P000117 TIRAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000117 TIRAH 21/09/2023 Kreatinin 1.26 mgr/dl Rp. 30.000
0220L0020923P000117 TIRAH 21/09/2023 Ureum 37.00 mgr/dl Rp. 30.000
135.00
0220L0020923P000117 TIRAH 21/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
102.00
0220L0020923P000118 ARSITI 21/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
123.00
0220L0020923P000118 ARSITI 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000118 ARSITI 21/09/2023 Kolesterol Trigliserida 89.00 mgr/dl Rp. 50.000
0220L0020923P000118 ARSITI 21/09/2023 Kolesterol HDL 65.00 mgr/dl Rp. 45.000
206.00
0220L0020923P000118 ARSITI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000118 ARSITI 21/09/2023 Kreatinin 1.27 mgr/dl Rp. 30.000
0220L0020923P000118 ARSITI 21/09/2023 Ureum 29.00 mgr/dl Rp. 30.000
0220L0020923P000118 ARSITI 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
114.00
0220L0020923P000119 JASINAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
155.00
mgr/dl
207.00
mgr/dl
292.00
0220L0020923P000120 AMAH 21/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
190.00
0220L0020923P000120 AMAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
189.00
0220L0020923P000120 AMAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000120 AMAH 21/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
279.00
0220L0020923P000120 AMAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000120 AMAH 21/09/2023 Kreatinin 1.99 mgr/dl Rp. 30.000
0220L0020923P000120 AMAH 21/09/2023 Ureum 37.00 mgr/dl Rp. 30.000
0220L0020923P000120 AMAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000121 ENTIN 21/09/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000
122.00
0220L0020923P000121 ENTIN 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000121 ENTIN 21/09/2023 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000

0220L0020923P000121 ENTIN 21/09/2023 Kolesterol HDL 65.00 mgr/dl Rp. 45.000
206.00
0220L0020923P000121 ENTIN 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000121 ENTIN 21/09/2023 Kreatinin 1.17 mgr/dl Rp. 30.000
0220L0020923P000121 ENTIN 21/09/2023 Ureum 25.00 mgr/dl Rp. 30.000
0220L0020923P000121 ENTIN 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000122 AMI 21/09/2023 Microalbuminaria 26.00 mgr/dl Rp. 120.000
0220L0020923P000122 AMI 21/09/2023 Kolesterol LDL 89.00 mgr/dl Rp. 60.000
113.00
0220L0020923P000122 AMI 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000122 AMI 21/09/2023 Kolesterol HDL 76.00 mgr/dl Rp. 45.000
188.00
0220L0020923P000122 AMI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000122 AMI 21/09/2023 Kreatinin 1.37 mgr/dl Rp. 30.000
0220L0020923P000122 AMI 21/09/2023 Ureum 29.00 mgr/dl Rp. 30.000
0220L0020923P000122 AMI 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000123 ERI SUBADRI 20/09/2023 Microalbuminaria 8.00 mgr/dl Rp. 120.000
163.00
0220L0020923P000123 ERI SUBADRI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
204.00
0220L0020923P000123 ERI SUBADRI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000123 ERI SUBADRI 20/09/2023 Kolesterol HDL 27.00 mgr/dl Rp. 45.000
231.00
0220L0020923P000123 ERI SUBADRI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000123 ERI SUBADRI 20/09/2023 Kreatinin 1.65 mgr/dl Rp. 30.000
0220L0020923P000123 ERI SUBADRI 20/09/2023 Ureum 31.00 mgr/dl Rp. 30.000
0220L0020923P000123 ERI SUBADRI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000124 CUCU SUHARTINI 20/09/2023 Microalbuminaria 9.00 mgr/dl Rp. 120.000
216.00
0220L0020923P000124 CUCU SUHARTINI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
161.00
0220L0020923P000124 CUCU SUHARTINI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000124 CUCU SUHARTINI 20/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
291.00
0220L0020923P000124 CUCU SUHARTINI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000124 CUCU SUHARTINI 20/09/2023 Kreatinin 1.19 mgr/dl Rp. 30.000
0220L0020923P000124 CUCU SUHARTINI 20/09/2023 Ureum 41.00 mgr/dl Rp. 30.000
0220L0020923P000124 CUCU SUHARTINI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000125 DEDEH 20/09/2023 Microalbuminaria 39.00 mgr/dl Rp. 120.000
143.00
0220L0020923P000125 DEDEH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
330.00
0220L0020923P000125 DEDEH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000125 DEDEH 20/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
252.00
0220L0020923P000125 DEDEH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000125 DEDEH 20/09/2023 Kreatinin 1.61 mgr/dl Rp. 30.000
0220L0020923P000125 DEDEH 20/09/2023 Ureum 47.00 mgr/dl Rp. 30.000
0220L0020923P000125 DEDEH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000126 SUKENAH 20/09/2023 Microalbuminaria 41.00 mgr/dl Rp. 120.000
211.00
0220L0020923P000126 SUKENAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000126 SUKENAH 20/09/2023 Kolesterol Trigliserida 99.00 mgr/dl Rp. 50.000
0220L0020923P000126 SUKENAH 20/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
271.00
0220L0020923P000126 SUKENAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000126 SUKENAH 20/09/2023 Kreatinin 1.21 mgr/dl Rp. 30.000
0220L0020923P000126 SUKENAH 20/09/2023 Ureum 21.00 mgr/dl Rp. 30.000
0220L0020923P000126 SUKENAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000127 NENI SURYANI 20/09/2023 Microalbuminaria 7.00 mgr/dl Rp. 120.000
183.00
0220L0020923P000127 NENI SURYANI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
141.00
0220L0020923P000127 NENI SURYANI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000127 NENI SURYANI 20/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
252.00
0220L0020923P000127 NENI SURYANI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000127 NENI SURYANI 20/09/2023 Kreatinin 1.40 mgr/dl Rp. 30.000
0220L0020923P000127 NENI SURYANI 20/09/2023 Ureum 17.00 mgr/dl Rp. 30.000
0220L0020923P000127 NENI SURYANI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
101.00
0220L0020923P000128 TIAH 20/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
173.00
0220L0020923P000128 TIAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
114.00
0220L0020923P000128 TIAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000128 TIAH 20/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
247.00
0220L0020923P000128 TIAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000128 TIAH 20/09/2023 Kreatinin 1.14 mgr/dl Rp. 30.000
0220L0020923P000128 TIAH 20/09/2023 Ureum 34.00 mgr/dl Rp. 30.000
0220L0020923P000128 TIAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000129 SOPIAH 20/09/2023 Microalbuminaria 9.00 mgr/dl Rp. 120.000
218.00
0220L0020923P000129 SOPIAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
116.00
0220L0020923P000129 SOPIAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000129 SOPIAH 20/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
282.00
0220L0020923P000129 SOPIAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000129 SOPIAH 20/09/2023 Kreatinin 2.28 mgr/dl Rp. 30.000
0220L0020923P000129 SOPIAH 20/09/2023 Ureum 75.00 mgr/dl Rp. 30.000
0220L0020923P000129 SOPIAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000130 ANAH HASANAH 20/09/2023 Microalbuminaria 7.00 mgr/dl Rp. 120.000
189.00
0220L0020923P000130 ANAH HASANAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
282.00
0220L0020923P000130 ANAH HASANAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000130 ANAH HASANAH 20/09/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
291.00
0220L0020923P000130 ANAH HASANAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000130 ANAH HASANAH 20/09/2023 Kreatinin 1.31 mgr/dl Rp. 30.000

0220L0020923P000130 ANAH HASANAH 20/09/2023 Ureum 23.00 mgr/dl Rp. 30.000
0220L0020923P000130 ANAH HASANAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000131 DEWI 20/09/2023 Microalbuminaria 57.00 mgr/dl Rp. 120.000
132.00
0220L0020923P000131 DEWI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
120.00
0220L0020923P000131 DEWI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000131 DEWI 20/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
207.00
0220L0020923P000131 DEWI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000131 DEWI 20/09/2023 Kreatinin 1.05 mgr/dl Rp. 30.000
0220L0020923P000131 DEWI 20/09/2023 Ureum 23.00 mgr/dl Rp. 30.000
0220L0020923P000131 DEWI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000132 SUHEMAH 20/09/2023 Microalbuminaria 8.00 mgr/dl Rp. 120.000
171.00
0220L0020923P000132 SUHEMAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
202.00
0220L0020923P000132 SUHEMAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000132 SUHEMAH 20/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
249.00
0220L0020923P000132 SUHEMAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000132 SUHEMAH 20/09/2023 Kreatinin 1.20 mgr/dl Rp. 30.000
0220L0020923P000132 SUHEMAH 20/09/2023 Ureum 37.00 mgr/dl Rp. 30.000
0220L0020923P000132 SUHEMAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000133 CUCUM SUMYANAH 20/09/2023 Microalbuminaria 35.00 mgr/dl Rp. 120.000
259.00
0220L0020923P000133 CUCUM SUMYANAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
419.00
0220L0020923P000133 CUCUM SUMYANAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000133 CUCUM SUMYANAH 20/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
383.00
0220L0020923P000133 CUCUM SUMYANAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000133 CUCUM SUMYANAH 20/09/2023 Kreatinin 2.17 mgr/dl Rp. 30.000
0220L0020923P000133 CUCUM SUMYANAH 20/09/2023 Ureum 52.00 mgr/dl Rp. 30.000

0220L0020923P000133 CUCUM SUMYANAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000134 LATIPAH 20/09/2023 Microalbuminaria 86.00 mgr/dl Rp. 120.000
163.00
0220L0020923P000134 LATIPAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000134 LATIPAH 20/09/2023 Kolesterol Trigliserida 89.00 mgr/dl Rp. 50.000
0220L0020923P000134 LATIPAH 20/09/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
227.00
0220L0020923P000134 LATIPAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000134 LATIPAH 20/09/2023 Kreatinin 1.31 mgr/dl Rp. 30.000
0220L0020923P000134 LATIPAH 20/09/2023 Ureum 32.00 mgr/dl Rp. 30.000
0220L0020923P000134 LATIPAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000135 ESIH 20/09/2023 Microalbuminaria 27.00 mgr/dl Rp. 120.000
244.00
0220L0020923P000135 ESIH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
334.00
0220L0020923P000135 ESIH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000135 ESIH 20/09/2023 Kolesterol HDL 35.00 mgr/dl Rp. 45.000
346.00
0220L0020923P000135 ESIH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000135 ESIH 20/09/2023 Kreatinin 0.99 mgr/dl Rp. 30.000
0220L0020923P000135 ESIH 20/09/2023 Ureum 20.00 mgr/dl Rp. 30.000
0220L0020923P000135 ESIH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000136 SAOJAH 20/09/2023 Microalbuminaria 54.00 mgr/dl Rp. 120.000
171.00
0220L0020923P000136 SAOJAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
221.00
0220L0020923P000136 SAOJAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000136 SAOJAH 20/09/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000
275.00
0220L0020923P000136 SAOJAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000136 SAOJAH 20/09/2023 Kreatinin 1.25 mgr/dl Rp. 30.000
0220L0020923P000136 SAOJAH 20/09/2023 Ureum 44.00 mgr/dl Rp. 30.000
0220L0020923P000136 SAOJAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000137 SAEMI 20/09/2023 Microalbuminaria 43.00 mgr/dl Rp. 120.000
122.00
0220L0020923P000137 SAEMI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
330.00
0220L0020923P000137 SAEMI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000137 SAEMI 20/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
239.00
0220L0020923P000137 SAEMI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000137 SAEMI 20/09/2023 Kreatinin 1.59 mgr/dl Rp. 30.000
0220L0020923P000137 SAEMI 20/09/2023 Ureum 41.00 mgr/dl Rp. 30.000
0220L0020923P000137 SAEMI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000138 SARI SURYANI 20/09/2023 Microalbuminaria 19.00 mgr/dl Rp. 120.000
149.00
0220L0020923P000138 SARI SURYANI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
144.00
0220L0020923P000138 SARI SURYANI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000138 SARI SURYANI 20/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
218.00
0220L0020923P000138 SARI SURYANI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000138 SARI SURYANI 20/09/2023 Kreatinin 0.92 mgr/dl Rp. 30.000
0220L0020923P000138 SARI SURYANI 20/09/2023 Ureum 16.00 mgr/dl Rp. 30.000
0220L0020923P000138 SARI SURYANI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000139 TITIK NURNANINGSIH 21/09/2023 HbA1c 6.80 % Rp. 160.000
0220L0020923P000139 TITIK NURNANINGSIH 21/09/2023 Microalbuminaria 66.00 mgr/dl Rp. 120.000
108.00
0220L0020923P000139 TITIK NURNANINGSIH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
200.00
0220L0020923P000139 TITIK NURNANINGSIH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000139 TITIK NURNANINGSIH 21/09/2023 Kolesterol HDL 76.00 mgr/dl Rp. 45.000
224.00
0220L0020923P000139 TITIK NURNANINGSIH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000139 TITIK NURNANINGSIH 21/09/2023 Kreatinin 1.32 mgr/dl Rp. 30.000
0220L0020923P000139 TITIK NURNANINGSIH 21/09/2023 Ureum 35.00 mgr/dl Rp. 30.000
176.00
0220L0020923P000140 MAESAROH 21/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
0220L0020923P000140 MAESAROH 21/09/2023 Kolesterol LDL 80.00 mgr/dl Rp. 60.000
268.00
0220L0020923P000140 MAESAROH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000140 MAESAROH 21/09/2023 Kolesterol HDL 86.00 mgr/dl Rp. 45.000
220.00
0220L0020923P000140 MAESAROH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000140 MAESAROH 21/09/2023 Kreatinin 0.88 mgr/dl Rp. 30.000
0220L0020923P000140 MAESAROH 21/09/2023 Ureum 25.00 mgr/dl Rp. 30.000
0220L0020923P000140 MAESAROH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000141 PATHIYAH 21/09/2023 HbA1c 10.00 % Rp. 160.000
0220L0020923P000141 PATHIYAH 21/09/2023 Microalbuminaria 35.00 mgr/dl Rp. 120.000
118.00
0220L0020923P000141 PATHIYAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
253.00
0220L0020923P000141 PATHIYAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000141 PATHIYAH 21/09/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000
223.00
0220L0020923P000141 PATHIYAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000141 PATHIYAH 21/09/2023 Kreatinin 1.82 mgr/dl Rp. 30.000
0220L0020923P000141 PATHIYAH 21/09/2023 Ureum 43.00 mgr/dl Rp. 30.000
0220L0020923P000142 MARSANAH 21/09/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000
139.00
0220L0020923P000142 MARSANAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
139.00
0220L0020923P000142 MARSANAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000142 MARSANAH 21/09/2023 Kolesterol HDL 78.00 mgr/dl Rp. 45.000
245.00
0220L0020923P000142 MARSANAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000142 MARSANAH 21/09/2023 Kreatinin 1.09 mgr/dl Rp. 30.000
0220L0020923P000142 MARSANAH 21/09/2023 Ureum 28.00 mgr/dl Rp. 30.000
0220L0020923P000142 MARSANAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000143 SAMAH 21/09/2023 HbA1c 9.60 % Rp. 160.000
0220L0020923P000143 SAMAH 21/09/2023 Microalbuminaria 50.00 mgr/dl Rp. 120.000

0220L0020923P000143 SAMAH 21/09/2023 Kolesterol LDL 98.00 mgr/dl Rp. 60.000
277.00
0220L0020923P000143 SAMAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000143 SAMAH 21/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
191.00
0220L0020923P000143 SAMAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000143 SAMAH 21/09/2023 Kreatinin 1.17 mgr/dl Rp. 30.000
0220L0020923P000143 SAMAH 21/09/2023 Ureum 24.00 mgr/dl Rp. 30.000
0220L0020923P000144 SUAMAH 21/09/2023 Microalbuminaria 66.00 mgr/dl Rp. 120.000
143.00
0220L0020923P000144 SUAMAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
163.00
0220L0020923P000144 SUAMAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000144 SUAMAH 21/09/2023 Kolesterol HDL 73.00 mgr/dl Rp. 45.000
199.00
0220L0020923P000144 SUAMAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000144 SUAMAH 21/09/2023 Kreatinin 1.06 mgr/dl Rp. 30.000
0220L0020923P000144 SUAMAH 21/09/2023 Ureum 25.00 mgr/dl Rp. 30.000
0220L0020923P000144 SUAMAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000145 SATI 21/09/2023 HbA1c 4.40 % Rp. 160.000
0220L0020923P000145 SATI 21/09/2023 Microalbuminaria 24.00 mgr/dl Rp. 120.000
121.00
0220L0020923P000145 SATI 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000145 SATI 21/09/2023 Kolesterol Trigliserida 58.00 mgr/dl Rp. 50.000
0220L0020923P000145 SATI 21/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
184.00
0220L0020923P000145 SATI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000145 SATI 21/09/2023 Kreatinin 1.18 mgr/dl Rp. 30.000
0220L0020923P000145 SATI 21/09/2023 Ureum 36.00 mgr/dl Rp. 30.000
182.00
0220L0020923P000146 ZAELANI 21/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
148.00
0220L0020923P000146 ZAELANI 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
106.00
0220L0020923P000146 ZAELANI 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000146 ZAELANI 21/09/2023 Kolesterol HDL 57.00 mgr/dl Rp. 45.000
226.00
0220L0020923P000146 ZAELANI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000146 ZAELANI 21/09/2023 Kreatinin 0.98 mgr/dl Rp. 30.000
0220L0020923P000146 ZAELANI 21/09/2023 Ureum 24.00 mgr/dl Rp. 30.000
0220L0020923P000146 ZAELANI 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000147 ATINAH 21/09/2023 Microalbuminaria 45.00 mgr/dl Rp. 120.000
0220L0020923P000147 ATINAH 21/09/2023 Kolesterol LDL 82.00 mgr/dl Rp. 60.000
177.00
0220L0020923P000147 ATINAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000147 ATINAH 21/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
168.00
0220L0020923P000147 ATINAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000147 ATINAH 21/09/2023 Kreatinin 1.12 mgr/dl Rp. 30.000
0220L0020923P000147 ATINAH 21/09/2023 Ureum 33.00 mgr/dl Rp. 30.000
0220L0020923P000147 ATINAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000148 ROHMAH 21/09/2023 Microalbuminaria 40.00 mgr/dl Rp. 120.000
128.00
0220L0020923P000148 ROHMAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
129.00
0220L0020923P000148 ROHMAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000148 ROHMAH 21/09/2023 Kolesterol HDL 70.00 mgr/dl Rp. 45.000
224.00
0220L0020923P000148 ROHMAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000148 ROHMAH 21/09/2023 Kreatinin 1.15 mgr/dl Rp. 30.000
0220L0020923P000148 ROHMAH 21/09/2023 Ureum 41.00 mgr/dl Rp. 30.000
0220L0020923P000148 ROHMAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000149 SARNAH 21/09/2023 Microalbuminaria 60.00 mgr/dl Rp. 120.000
0220L0020923P000149 SARNAH 21/09/2023 Kolesterol LDL 96.00 mgr/dl Rp. 60.000
132.00
0220L0020923P000149 SARNAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000149 SARNAH 21/09/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

168.00
0220L0020923P000149 SARNAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000149 SARNAH 21/09/2023 Kreatinin 3.25 mgr/dl Rp. 30.000
0220L0020923P000149 SARNAH 21/09/2023 Ureum 60.00 mgr/dl Rp. 30.000
0220L0020923P000149 SARNAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000150 SUNARTI 21/09/2023 HbA1c 6.60 % Rp. 160.000
0220L0020923P000150 SUNARTI 21/09/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000
0220L0020923P000150 SUNARTI 21/09/2023 Kolesterol LDL 81.00 mgr/dl Rp. 60.000
0220L0020923P000150 SUNARTI 21/09/2023 Kolesterol Trigliserida 67.00 mgr/dl Rp. 50.000
0220L0020923P000150 SUNARTI 21/09/2023 Kolesterol HDL 65.00 mgr/dl Rp. 45.000
199.00
0220L0020923P000150 SUNARTI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000150 SUNARTI 21/09/2023 Kreatinin 1.10 mgr/dl Rp. 30.000
0220L0020923P000150 SUNARTI 21/09/2023 Ureum 19.00 mgr/dl Rp. 30.000
120.00
0220L0020923P000151 ROHANI 21/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
135.00
0220L0020923P000151 ROHANI 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
107.00
0220L0020923P000151 ROHANI 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000151 ROHANI 21/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
207.00
0220L0020923P000151 ROHANI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000151 ROHANI 21/09/2023 Kreatinin 0.85 mgr/dl Rp. 30.000
0220L0020923P000151 ROHANI 21/09/2023 Ureum 28.00 mgr/dl Rp. 30.000
0220L0020923P000151 ROHANI 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000152 JOHANAH 21/09/2023 HbA1c 6.60 % Rp. 160.000
101.00
0220L0020923P000152 JOHANAH 21/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
142.00
0220L0020923P000152 JOHANAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
212.00
0220L0020923P000152 JOHANAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000152 JOHANAH 21/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

235.00
0220L0020923P000152 JOHANAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000152 JOHANAH 21/09/2023 Kreatinin 2.03 mgr/dl Rp. 30.000
0220L0020923P000152 JOHANAH 21/09/2023 Ureum 56.00 mgr/dl Rp. 30.000
0220L0020923P000153 MISIRAH 21/09/2023 Microalbuminaria 48.00 mgr/dl Rp. 120.000
0220L0020923P000153 MISIRAH 21/09/2023 Kolesterol LDL 96.00 mgr/dl Rp. 60.000
115.00
0220L0020923P000153 MISIRAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000153 MISIRAH 21/09/2023 Kolesterol HDL 62.00 mgr/dl Rp. 45.000
181.00
0220L0020923P000153 MISIRAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000153 MISIRAH 21/09/2023 Kreatinin 1.26 mgr/dl Rp. 30.000
0220L0020923P000153 MISIRAH 21/09/2023 Ureum 27.00 mgr/dl Rp. 30.000
0220L0020923P000153 MISIRAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000154 SARIYAH 21/09/2023 Microalbuminaria 56.00 mgr/dl Rp. 120.000
151.00
0220L0020923P000154 SARIYAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
112.00
0220L0020923P000154 SARIYAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000154 SARIYAH 21/09/2023 Kolesterol HDL 73.00 mgr/dl Rp. 45.000
246.00
0220L0020923P000154 SARIYAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000154 SARIYAH 21/09/2023 Kreatinin 1.56 mgr/dl Rp. 30.000
0220L0020923P000154 SARIYAH 21/09/2023 Ureum 35.00 mgr/dl Rp. 30.000
0220L0020923P000154 SARIYAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000155 MARSIAH 21/09/2023 HbA1c 6.80 % Rp. 160.000
0220L0020923P000155 MARSIAH 21/09/2023 Microalbuminaria 60.00 mgr/dl Rp. 120.000
186.00
0220L0020923P000155 MARSIAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
104.00
0220L0020923P000155 MARSIAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000155 MARSIAH 21/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
245.00
0220L0020923P000155 MARSIAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000155 MARSIAH 21/09/2023 Kreatinin 3.19 mgr/dl Rp. 30.000
0220L0020923P000155 MARSIAH 21/09/2023 Ureum 63.00 mgr/dl Rp. 30.000
0220L0020923P000156 UMYATI 21/09/2023 HbA1c 5.00 % Rp. 160.000
188.00
0220L0020923P000156 UMYATI 21/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
130.00
0220L0020923P000156 UMYATI 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
207.00
0220L0020923P000156 UMYATI 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000156 UMYATI 21/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
209.00
0220L0020923P000156 UMYATI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000156 UMYATI 21/09/2023 Kreatinin 1.48 mgr/dl Rp. 30.000
0220L0020923P000156 UMYATI 21/09/2023 Ureum 42.00 mgr/dl Rp. 30.000
0220L0020923P000157 TUTIN SULASTRI 21/09/2023 Microalbuminaria 73.00 mgr/dl Rp. 120.000
0220L0020923P000157 TUTIN SULASTRI 21/09/2023 Kolesterol LDL 20.00 mgr/dl Rp. 60.000
923.00
0220L0020923P000157 TUTIN SULASTRI 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
130.00
0220L0020923P000157 TUTIN SULASTRI 21/09/2023 Kolesterol HDL Rp. 45.000
mgr/dl
295.00
0220L0020923P000157 TUTIN SULASTRI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000157 TUTIN SULASTRI 21/09/2023 Kreatinin 0.89 mgr/dl Rp. 30.000
0220L0020923P000157 TUTIN SULASTRI 21/09/2023 Ureum 20.00 mgr/dl Rp. 30.000
0220L0020923P000157 TUTIN SULASTRI 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000158 SANIAH 21/09/2023 HbA1c 5.50 % Rp. 160.000
0220L0020923P000158 SANIAH 21/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000
110.00
0220L0020923P000158 SANIAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
150.00
0220L0020923P000158 SANIAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000158 SANIAH 21/09/2023 Kolesterol HDL 65.00 mgr/dl Rp. 45.000
205.00
0220L0020923P000158 SANIAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000158 SANIAH 21/09/2023 Kreatinin 1.42 mgr/dl Rp. 30.000

0220L0020923P000158 SANIAH 21/09/2023 Ureum 25.00 mgr/dl Rp. 30.000
0220L0020923P000159 BENAH 21/09/2023 Microalbuminaria 8.00 mgr/dl Rp. 120.000
121.00
0220L0020923P000159 BENAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
261.00
0220L0020923P000159 BENAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000159 BENAH 21/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
224.00
0220L0020923P000159 BENAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000159 BENAH 21/09/2023 Kreatinin 1.35 mgr/dl Rp. 30.000
0220L0020923P000159 BENAH 21/09/2023 Ureum 41.00 mgr/dl Rp. 30.000
0220L0020923P000159 BENAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000160 SUKRI 21/09/2023 HbA1c 9.90 % Rp. 160.000
0220L0020923P000160 SUKRI 21/09/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000
113.00
0220L0020923P000160 SUKRI 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
271.00
0220L0020923P000160 SUKRI 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000160 SUKRI 21/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
216.00
0220L0020923P000160 SUKRI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000160 SUKRI 21/09/2023 Kreatinin 1.75 mgr/dl Rp. 30.000
0220L0020923P000160 SUKRI 21/09/2023 Ureum 45.00 mgr/dl Rp. 30.000
0220L0020923P000161 SUPIAH 21/09/2023 HbA1c 10.00 % Rp. 160.000
0220L0020923P000161 SUPIAH 21/09/2023 Microalbuminaria 15.00 mgr/dl Rp. 120.000
0220L0020923P000161 SUPIAH 21/09/2023 Kolesterol LDL 96.00 mgr/dl Rp. 60.000
0220L0020923P000161 SUPIAH 21/09/2023 Kolesterol Trigliserida 96.00 mgr/dl Rp. 50.000
0220L0020923P000161 SUPIAH 21/09/2023 Kolesterol HDL 57.00 mgr/dl Rp. 45.000
172.00
0220L0020923P000161 SUPIAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000161 SUPIAH 21/09/2023 Kreatinin 1.39 mgr/dl Rp. 30.000
0220L0020923P000161 SUPIAH 21/09/2023 Ureum 31.00 mgr/dl Rp. 30.000
0220L0020923P000162 SUMI 21/09/2023 Microalbuminaria 17.00 mgr/dl Rp. 120.000

0220L0020923P000162 SUMI 21/09/2023 Kolesterol LDL 97.00 mgr/dl Rp. 60.000
0220L0020923P000162 SUMI 21/09/2023 Kolesterol Trigliserida 94.00 mgr/dl Rp. 50.000
0220L0020923P000162 SUMI 21/09/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000
170.00
0220L0020923P000162 SUMI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000162 SUMI 21/09/2023 Kreatinin 1.29 mgr/dl Rp. 30.000
0220L0020923P000162 SUMI 21/09/2023 Ureum 48.00 mgr/dl Rp. 30.000
0220L0020923P000162 SUMI 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000163 SAB'AH 21/09/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000
119.00
0220L0020923P000163 SAB'AH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
222.00
0220L0020923P000163 SAB'AH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000163 SAB'AH 21/09/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
209.00
0220L0020923P000163 SAB'AH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000163 SAB'AH 21/09/2023 Kreatinin 1.03 mgr/dl Rp. 30.000
0220L0020923P000163 SAB'AH 21/09/2023 Ureum 42.00 mgr/dl Rp. 30.000
0220L0020923P000163 SAB'AH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000164 RANAH 21/09/2023 HbA1c 6.00 % Rp. 160.000
0220L0020923P000164 RANAH 21/09/2023 Microalbuminaria 37.00 mgr/dl Rp. 120.000
0220L0020923P000164 RANAH 21/09/2023 Kolesterol LDL 85.00 mgr/dl Rp. 60.000
421.00
0220L0020923P000164 RANAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000164 RANAH 21/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
207.00
0220L0020923P000164 RANAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000164 RANAH 21/09/2023 Kreatinin 1.03 mgr/dl Rp. 30.000
0220L0020923P000164 RANAH 21/09/2023 Ureum 24.00 mgr/dl Rp. 30.000
0220L0020923P000165 MARSINAH 21/09/2023 HbA1c 7.80 % Rp. 160.000
0220L0020923P000165 MARSINAH 21/09/2023 Microalbuminaria 40.00 mgr/dl Rp. 120.000
135.00
0220L0020923P000165 MARSINAH 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
241.00
0220L0020923P000165 MARSINAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000165 MARSINAH 21/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
224.00
0220L0020923P000165 MARSINAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000165 MARSINAH 21/09/2023 Kreatinin 1.12 mgr/dl Rp. 30.000
0220L0020923P000165 MARSINAH 21/09/2023 Ureum 17.00 mgr/dl Rp. 30.000
0220L0020923P000166 mohamad kusradi 21/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000
0220L0020923P000166 mohamad kusradi 21/09/2023 Kolesterol LDL 93.00 mgr/dl Rp. 60.000
162.00
0220L0020923P000166 mohamad kusradi 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000166 mohamad kusradi 21/09/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000
179.00
0220L0020923P000166 mohamad kusradi 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000166 mohamad kusradi 21/09/2023 Kreatinin 1.55 mgr/dl Rp. 30.000
0220L0020923P000166 mohamad kusradi 21/09/2023 Ureum 28.00 mgr/dl Rp. 30.000
0220L0020923P000167 MUNI 21/09/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000
161.00
0220L0020923P000167 MUNI 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
112.00
0220L0020923P000167 MUNI 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000167 MUNI 21/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
221.00
0220L0020923P000167 MUNI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000167 MUNI 21/09/2023 Kreatinin 1.55 mgr/dl Rp. 30.000
0220L0020923P000167 MUNI 21/09/2023 Ureum 28.00 mgr/dl Rp. 30.000
0220L0020923P000167 MUNI 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000168 IMAS 20/09/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000
162.00
0220L0020923P000168 IMAS 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
141.00
0220L0020923P000168 IMAS 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000168 IMAS 20/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
239.00
0220L0020923P000168 IMAS 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000168 IMAS 20/09/2023 Kreatinin 1.01 mgr/dl Rp. 30.000
0220L0020923P000168 IMAS 20/09/2023 Ureum 22.00 mgr/dl Rp. 30.000
0220L0020923P000168 IMAS 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000169 ARMIN 21/09/2023 HbA1c 8.60 % Rp. 160.000
208.00
0220L0020923P000169 ARMIN 21/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
103.00
0220L0020923P000169 ARMIN 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
242.00
0220L0020923P000169 ARMIN 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000169 ARMIN 21/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
200.00
0220L0020923P000169 ARMIN 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000169 ARMIN 21/09/2023 Kreatinin 1.66 mgr/dl Rp. 30.000
0220L0020923P000169 ARMIN 21/09/2023 Ureum 44.00 mgr/dl Rp. 30.000
0220L0020923P000170 ANI 20/09/2023 Microalbuminaria 33.00 mgr/dl Rp. 120.000
116.00
0220L0020923P000170 ANI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
288.00
0220L0020923P000170 ANI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000170 ANI 20/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
211.00
0220L0020923P000170 ANI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000170 ANI 20/09/2023 Kreatinin 1.15 mgr/dl Rp. 30.000
0220L0020923P000170 ANI 20/09/2023 Ureum 47.00 mgr/dl Rp. 30.000
0220L0020923P000170 ANI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000171 SUMAH 21/09/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000
0220L0020923P000171 SUMAH 21/09/2023 Kolesterol LDL 97.00 mgr/dl Rp. 60.000
336.00
0220L0020923P000171 SUMAH 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000171 SUMAH 21/09/2023 Kolesterol HDL 70.00 mgr/dl Rp. 45.000
234.00
0220L0020923P000171 SUMAH 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000171 SUMAH 21/09/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0220L0020923P000171 SUMAH 21/09/2023 Ureum 44.00 mgr/dl Rp. 30.000
0220L0020923P000171 SUMAH 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000172 SURAHIM 21/09/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000
136.00
0220L0020923P000172 SURAHIM 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000172 SURAHIM 21/09/2023 Kolesterol Trigliserida 79.00 mgr/dl Rp. 50.000
0220L0020923P000172 SURAHIM 21/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
203.00
0220L0020923P000172 SURAHIM 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000172 SURAHIM 21/09/2023 Kreatinin 1.55 mgr/dl Rp. 30.000
0220L0020923P000172 SURAHIM 21/09/2023 Ureum 22.00 mgr/dl Rp. 30.000
0220L0020923P000172 SURAHIM 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000173 RUKIAH 20/09/2023 Microalbuminaria 66.00 mgr/dl Rp. 120.000
113.00
0220L0020923P000173 RUKIAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
268.00
0220L0020923P000173 RUKIAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000173 RUKIAH 20/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
207.00
0220L0020923P000173 RUKIAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000173 RUKIAH 20/09/2023 Kreatinin 1.04 mgr/dl Rp. 30.000
0220L0020923P000173 RUKIAH 20/09/2023 Ureum 33.00 mgr/dl Rp. 30.000
0220L0020923P000173 RUKIAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
295.00
0220L0020923P000174 PARTI 20/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
0220L0020923P000174 PARTI 20/09/2023 Kolesterol LDL 98.00 mgr/dl Rp. 60.000
210.00
0220L0020923P000174 PARTI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000174 PARTI 20/09/2023 Kolesterol HDL 35.00 mgr/dl Rp. 45.000
175.00
0220L0020923P000174 PARTI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000174 PARTI 20/09/2023 Kreatinin 0.80 mgr/dl Rp. 30.000
0220L0020923P000174 PARTI 20/09/2023 Ureum 24.00 mgr/dl Rp. 30.000

0220L0020923P000174 PARTI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000175 OMSIH 20/09/2023 Microalbuminaria 31.00 mgr/dl Rp. 120.000
150.00
0220L0020923P000175 OMSIH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
160.00
0220L0020923P000175 OMSIH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000175 OMSIH 20/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
225.00
0220L0020923P000175 OMSIH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000175 OMSIH 20/09/2023 Kreatinin 0.92 mgr/dl Rp. 30.000
0220L0020923P000175 OMSIH 20/09/2023 Ureum 21.00 mgr/dl Rp. 30.000
0220L0020923P000175 OMSIH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000176 ENIS 20/09/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000
0220L0020923P000176 ENIS 20/09/2023 Kolesterol LDL 98.00 mgr/dl Rp. 60.000
0220L0020923P000176 ENIS 20/09/2023 Kolesterol Trigliserida 60.00 mgr/dl Rp. 50.000
0220L0020923P000176 ENIS 20/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
148.00
0220L0020923P000176 ENIS 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000176 ENIS 20/09/2023 Kreatinin 1.14 mgr/dl Rp. 30.000
0220L0020923P000176 ENIS 20/09/2023 Ureum 19.00 mgr/dl Rp. 30.000
0220L0020923P000176 ENIS 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
194.00
0220L0020923P000177 NENAH NURHASANAH 20/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
175.00
0220L0020923P000177 NENAH NURHASANAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
248.00
0220L0020923P000177 NENAH NURHASANAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000177 NENAH NURHASANAH 20/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
268.00
0220L0020923P000177 NENAH NURHASANAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000177 NENAH NURHASANAH 20/09/2023 Kreatinin 0.90 mgr/dl Rp. 30.000
0220L0020923P000177 NENAH NURHASANAH 20/09/2023 Ureum 22.00 mgr/dl Rp. 30.000
0220L0020923P000177 NENAH NURHASANAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000178 SATRI 20/09/2023 Microalbuminaria 15.00 mgr/dl Rp. 120.000
0220L0020923P000178 SATRI 20/09/2023 Kolesterol LDL 61.00 mgr/dl Rp. 60.000
0220L0020923P000178 SATRI 20/09/2023 Kolesterol Trigliserida 43.00 mgr/dl Rp. 50.000
0220L0020923P000178 SATRI 20/09/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
116.00
0220L0020923P000178 SATRI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000178 SATRI 20/09/2023 Kreatinin 0.64 mgr/dl Rp. 30.000
0220L0020923P000178 SATRI 20/09/2023 Ureum 17.00 mgr/dl Rp. 30.000
0220L0020923P000178 SATRI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000179 BENAH 20/09/2023 Microalbuminaria 39.00 mgr/dl Rp. 120.000
133.00
0220L0020923P000179 BENAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000179 BENAH 20/09/2023 Kolesterol Trigliserida 90.00 mgr/dl Rp. 50.000
0220L0020923P000179 BENAH 20/09/2023 Kolesterol HDL 62.00 mgr/dl Rp. 45.000
213.00
0220L0020923P000179 BENAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000179 BENAH 20/09/2023 Kreatinin 0.74 mgr/dl Rp. 30.000
0220L0020923P000179 BENAH 20/09/2023 Ureum 24.00 mgr/dl Rp. 30.000
0220L0020923P000179 BENAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000180 PURWANTI 20/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000
110.00
0220L0020923P000180 PURWANTI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
227.00
0220L0020923P000180 PURWANTI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000180 PURWANTI 20/09/2023 Kolesterol HDL 35.00 mgr/dl Rp. 45.000
191.00
0220L0020923P000180 PURWANTI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000180 PURWANTI 20/09/2023 Kreatinin 0.83 mgr/dl Rp. 30.000
0220L0020923P000180 PURWANTI 20/09/2023 Ureum 18.00 mgr/dl Rp. 30.000
0220L0020923P000180 PURWANTI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000181 ATIK 20/09/2023 Microalbuminaria 28.00 mgr/dl Rp. 120.000
132.00
0220L0020923P000181 ATIK 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
161.00
0220L0020923P000181 ATIK 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000181 ATIK 20/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
205.00
0220L0020923P000181 ATIK 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000181 ATIK 20/09/2023 Kreatinin 0.82 mgr/dl Rp. 30.000
0220L0020923P000181 ATIK 20/09/2023 Ureum 16.00 mgr/dl Rp. 30.000
0220L0020923P000181 ATIK 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000182 MURNASIH 20/09/2023 Microalbuminaria 51.00 mgr/dl Rp. 120.000
150.00
0220L0020923P000182 MURNASIH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
169.00
0220L0020923P000182 MURNASIH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000182 MURNASIH 20/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
227.00
0220L0020923P000182 MURNASIH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000182 MURNASIH 20/09/2023 Kreatinin 0.79 mgr/dl Rp. 30.000
0220L0020923P000182 MURNASIH 20/09/2023 Ureum 25.00 mgr/dl Rp. 30.000
0220L0020923P000182 MURNASIH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000183 HENI 20/09/2023 Microalbuminaria 24.00 mgr/dl Rp. 120.000
109.00
0220L0020923P000183 HENI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
212.00
0220L0020923P000183 HENI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000183 HENI 20/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
189.00
0220L0020923P000183 HENI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000183 HENI 20/09/2023 Kreatinin 1.13 mgr/dl Rp. 30.000
0220L0020923P000183 HENI 20/09/2023 Ureum 24.00 mgr/dl Rp. 30.000
0220L0020923P000183 HENI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000184 ROHMAWATI 20/09/2023 Microalbuminaria 17.00 mgr/dl Rp. 120.000
158.00
0220L0020923P000184 ROHMAWATI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000184 ROHMAWATI 20/09/2023 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0220L0020923P000184 ROHMAWATI 20/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
226.00
0220L0020923P000184 ROHMAWATI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000184 ROHMAWATI 20/09/2023 Kreatinin 0.83 mgr/dl Rp. 30.000
0220L0020923P000184 ROHMAWATI 20/09/2023 Ureum 13.00 mgr/dl Rp. 30.000
0220L0020923P000184 ROHMAWATI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000185 SAONYA 20/09/2023 Microalbuminaria 18.00 mgr/dl Rp. 120.000
105.00
0220L0020923P000185 SAONYA 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
278.00
0220L0020923P000185 SAONYA 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000185 SAONYA 20/09/2023 Kolesterol HDL 35.00 mgr/dl Rp. 45.000
196.00
0220L0020923P000185 SAONYA 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000185 SAONYA 20/09/2023 Kreatinin 0.39 mgr/dl Rp. 30.000
0220L0020923P000185 SAONYA 20/09/2023 Ureum 18.00 mgr/dl Rp. 30.000
0220L0020923P000185 SAONYA 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000186 HERLINA LESTARI 20/09/2023 Microalbuminaria 9.00 mgr/dl Rp. 120.000
0220L0020923P000186 HERLINA LESTARI 20/09/2023 Kolesterol LDL 78.00 mgr/dl Rp. 60.000
0220L0020923P000186 HERLINA LESTARI 20/09/2023 Kolesterol Trigliserida 88.00 mgr/dl Rp. 50.000
0220L0020923P000186 HERLINA LESTARI 20/09/2023 Kolesterol HDL 57.00 mgr/dl Rp. 45.000
152.00
0220L0020923P000186 HERLINA LESTARI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000186 HERLINA LESTARI 20/09/2023 Kreatinin 1.10 mgr/dl Rp. 30.000
0220L0020923P000186 HERLINA LESTARI 20/09/2023 Ureum 17.00 mgr/dl Rp. 30.000
0220L0020923P000186 HERLINA LESTARI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000187 WIWIN WINARSIH 20/09/2023 Microalbuminaria 24.00 mgr/dl Rp. 120.000
110.00
0220L0020923P000187 WIWIN WINARSIH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
101.00
0220L0020923P000187 WIWIN WINARSIH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000187 WIWIN WINARSIH 20/09/2023 Kolesterol HDL 30.00 mgr/dl Rp. 45.000
160.00
0220L0020923P000187 WIWIN WINARSIH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000187 WIWIN WINARSIH 20/09/2023 Kreatinin 0.89 mgr/dl Rp. 30.000
0220L0020923P000187 WIWIN WINARSIH 20/09/2023 Ureum 12.00 mgr/dl Rp. 30.000
0220L0020923P000187 WIWIN WINARSIH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
193.00
0220L0020923P000188 IIM MAESAROH 20/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
159.00
0220L0020923P000188 IIM MAESAROH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
171.00
0220L0020923P000188 IIM MAESAROH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000188 IIM MAESAROH 20/09/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
239.00
0220L0020923P000188 IIM MAESAROH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000188 IIM MAESAROH 20/09/2023 Kreatinin 0.77 mgr/dl Rp. 30.000
0220L0020923P000188 IIM MAESAROH 20/09/2023 Ureum 13.00 mgr/dl Rp. 30.000
0220L0020923P000188 IIM MAESAROH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
154.00
0220L0020923P000189 YANI 20/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
112.00
0220L0020923P000189 YANI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
194.00
0220L0020923P000189 YANI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000189 YANI 20/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
191.00
0220L0020923P000189 YANI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000189 YANI 20/09/2023 Kreatinin 2.10 mgr/dl Rp. 30.000
0220L0020923P000189 YANI 20/09/2023 Ureum 27.00 mgr/dl Rp. 30.000
0220L0020923P000189 YANI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000190 ENGKOM 20/09/2023 Microalbuminaria 9.00 mgr/dl Rp. 120.000
0220L0020923P000190 ENGKOM 20/09/2023 Kolesterol LDL 96.00 mgr/dl Rp. 60.000
306.00
0220L0020923P000190 ENGKOM 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000190 ENGKOM 20/09/2023 Kolesterol HDL 27.00 mgr/dl Rp. 45.000

184.00
0220L0020923P000190 ENGKOM 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000190 ENGKOM 20/09/2023 Kreatinin 1.28 mgr/dl Rp. 30.000
0220L0020923P000190 ENGKOM 20/09/2023 Ureum 21.00 mgr/dl Rp. 30.000
0220L0020923P000190 ENGKOM 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000191 OMI 20/09/2023 Microalbuminaria 17.00 mgr/dl Rp. 120.000
134.00
0220L0020923P000191 OMI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
126.00
0220L0020923P000191 OMI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000191 OMI 20/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
211.00
0220L0020923P000191 OMI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000191 OMI 20/09/2023 Kreatinin 0.91 mgr/dl Rp. 30.000
0220L0020923P000191 OMI 20/09/2023 Ureum 16.00 mgr/dl Rp. 30.000
0220L0020923P000191 OMI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000192 SUHE 20/09/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000
115.00
0220L0020923P000192 SUHE 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000192 SUHE 20/09/2023 Kolesterol Trigliserida 85.00 mgr/dl Rp. 50.000
0220L0020923P000192 SUHE 20/09/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000
186.00
0220L0020923P000192 SUHE 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000192 SUHE 20/09/2023 Kreatinin 0.81 mgr/dl Rp. 30.000
0220L0020923P000192 SUHE 20/09/2023 Ureum 17.00 mgr/dl Rp. 30.000
0220L0020923P000192 SUHE 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000193 JANAWATI 21/09/2023 Microalbuminaria 60.00 mgr/dl Rp. 120.000
123.00
0220L0020923P000193 JANAWATI 21/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
170.00
0220L0020923P000193 JANAWATI 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000193 JANAWATI 21/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
195.00
0220L0020923P000193 JANAWATI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000193 JANAWATI 21/09/2023 Kreatinin 1.24 mgr/dl Rp. 30.000
0220L0020923P000193 JANAWATI 21/09/2023 Ureum 24.00 mgr/dl Rp. 30.000
0220L0020923P000193 JANAWATI 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000194 IDRUS 21/09/2023 Microalbuminaria 49.00 mgr/dl Rp. 120.000
0220L0020923P000194 IDRUS 21/09/2023 Kolesterol LDL 21.00 mgr/dl Rp. 60.000
341.00
0220L0020923P000194 IDRUS 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000194 IDRUS 21/09/2023 Kolesterol HDL 84.00 mgr/dl Rp. 45.000
173.00
0220L0020923P000194 IDRUS 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000194 IDRUS 21/09/2023 Kreatinin 1.44 mgr/dl Rp. 30.000
0220L0020923P000194 IDRUS 21/09/2023 Ureum 17.00 mgr/dl Rp. 30.000
0220L0020923P000194 IDRUS 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000195 RAUDIN 21/09/2023 HbA1c 8.40 % Rp. 160.000
0220L0020923P000195 RAUDIN 21/09/2023 Microalbuminaria 40.00 mgr/dl Rp. 120.000
0220L0020923P000195 RAUDIN 21/09/2023 Kolesterol LDL 91.00 mgr/dl Rp. 60.000
110.00
0220L0020923P000195 RAUDIN 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000195 RAUDIN 21/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
162.00
0220L0020923P000195 RAUDIN 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000195 RAUDIN 21/09/2023 Kreatinin 1.53 mgr/dl Rp. 30.000
0220L0020923P000195 RAUDIN 21/09/2023 Ureum 42.00 mgr/dl Rp. 30.000
0220L0020923P000196 TATI NURMIYATI 20/09/2023 Microalbuminaria 24.00 mgr/dl Rp. 120.000
0220L0020923P000196 TATI NURMIYATI 20/09/2023 Kolesterol LDL 92.00 mgr/dl Rp. 60.000
0220L0020923P000196 TATI NURMIYATI 20/09/2023 Kolesterol Trigliserida 52.00 mgr/dl Rp. 50.000
0220L0020923P000196 TATI NURMIYATI 20/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
151.00
0220L0020923P000196 TATI NURMIYATI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000196 TATI NURMIYATI 20/09/2023 Kreatinin 0.99 mgr/dl Rp. 30.000
0220L0020923P000196 TATI NURMIYATI 20/09/2023 Ureum 24.00 mgr/dl Rp. 30.000

0220L0020923P000196 TATI NURMIYATI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000197 JUHENI 20/09/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000
0220L0020923P000197 JUHENI 20/09/2023 Kolesterol LDL 79.00 mgr/dl Rp. 60.000
307.00
0220L0020923P000197 JUHENI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000197 JUHENI 20/09/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
186.00
0220L0020923P000197 JUHENI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000197 JUHENI 20/09/2023 Kreatinin 0.44 mgr/dl Rp. 30.000
0220L0020923P000197 JUHENI 20/09/2023 Ureum 16.00 mgr/dl Rp. 30.000
0220L0020923P000197 JUHENI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000198 HELIS PURNIWI 20/09/2023 Microalbuminaria 5.00 mgr/dl Rp. 120.000
0220L0020923P000198 HELIS PURNIWI 20/09/2023 Kolesterol LDL 74.00 mgr/dl Rp. 60.000
0220L0020923P000198 HELIS PURNIWI 20/09/2023 Kolesterol Trigliserida 85.00 mgr/dl Rp. 50.000
0220L0020923P000198 HELIS PURNIWI 20/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
142.00
0220L0020923P000198 HELIS PURNIWI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000198 HELIS PURNIWI 20/09/2023 Kreatinin 0.92 mgr/dl Rp. 30.000
0220L0020923P000198 HELIS PURNIWI 20/09/2023 Ureum 16.00 mgr/dl Rp. 30.000
0220L0020923P000198 HELIS PURNIWI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000199 SARTIAH 20/09/2023 Microalbuminaria 48.00 mgr/dl Rp. 120.000
153.00
0220L0020923P000199 SARTIAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
152.00
0220L0020923P000199 SARTIAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000199 SARTIAH 20/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
221.00
0220L0020923P000199 SARTIAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000199 SARTIAH 20/09/2023 Kreatinin 1.17 mgr/dl Rp. 30.000
0220L0020923P000199 SARTIAH 20/09/2023 Ureum 33.00 mgr/dl Rp. 30.000
0220L0020923P000199 SARTIAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000200 MURTIPAH 20/09/2023 Microalbuminaria 33.00 mgr/dl Rp. 120.000

143.00
0220L0020923P000200 MURTIPAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
196.00
0220L0020923P000200 MURTIPAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000200 MURTIPAH 20/09/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000
242.00
0220L0020923P000200 MURTIPAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000200 MURTIPAH 20/09/2023 Kreatinin 0.84 mgr/dl Rp. 30.000
0220L0020923P000200 MURTIPAH 20/09/2023 Ureum 29.00 mgr/dl Rp. 30.000
0220L0020923P000200 MURTIPAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000201 ETI SUKMAETI 20/09/2023 Microalbuminaria 34.00 mgr/dl Rp. 120.000
0220L0020923P000201 ETI SUKMAETI 20/09/2023 Kolesterol LDL 88.00 mgr/dl Rp. 60.000
114.00
0220L0020923P000201 ETI SUKMAETI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000201 ETI SUKMAETI 20/09/2023 Kolesterol HDL 57.00 mgr/dl Rp. 45.000
168.00
0220L0020923P000201 ETI SUKMAETI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000201 ETI SUKMAETI 20/09/2023 Kreatinin 0.86 mgr/dl Rp. 30.000
0220L0020923P000201 ETI SUKMAETI 20/09/2023 Ureum 36.00 mgr/dl Rp. 30.000
0220L0020923P000201 ETI SUKMAETI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
186.00
0220L0020923P000202 NITA YULISTIANI 20/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
156.00
0220L0020923P000202 NITA YULISTIANI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
168.00
0220L0020923P000202 NITA YULISTIANI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000202 NITA YULISTIANI 20/09/2023 Kolesterol HDL 65.00 mgr/dl Rp. 45.000
254.00
0220L0020923P000202 NITA YULISTIANI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000202 NITA YULISTIANI 20/09/2023 Kreatinin 0.82 mgr/dl Rp. 30.000
0220L0020923P000202 NITA YULISTIANI 20/09/2023 Ureum 25.00 mgr/dl Rp. 30.000
0220L0020923P000202 NITA YULISTIANI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
287.00
0220L0020923P000203 JUMRIAH 20/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
0220L0020923P000203 JUMRIAH 20/09/2023 Kolesterol LDL 95.00 mgr/dl Rp. 60.000

279.00
0220L0020923P000203 JUMRIAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000203 JUMRIAH 20/09/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
197.00
0220L0020923P000203 JUMRIAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000203 JUMRIAH 20/09/2023 Kreatinin 0.66 mgr/dl Rp. 30.000
0220L0020923P000203 JUMRIAH 20/09/2023 Ureum 14.00 mgr/dl Rp. 30.000
0220L0020923P000203 JUMRIAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000204 SUHAYATI 20/09/2023 Microalbuminaria 9.00 mgr/dl Rp. 120.000
0220L0020923P000204 SUHAYATI 20/09/2023 Kolesterol LDL 57.00 mgr/dl Rp. 60.000
247.00
0220L0020923P000204 SUHAYATI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000204 SUHAYATI 20/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
147.00
0220L0020923P000204 SUHAYATI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000204 SUHAYATI 20/09/2023 Kreatinin 0.70 mgr/dl Rp. 30.000
0220L0020923P000204 SUHAYATI 20/09/2023 Ureum 19.00 mgr/dl Rp. 30.000
0220L0020923P000204 SUHAYATI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000205 JUARSIH 20/09/2023 Microalbuminaria 19.00 mgr/dl Rp. 120.000
0220L0020923P000205 JUARSIH 20/09/2023 Kolesterol LDL 90.00 mgr/dl Rp. 60.000
242.00
0220L0020923P000205 JUARSIH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000205 JUARSIH 20/09/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
184.00
0220L0020923P000205 JUARSIH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000205 JUARSIH 20/09/2023 Kreatinin 0.98 mgr/dl Rp. 30.000
0220L0020923P000205 JUARSIH 20/09/2023 Ureum 13.00 mgr/dl Rp. 30.000
0220L0020923P000205 JUARSIH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000206 IYAM 20/09/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000
162.00
0220L0020923P000206 IYAM 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
172.00
0220L0020923P000206 IYAM 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000206 IYAM 20/09/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000
250.00
0220L0020923P000206 IYAM 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000206 IYAM 20/09/2023 Kreatinin 1.27 mgr/dl Rp. 30.000
0220L0020923P000206 IYAM 20/09/2023 Ureum 19.00 mgr/dl Rp. 30.000
0220L0020923P000206 IYAM 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
300.00
0220L0020923P000207 SUNARSAH 20/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
241.00
0220L0020923P000207 SUNARSAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
249.00
0220L0020923P000207 SUNARSAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000207 SUNARSAH 20/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
329.00
0220L0020923P000207 SUNARSAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000207 SUNARSAH 20/09/2023 Kreatinin 1.92 mgr/dl Rp. 30.000
0220L0020923P000207 SUNARSAH 20/09/2023 Ureum 44.00 mgr/dl Rp. 30.000
0220L0020923P000207 SUNARSAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000208 OMAH 20/09/2023 Microalbuminaria 40.00 mgr/dl Rp. 120.000
0220L0020923P000208 OMAH 20/09/2023 Kolesterol LDL 90.00 mgr/dl Rp. 60.000
124.00
0220L0020923P000208 OMAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000208 OMAH 20/09/2023 Kolesterol HDL 57.00 mgr/dl Rp. 45.000
172.00
0220L0020923P000208 OMAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000208 OMAH 20/09/2023 Kreatinin 1.25 mgr/dl Rp. 30.000
0220L0020923P000208 OMAH 20/09/2023 Ureum 25.00 mgr/dl Rp. 30.000
0220L0020923P000208 OMAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
233.00
0220L0020923P000209 ENAH SUNARSIH 20/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
110.00
0220L0020923P000209 ENAH SUNARSIH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
699.00
0220L0020923P000209 ENAH SUNARSIH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000209 ENAH SUNARSIH 20/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
290.00
0220L0020923P000209 ENAH SUNARSIH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000209 ENAH SUNARSIH 20/09/2023 Kreatinin 0.71 mgr/dl Rp. 30.000
0220L0020923P000209 ENAH SUNARSIH 20/09/2023 Ureum 27.00 mgr/dl Rp. 30.000
0220L0020923P000209 ENAH SUNARSIH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000210 ARHENAH 20/09/2023 Microalbuminaria 30.00 mgr/dl Rp. 120.000
130.00
0220L0020923P000210 ARHENAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
119.00
0220L0020923P000210 ARHENAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000210 ARHENAH 20/09/2023 Kolesterol HDL 73.00 mgr/dl Rp. 45.000
227.00
0220L0020923P000210 ARHENAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000210 ARHENAH 20/09/2023 Kreatinin 1.55 mgr/dl Rp. 30.000
0220L0020923P000210 ARHENAH 20/09/2023 Ureum 33.00 mgr/dl Rp. 30.000
0220L0020923P000210 ARHENAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000211 USNI 20/09/2023 Microalbuminaria 16.00 mgr/dl Rp. 120.000
143.00
0220L0020923P000211 USNI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
144.00
0220L0020923P000211 USNI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000211 USNI 20/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
220.00
0220L0020923P000211 USNI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000211 USNI 20/09/2023 Kreatinin 1.09 mgr/dl Rp. 30.000
0220L0020923P000211 USNI 20/09/2023 Ureum 21.00 mgr/dl Rp. 30.000
0220L0020923P000211 USNI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
189.00
0220L0020923P000212 NIA 20/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
269.00
0220L0020923P000212 NIA 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
312.00
0220L0020923P000212 NIA 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000212 NIA 20/09/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000

391.00
0220L0020923P000212 NIA 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000212 NIA 20/09/2023 Kreatinin 1.05 mgr/dl Rp. 30.000
0220L0020923P000212 NIA 20/09/2023 Ureum 31.00 mgr/dl Rp. 30.000
0220L0020923P000212 NIA 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000213 AYATI 20/09/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000
185.00
0220L0020923P000213 AYATI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
308.00
0220L0020923P000213 AYATI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000213 AYATI 20/09/2023 Kolesterol HDL 32.00 mgr/dl Rp. 45.000
279.00
0220L0020923P000213 AYATI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000213 AYATI 20/09/2023 Kreatinin 1.35 mgr/dl Rp. 30.000
0220L0020923P000213 AYATI 20/09/2023 Ureum 26.00 mgr/dl Rp. 30.000
0220L0020923P000213 AYATI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000214 PURYATI 20/09/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000
119.00
0220L0020923P000214 PURYATI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000214 PURYATI 20/09/2023 Kolesterol Trigliserida 94.00 mgr/dl Rp. 50.000
0220L0020923P000214 PURYATI 20/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
176.00
0220L0020923P000214 PURYATI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000214 PURYATI 20/09/2023 Kreatinin 1.53 mgr/dl Rp. 30.000
0220L0020923P000214 PURYATI 20/09/2023 Ureum 28.00 mgr/dl Rp. 30.000
0220L0020923P000214 PURYATI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000215 MARIAH 20/09/2023 Microalbuminaria 5.00 mgr/dl Rp. 120.000
149.00
0220L0020923P000215 MARIAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
140.00
0220L0020923P000215 MARIAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000215 MARIAH 20/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
218.00
0220L0020923P000215 MARIAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000215 MARIAH 20/09/2023 Kreatinin 1.30 mgr/dl Rp. 30.000
0220L0020923P000215 MARIAH 20/09/2023 Ureum 18.00 mgr/dl Rp. 30.000
0220L0020923P000215 MARIAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000216 KOKOM 20/09/2023 Microalbuminaria 14.00 mgr/dl Rp. 120.000
181.00
0220L0020923P000216 KOKOM 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
134.00
0220L0020923P000216 KOKOM 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000216 KOKOM 20/09/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
254.00
0220L0020923P000216 KOKOM 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000216 KOKOM 20/09/2023 Kreatinin 1.32 mgr/dl Rp. 30.000
0220L0020923P000216 KOKOM 20/09/2023 Ureum 19.00 mgr/dl Rp. 30.000
0220L0020923P000216 KOKOM 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
208.00
0220L0020923P000217 SUPYATI 20/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
213.00
0220L0020923P000217 SUPYATI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
400.00
0220L0020923P000217 SUPYATI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000217 SUPYATI 20/09/2023 Kolesterol HDL 35.00 mgr/dl Rp. 45.000
328.00
0220L0020923P000217 SUPYATI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000217 SUPYATI 20/09/2023 Kreatinin 1.12 mgr/dl Rp. 30.000
0220L0020923P000217 SUPYATI 20/09/2023 Ureum 28.00 mgr/dl Rp. 30.000
0220L0020923P000217 SUPYATI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000218 MULYANI 20/09/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000
160.00
0220L0020923P000218 MULYANI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
205.00
0220L0020923P000218 MULYANI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000218 MULYANI 20/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
239.00
0220L0020923P000218 MULYANI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000218 MULYANI 20/09/2023 Kreatinin 1.56 mgr/dl Rp. 30.000

0220L0020923P000218 MULYANI 20/09/2023 Ureum 25.00 mgr/dl Rp. 30.000
0220L0020923P000218 MULYANI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000219 SURYANAH 20/09/2023 Microalbuminaria 27.00 mgr/dl Rp. 120.000
166.00
0220L0020923P000219 SURYANAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
193.00
0220L0020923P000219 SURYANAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000219 SURYANAH 20/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
253.00
0220L0020923P000219 SURYANAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000219 SURYANAH 20/09/2023 Kreatinin 1.41 mgr/dl Rp. 30.000
0220L0020923P000219 SURYANAH 20/09/2023 Ureum 33.00 mgr/dl Rp. 30.000
0220L0020923P000219 SURYANAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000220 SARMAH 20/09/2023 Microalbuminaria 27.00 mgr/dl Rp. 120.000
228.00
0220L0020923P000220 SARMAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
311.00
0220L0020923P000220 SARMAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000220 SARMAH 20/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
331.00
0220L0020923P000220 SARMAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000220 SARMAH 20/09/2023 Kreatinin 1.34 mgr/dl Rp. 30.000
0220L0020923P000220 SARMAH 20/09/2023 Ureum 40.00 mgr/dl Rp. 30.000
0220L0020923P000220 SARMAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000221 SUHERAH 20/09/2023 Microalbuminaria 95.00 mgr/dl Rp. 120.000
171.00
0220L0020923P000221 SUHERAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
256.00
0220L0020923P000221 SUHERAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000221 SUHERAH 20/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
265.00
0220L0020923P000221 SUHERAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000221 SUHERAH 20/09/2023 Kreatinin 1.48 mgr/dl Rp. 30.000
0220L0020923P000221 SUHERAH 20/09/2023 Ureum 24.00 mgr/dl Rp. 30.000

0220L0020923P000221 SUHERAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000222 SUHAYATI 20/09/2023 Microalbuminaria 19.00 mgr/dl Rp. 120.000
0220L0020923P000222 SUHAYATI 20/09/2023 Kolesterol LDL 83.00 mgr/dl Rp. 60.000
181.00
0220L0020923P000222 SUHAYATI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000222 SUHAYATI 20/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
160.00
0220L0020923P000222 SUHAYATI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000222 SUHAYATI 20/09/2023 Kreatinin 1.22 mgr/dl Rp. 30.000
0220L0020923P000222 SUHAYATI 20/09/2023 Ureum 29.00 mgr/dl Rp. 30.000
0220L0020923P000222 SUHAYATI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000223 JUHENI 20/09/2023 Microalbuminaria 8.00 mgr/dl Rp. 120.000
164.00
0220L0020923P000223 JUHENI 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
139.00
0220L0020923P000223 JUHENI 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000223 JUHENI 20/09/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
238.00
0220L0020923P000223 JUHENI 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000223 JUHENI 20/09/2023 Kreatinin 1.23 mgr/dl Rp. 30.000
0220L0020923P000223 JUHENI 20/09/2023 Ureum 20.00 mgr/dl Rp. 30.000
0220L0020923P000223 JUHENI 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000224 ADE 20/09/2023 Microalbuminaria 16.00 mgr/dl Rp. 120.000
198.00
0220L0020923P000224 ADE 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
228.00
0220L0020923P000224 ADE 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000224 ADE 20/09/2023 Kolesterol HDL 32.00 mgr/dl Rp. 45.000
276.00
0220L0020923P000224 ADE 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000224 ADE 20/09/2023 Kreatinin 1.45 mgr/dl Rp. 30.000
0220L0020923P000224 ADE 20/09/2023 Ureum 16.00 mgr/dl Rp. 30.000
0220L0020923P000224 ADE 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000225 SARTIMAH 20/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000
134.00
0220L0020923P000225 SARTIMAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
146.00
0220L0020923P000225 SARTIMAH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000225 SARTIMAH 20/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
215.00
0220L0020923P000225 SARTIMAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000225 SARTIMAH 20/09/2023 Kreatinin 1.21 mgr/dl Rp. 30.000
0220L0020923P000225 SARTIMAH 20/09/2023 Ureum 26.00 mgr/dl Rp. 30.000
0220L0020923P000225 SARTIMAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000226 JARSIH 20/09/2023 Microalbuminaria 9.00 mgr/dl Rp. 120.000
104.00
0220L0020923P000226 JARSIH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
461.00
0220L0020923P000226 JARSIH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000226 JARSIH 20/09/2023 Kolesterol HDL 32.00 mgr/dl Rp. 45.000
229.00
0220L0020923P000226 JARSIH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000226 JARSIH 20/09/2023 Kreatinin 1.31 mgr/dl Rp. 30.000
0220L0020923P000226 JARSIH 20/09/2023 Ureum 29.00 mgr/dl Rp. 30.000
0220L0020923P000226 JARSIH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000227 ISAH SUHASIH 20/09/2023 Microalbuminaria 60.00 mgr/dl Rp. 120.000
0220L0020923P000227 ISAH SUHASIH 20/09/2023 Kolesterol LDL 93.00 mgr/dl Rp. 60.000
165.00
0220L0020923P000227 ISAH SUHASIH 20/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000227 ISAH SUHASIH 20/09/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000
180.00
0220L0020923P000227 ISAH SUHASIH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000227 ISAH SUHASIH 20/09/2023 Kreatinin 1.09 mgr/dl Rp. 30.000
0220L0020923P000227 ISAH SUHASIH 20/09/2023 Ureum 20.00 mgr/dl Rp. 30.000
0220L0020923P000227 ISAH SUHASIH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000229 SAPRUDIN 21/09/2023 Microalbuminaria 61.00 mgr/dl Rp. 120.000

0220L0020923P000229 SAPRUDIN 21/09/2023 Kolesterol LDL 96.00 mgr/dl Rp. 60.000
129.00
0220L0020923P000229 SAPRUDIN 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000229 SAPRUDIN 21/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
165.00
0220L0020923P000229 SAPRUDIN 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000229 SAPRUDIN 21/09/2023 Kreatinin 1.46 mgr/dl Rp. 30.000
0220L0020923P000229 SAPRUDIN 21/09/2023 Ureum 23.00 mgr/dl Rp. 30.000
0220L0020923P000229 SAPRUDIN 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
122.00
0220L0020923P000230 SAWATI 21/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
0220L0020923P000230 SAWATI 21/09/2023 Kolesterol LDL 77.00 mgr/dl Rp. 60.000
159.00
0220L0020923P000230 SAWATI 21/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000230 SAWATI 21/09/2023 Kolesterol HDL 65.00 mgr/dl Rp. 45.000
174.00
0220L0020923P000230 SAWATI 21/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000230 SAWATI 21/09/2023 Kreatinin 1.22 mgr/dl Rp. 30.000
0220L0020923P000230 SAWATI 21/09/2023 Ureum 27.00 mgr/dl Rp. 30.000
0220L0020923P000230 SAWATI 21/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000231 ADE RUSLI 29/09/2023 HbA1c 7.10 % Rp. 160.000
138.00
0220L0020923P000231 ADE RUSLI 29/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
175.00
0220L0020923P000231 ADE RUSLI 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
365.00
0220L0020923P000231 ADE RUSLI 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000231 ADE RUSLI 29/09/2023 Kolesterol HDL 30.00 mgr/dl Rp. 45.000
278.00
0220L0020923P000231 ADE RUSLI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000231 ADE RUSLI 29/09/2023 Kreatinin 2.09 mgr/dl Rp. 30.000
0220L0020923P000231 ADE RUSLI 29/09/2023 Ureum 40.00 mgr/dl Rp. 30.000
125.00
0220L0020923P000231 ADE RUSLI 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000232 TIJAH 29/09/2023 HbA1c 6.50 % Rp. 160.000

0220L0020923P000232 TIJAH 29/09/2023 Microalbuminaria 46.00 mgr/dl Rp. 120.000
192.00
0220L0020923P000232 TIJAH 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
280.00
0220L0020923P000232 TIJAH 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000232 TIJAH 29/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
299.00
0220L0020923P000232 TIJAH 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000232 TIJAH 29/09/2023 Kreatinin 1.60 mgr/dl Rp. 30.000
0220L0020923P000232 TIJAH 29/09/2023 Ureum 43.00 mgr/dl Rp. 30.000
327.00
0220L0020923P000232 TIJAH 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000233 OMAN 29/09/2023 HbA1c 4.20 % Rp. 160.000
0220L0020923P000233 OMAN 29/09/2023 Microalbuminaria 24.00 mgr/dl Rp. 120.000
128.00
0220L0020923P000233 OMAN 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
219.00
0220L0020923P000233 OMAN 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000233 OMAN 29/09/2023 Kolesterol HDL 57.00 mgr/dl Rp. 45.000
229.00
0220L0020923P000233 OMAN 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000233 OMAN 29/09/2023 Kreatinin 1.12 mgr/dl Rp. 30.000
0220L0020923P000233 OMAN 29/09/2023 Ureum 26.00 mgr/dl Rp. 30.000
0220L0020923P000233 OMAN 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 76.00 mgr/dl Rp. 20.000
0220L0020923P000234 KOMARUDIN 29/09/2023 Microalbuminaria 26.00 mgr/dl Rp. 120.000
107.00
0220L0020923P000234 KOMARUDIN 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
127.00
0220L0020923P000234 KOMARUDIN 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000234 KOMARUDIN 29/09/2023 Kolesterol HDL 78.00 mgr/dl Rp. 45.000
211.00
0220L0020923P000234 KOMARUDIN 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000234 KOMARUDIN 29/09/2023 Kreatinin 1.19 mgr/dl Rp. 30.000
0220L0020923P000234 KOMARUDIN 29/09/2023 Ureum 17.00 mgr/dl Rp. 30.000
0220L0020923P000234 KOMARUDIN 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000235 DEDI SUAEDI 29/09/2023 HbA1c 4.60 % Rp. 160.000
0220L0020923P000235 DEDI SUAEDI 29/09/2023 Microalbuminaria 44.00 mgr/dl Rp. 120.000
0220L0020923P000235 DEDI SUAEDI 29/09/2023 Kolesterol LDL 89.00 mgr/dl Rp. 60.000
0220L0020923P000235 DEDI SUAEDI 29/09/2023 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000
0220L0020923P000235 DEDI SUAEDI 29/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
154.00
0220L0020923P000235 DEDI SUAEDI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000235 DEDI SUAEDI 29/09/2023 Kreatinin 1.35 mgr/dl Rp. 30.000
0220L0020923P000235 DEDI SUAEDI 29/09/2023 Ureum 15.00 mgr/dl Rp. 30.000
0220L0020923P000235 DEDI SUAEDI 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 87.00 mgr/dl Rp. 20.000
0220L0020923P000236 IDA FARIDA 29/09/2023 Microalbuminaria 24.00 mgr/dl Rp. 120.000
111.00
0220L0020923P000236 IDA FARIDA 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
209.00
0220L0020923P000236 IDA FARIDA 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000236 IDA FARIDA 29/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
204.00
0220L0020923P000236 IDA FARIDA 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000236 IDA FARIDA 29/09/2023 Kreatinin 1.81 mgr/dl Rp. 30.000
0220L0020923P000236 IDA FARIDA 29/09/2023 Ureum 21.00 mgr/dl Rp. 30.000
0220L0020923P000236 IDA FARIDA 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000237 MUSLIMAH 29/09/2023 HbA1c 4.50 % Rp. 160.000
0220L0020923P000237 MUSLIMAH 29/09/2023 Microalbuminaria 27.00 mgr/dl Rp. 120.000
103.00
0220L0020923P000237 MUSLIMAH 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
156.00
0220L0020923P000237 MUSLIMAH 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000237 MUSLIMAH 29/09/2023 Kolesterol HDL 86.00 mgr/dl Rp. 45.000
221.00
0220L0020923P000237 MUSLIMAH 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000237 MUSLIMAH 29/09/2023 Kreatinin 1.59 mgr/dl Rp. 30.000
0220L0020923P000237 MUSLIMAH 29/09/2023 Ureum 26.00 mgr/dl Rp. 30.000
0220L0020923P000237 MUSLIMAH 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 78.00 mgr/dl Rp. 20.000
0220L0020923P000238 ABAY 29/09/2023 HbA1c 3.80 % Rp. 160.000
0220L0020923P000238 ABAY 29/09/2023 Microalbuminaria 32.00 mgr/dl Rp. 120.000
118.00
0220L0020923P000238 ABAY 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000238 ABAY 29/09/2023 Kolesterol Trigliserida 72.00 mgr/dl Rp. 50.000
0220L0020923P000238 ABAY 29/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
176.00
0220L0020923P000238 ABAY 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000238 ABAY 29/09/2023 Kreatinin 1.19 mgr/dl Rp. 30.000
0220L0020923P000238 ABAY 29/09/2023 Ureum 21.00 mgr/dl Rp. 30.000
0220L0020923P000238 ABAY 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 80.00 mgr/dl Rp. 20.000
0220L0020923P000239 ATIKAH 29/09/2023 HbA1c 8.70 % Rp. 160.000
0220L0020923P000239 ATIKAH 29/09/2023 Microalbuminaria 39.00 mgr/dl Rp. 120.000
116.00
0220L0020923P000239 ATIKAH 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
221.00
0220L0020923P000239 ATIKAH 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000239 ATIKAH 29/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
209.00
0220L0020923P000239 ATIKAH 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000239 ATIKAH 29/09/2023 Kreatinin 0.93 mgr/dl Rp. 30.000
0220L0020923P000239 ATIKAH 29/09/2023 Ureum 28.00 mgr/dl Rp. 30.000
162.00
0220L0020923P000239 ATIKAH 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000240 MAS'UD 29/09/2023 Microalbuminaria 23.00 mgr/dl Rp. 120.000
109.00
0220L0020923P000240 MAS'UD 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
119.00
0220L0020923P000240 MAS'UD 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000240 MAS'UD 29/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
176.00
0220L0020923P000240 MAS'UD 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000240 MAS'UD 29/09/2023 Kreatinin 1.42 mgr/dl Rp. 30.000
0220L0020923P000240 MAS'UD 29/09/2023 Ureum 26.00 mgr/dl Rp. 30.000

0220L0020923P000240 MAS'UD 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000241 JAENUDIN 29/09/2023 HbA1c 9.50 % Rp. 160.000
123.00
0220L0020923P000241 JAENUDIN 29/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
154.00
0220L0020923P000241 JAENUDIN 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
295.00
0220L0020923P000241 JAENUDIN 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000241 JAENUDIN 29/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
251.00
0220L0020923P000241 JAENUDIN 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000241 JAENUDIN 29/09/2023 Kreatinin 1.05 mgr/dl Rp. 30.000
0220L0020923P000241 JAENUDIN 29/09/2023 Ureum 24.00 mgr/dl Rp. 30.000
130.00
0220L0020923P000241 JAENUDIN 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000242 IDAS DASIMAH 29/09/2023 HbA1c 6.40 % Rp. 160.000
0220L0020923P000242 IDAS DASIMAH 29/09/2023 Microalbuminaria 43.00 mgr/dl Rp. 120.000
158.00
0220L0020923P000242 IDAS DASIMAH 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
156.00
0220L0020923P000242 IDAS DASIMAH 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000242 IDAS DASIMAH 29/09/2023 Kolesterol HDL 68.00 mgr/dl Rp. 45.000
257.00
0220L0020923P000242 IDAS DASIMAH 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000242 IDAS DASIMAH 29/09/2023 Kreatinin 0.80 mgr/dl Rp. 30.000
0220L0020923P000242 IDAS DASIMAH 29/09/2023 Ureum 21.00 mgr/dl Rp. 30.000
140.00
0220L0020923P000242 IDAS DASIMAH 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000243 HENI YUNIARTI 29/09/2023 Microalbuminaria 23.00 mgr/dl Rp. 120.000
158.00
0220L0020923P000243 HENI YUNIARTI 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
156.00
0220L0020923P000243 HENI YUNIARTI 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000243 HENI YUNIARTI 29/09/2023 Kolesterol HDL 68.00 mgr/dl Rp. 45.000
257.00
0220L0020923P000243 HENI YUNIARTI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000243 HENI YUNIARTI 29/09/2023 Kreatinin 1.59 mgr/dl Rp. 30.000
0220L0020923P000243 HENI YUNIARTI 29/09/2023 Ureum 32.00 mgr/dl Rp. 30.000
0220L0020923P000243 HENI YUNIARTI 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000244 SAR'AH 29/09/2023 Microalbuminaria 26.00 mgr/dl Rp. 120.000
149.00
0220L0020923P000244 SAR'AH 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
146.00
0220L0020923P000244 SAR'AH 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000244 SAR'AH 29/09/2023 Kolesterol HDL 78.00 mgr/dl Rp. 45.000
257.00
0220L0020923P000244 SAR'AH 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000244 SAR'AH 29/09/2023 Kreatinin 1.34 mgr/dl Rp. 30.000
0220L0020923P000244 SAR'AH 29/09/2023 Ureum 20.00 mgr/dl Rp. 30.000
0220L0020923P000244 SAR'AH 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000245 ETI SURYATI 29/09/2023 HbA1c 6.10 % Rp. 160.000
0220L0020923P000245 ETI SURYATI 29/09/2023 Microalbuminaria 35.00 mgr/dl Rp. 120.000
239.00
0220L0020923P000245 ETI SURYATI 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
213.00
0220L0020923P000245 ETI SURYATI 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000245 ETI SURYATI 29/09/2023 Kolesterol HDL 70.00 mgr/dl Rp. 45.000
352.00
0220L0020923P000245 ETI SURYATI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000245 ETI SURYATI 29/09/2023 Kreatinin 2.43 mgr/dl Rp. 30.000
0220L0020923P000245 ETI SURYATI 29/09/2023 Ureum 42.00 mgr/dl Rp. 30.000
114.00
0220L0020923P000245 ETI SURYATI 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000246 ENENG SITI NURAENI 29/09/2023 Microalbuminaria 23.00 mgr/dl Rp. 120.000
217.00
0220L0020923P000246 ENENG SITI NURAENI 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000246 ENENG SITI NURAENI 29/09/2023 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000
0220L0020923P000246 ENENG SITI NURAENI 29/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
282.00
0220L0020923P000246 ENENG SITI NURAENI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000246 ENENG SITI NURAENI 29/09/2023 Kreatinin 1.49 mgr/dl Rp. 30.000
0220L0020923P000246 ENENG SITI NURAENI 29/09/2023 Ureum 15.00 mgr/dl Rp. 30.000
0220L0020923P000246 ENENG SITI NURAENI 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000247 NANA NURMAYATI 29/09/2023 HbA1c 5.90 % Rp. 160.000
0220L0020923P000247 NANA NURMAYATI 29/09/2023 Microalbuminaria 19.00 mgr/dl Rp. 120.000
0220L0020923P000247 NANA NURMAYATI 29/09/2023 Kolesterol LDL 65.00 mgr/dl Rp. 60.000
0220L0020923P000247 NANA NURMAYATI 29/09/2023 Kolesterol Trigliserida 91.00 mgr/dl Rp. 50.000
0220L0020923P000247 NANA NURMAYATI 29/09/2023 Kolesterol HDL 95.00 mgr/dl Rp. 45.000
178.00
0220L0020923P000247 NANA NURMAYATI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000247 NANA NURMAYATI 29/09/2023 Kreatinin 1.20 mgr/dl Rp. 30.000
0220L0020923P000247 NANA NURMAYATI 29/09/2023 Ureum 20.00 mgr/dl Rp. 30.000
100.00
0220L0020923P000247 NANA NURMAYATI 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000248 SAID 29/09/2023 Microalbuminaria 42.00 mgr/dl Rp. 120.000
0220L0020923P000248 SAID 29/09/2023 Kolesterol LDL 71.00 mgr/dl Rp. 60.000
0220L0020923P000248 SAID 29/09/2023 Kolesterol Trigliserida 79.00 mgr/dl Rp. 50.000
0220L0020923P000248 SAID 29/09/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000
141.00
0220L0020923P000248 SAID 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000248 SAID 29/09/2023 Kreatinin 1.12 mgr/dl Rp. 30.000
0220L0020923P000248 SAID 29/09/2023 Ureum 20.00 mgr/dl Rp. 30.000
0220L0020923P000248 SAID 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000249 ENENG YUSMIATI 29/09/2023 Microalbuminaria 19.00 mgr/dl Rp. 120.000
0220L0020923P000249 ENENG YUSMIATI 29/09/2023 Kolesterol LDL 92.00 mgr/dl Rp. 60.000
331.00
0220L0020923P000249 ENENG YUSMIATI 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
127.00
0220L0020923P000249 ENENG YUSMIATI 29/09/2023 Kolesterol HDL Rp. 45.000
mgr/dl
285.00
0220L0020923P000249 ENENG YUSMIATI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000249 ENENG YUSMIATI 29/09/2023 Kreatinin 1.21 mgr/dl Rp. 30.000

0220L0020923P000249 ENENG YUSMIATI 29/09/2023 Ureum 27.00 mgr/dl Rp. 30.000
0220L0020923P000250 ROHAYATI 29/09/2023 Microalbuminaria 19.00 mgr/dl Rp. 120.000
0220L0020923P000250 ROHAYATI 29/09/2023 Kolesterol LDL 92.00 mgr/dl Rp. 60.000
331.00
0220L0020923P000250 ROHAYATI 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
127.00
0220L0020923P000250 ROHAYATI 29/09/2023 Kolesterol HDL Rp. 45.000
mgr/dl
285.00
0220L0020923P000250 ROHAYATI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000250 ROHAYATI 29/09/2023 Kreatinin 1.21 mgr/dl Rp. 30.000
0220L0020923P000250 ROHAYATI 29/09/2023 Ureum 27.00 mgr/dl Rp. 30.000
0220L0020923P000250 ROHAYATI 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000251 SITI AMINAH 29/09/2023 Microalbuminaria 17.00 mgr/dl Rp. 120.000
100.00
0220L0020923P000251 SITI AMINAH 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000251 SITI AMINAH 29/09/2023 Kolesterol Trigliserida 55.00 mgr/dl Rp. 50.000
0220L0020923P000251 SITI AMINAH 29/09/2023 Kolesterol HDL 57.00 mgr/dl Rp. 45.000
168.00
0220L0020923P000251 SITI AMINAH 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000251 SITI AMINAH 29/09/2023 Kreatinin 1.09 mgr/dl Rp. 30.000
0220L0020923P000251 SITI AMINAH 29/09/2023 Ureum 23.00 mgr/dl Rp. 30.000
0220L0020923P000252 PULUNG SARIPUDIN 29/09/2023 Microalbuminaria 17.00 mgr/dl Rp. 120.000
161.00
0220L0020923P000252 PULUNG SARIPUDIN 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
172.00
0220L0020923P000252 PULUNG SARIPUDIN 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000252 PULUNG SARIPUDIN 29/09/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000
249.00
0220L0020923P000252 PULUNG SARIPUDIN 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000252 PULUNG SARIPUDIN 29/09/2023 Kreatinin 0.91 mgr/dl Rp. 30.000
0220L0020923P000252 PULUNG SARIPUDIN 29/09/2023 Ureum 34.00 mgr/dl Rp. 30.000
0220L0020923P000252 PULUNG SARIPUDIN 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000253 YOYON AHYANI 29/09/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000

0220L0020923P000253 YOYON AHYANI 29/09/2023 Kolesterol LDL 46.00 mgr/dl Rp. 60.000
259.00
0220L0020923P000253 YOYON AHYANI 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000253 YOYON AHYANI 29/09/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000
157.00
0220L0020923P000253 YOYON AHYANI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000253 YOYON AHYANI 29/09/2023 Kreatinin 1.85 mgr/dl Rp. 30.000
0220L0020923P000253 YOYON AHYANI 29/09/2023 Ureum 33.00 mgr/dl Rp. 30.000
0220L0020923P000253 YOYON AHYANI 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000254 BAHRUDIN 29/09/2023 Microalbuminaria 32.00 mgr/dl Rp. 120.000
0220L0020923P000254 BAHRUDIN 29/09/2023 Kolesterol LDL 92.00 mgr/dl Rp. 60.000
122.00
0220L0020923P000254 BAHRUDIN 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000254 BAHRUDIN 29/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
154.00
0220L0020923P000254 BAHRUDIN 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000254 BAHRUDIN 29/09/2023 Kreatinin 2.97 mgr/dl Rp. 30.000
0220L0020923P000254 BAHRUDIN 29/09/2023 Ureum 46.00 mgr/dl Rp. 30.000
0220L0020923P000254 BAHRUDIN 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000255 LUSIANA 29/09/2023 HbA1c 5.20 % Rp. 160.000
0220L0020923P000255 LUSIANA 29/09/2023 Microalbuminaria 14.00 mgr/dl Rp. 120.000
169.00
0220L0020923P000255 LUSIANA 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000255 LUSIANA 29/09/2023 Kolesterol Trigliserida 63.00 mgr/dl Rp. 50.000
0220L0020923P000255 LUSIANA 29/09/2023 Kolesterol HDL 62.00 mgr/dl Rp. 45.000
244.00
0220L0020923P000255 LUSIANA 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000255 LUSIANA 29/09/2023 Kreatinin 1.47 mgr/dl Rp. 30.000
0220L0020923P000255 LUSIANA 29/09/2023 Ureum 28.00 mgr/dl Rp. 30.000
0220L0020923P000255 LUSIANA 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 94.00 mgr/dl Rp. 20.000
0220L0020923P000256 RAHLAN 29/09/2023 Microalbuminaria 19.00 mgr/dl Rp. 120.000
0220L0020923P000256 RAHLAN 29/09/2023 Kolesterol LDL 78.00 mgr/dl Rp. 60.000

116.00
0220L0020923P000256 RAHLAN 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000256 RAHLAN 29/09/2023 Kolesterol HDL 65.00 mgr/dl Rp. 45.000
166.00
0220L0020923P000256 RAHLAN 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000256 RAHLAN 29/09/2023 Kreatinin 1.08 mgr/dl Rp. 30.000
0220L0020923P000256 RAHLAN 29/09/2023 Ureum 14.00 mgr/dl Rp. 30.000
0220L0020923P000256 RAHLAN 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000257 JUMINAH 29/09/2023 HbA1c 5.70 % Rp. 160.000
259.00
0220L0020923P000257 JUMINAH 29/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
101.00
0220L0020923P000257 JUMINAH 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
135.00
0220L0020923P000257 JUMINAH 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000257 JUMINAH 29/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
179.00
0220L0020923P000257 JUMINAH 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000257 JUMINAH 29/09/2023 Kreatinin 2.59 mgr/dl Rp. 30.000
0220L0020923P000257 JUMINAH 29/09/2023 Ureum 74.00 mgr/dl Rp. 30.000
108.00
0220L0020923P000257 JUMINAH 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000258 TATA 29/09/2023 HbA1c 7.00 % Rp. 160.000
0220L0020923P000258 TATA 29/09/2023 Microalbuminaria 9.00 mgr/dl Rp. 120.000
206.00
0220L0020923P000258 TATA 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
188.00
0220L0020923P000258 TATA 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000258 TATA 29/09/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
290.00
0220L0020923P000258 TATA 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000258 TATA 29/09/2023 Kreatinin 3.27 mgr/dl Rp. 30.000
0220L0020923P000258 TATA 29/09/2023 Ureum 57.00 mgr/dl Rp. 30.000
114.00
0220L0020923P000258 TATA 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000259 SUMARNI 29/09/2023 HbA1c 11.00 % Rp. 160.000
0220L0020923P000259 SUMARNI 29/09/2023 Microalbuminaria 30.00 mgr/dl Rp. 120.000
210.00
0220L0020923P000259 SUMARNI 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
203.00
0220L0020923P000259 SUMARNI 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000259 SUMARNI 29/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
302.00
0220L0020923P000259 SUMARNI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000259 SUMARNI 29/09/2023 Kreatinin 1.79 mgr/dl Rp. 30.000
0220L0020923P000259 SUMARNI 29/09/2023 Ureum 49.00 mgr/dl Rp. 30.000
169.00
0220L0020923P000259 SUMARNI 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000260 SITI 29/09/2023 HbA1c 9.30 % Rp. 160.000
0220L0020923P000260 SITI 29/09/2023 Microalbuminaria 18.00 mgr/dl Rp. 120.000
0220L0020923P000260 SITI 29/09/2023 Kolesterol LDL 81.00 mgr/dl Rp. 60.000
0220L0020923P000260 SITI 29/09/2023 Kolesterol Trigliserida 90.00 mgr/dl Rp. 50.000
0220L0020923P000260 SITI 29/09/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000
153.00
0220L0020923P000260 SITI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000260 SITI 29/09/2023 Kreatinin 1.02 mgr/dl Rp. 30.000
0220L0020923P000260 SITI 29/09/2023 Ureum 25.00 mgr/dl Rp. 30.000
153.00
0220L0020923P000260 SITI 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000261 NURHAYATI 29/09/2023 HbA1c 10.50 % Rp. 160.000
0220L0020923P000261 NURHAYATI 29/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000
0220L0020923P000261 NURHAYATI 29/09/2023 Kolesterol LDL 94.00 mgr/dl Rp. 60.000
194.00
0220L0020923P000261 NURHAYATI 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000261 NURHAYATI 29/09/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000
187.00
0220L0020923P000261 NURHAYATI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000261 NURHAYATI 29/09/2023 Kreatinin 1.01 mgr/dl Rp. 30.000

0220L0020923P000261 NURHAYATI 29/09/2023 Ureum 27.00 mgr/dl Rp. 30.000
162.00
0220L0020923P000261 NURHAYATI 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000262 JUJIAH 29/09/2023 HbA1c 13.10 % Rp. 160.000
0220L0020923P000262 JUJIAH 29/09/2023 Microalbuminaria 42.00 mgr/dl Rp. 120.000
224.00
0220L0020923P000262 JUJIAH 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
111.00
0220L0020923P000262 JUJIAH 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000262 JUJIAH 29/09/2023 Kolesterol HDL 57.00 mgr/dl Rp. 45.000
303.00
0220L0020923P000262 JUJIAH 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000262 JUJIAH 29/09/2023 Kreatinin 1.23 mgr/dl Rp. 30.000
0220L0020923P000262 JUJIAH 29/09/2023 Ureum 25.00 mgr/dl Rp. 30.000
172.00
0220L0020923P000262 JUJIAH 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000263 UUM 29/09/2023 HbA1c 7.40 % Rp. 160.000
0220L0020923P000263 UUM 29/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000
155.00
0220L0020923P000263 UUM 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
191.00
0220L0020923P000263 UUM 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000263 UUM 29/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
234.00
0220L0020923P000263 UUM 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000263 UUM 29/09/2023 Kreatinin 1.29 mgr/dl Rp. 30.000
0220L0020923P000263 UUM 29/09/2023 Ureum 29.00 mgr/dl Rp. 30.000
165.00
0220L0020923P000263 UUM 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000264 M. FIRDYA WILDAN 29/09/2023 Microalbuminaria 33.00 mgr/dl Rp. 120.000
149.00
0220L0020923P000264 M. FIRDYA WILDAN 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000264 M. FIRDYA WILDAN 29/09/2023 Kolesterol Trigliserida 89.00 mgr/dl Rp. 50.000
0220L0020923P000264 M. FIRDYA WILDAN 29/09/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000
226.00
0220L0020923P000264 M. FIRDYA WILDAN 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000264 M. FIRDYA WILDAN 29/09/2023 Kreatinin 1.06 mgr/dl Rp. 30.000
0220L0020923P000264 M. FIRDYA WILDAN 29/09/2023 Ureum 21.00 mgr/dl Rp. 30.000
0220L0020923P000264 M. FIRDYA WILDAN 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000265 JUNI 29/09/2023 HbA1c 8.20 % Rp. 160.000
0220L0020923P000265 JUNI 29/09/2023 Microalbuminaria 19.00 mgr/dl Rp. 120.000
165.00
0220L0020923P000265 JUNI 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
331.00
0220L0020923P000265 JUNI 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000265 JUNI 29/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
280.00
0220L0020923P000265 JUNI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000265 JUNI 29/09/2023 Kreatinin 1.19 mgr/dl Rp. 30.000
0220L0020923P000265 JUNI 29/09/2023 Ureum 28.00 mgr/dl Rp. 30.000
120.00
0220L0020923P000265 JUNI 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000266 KEMAH 29/09/2023 HbA1c 4.70 % Rp. 160.000
0220L0020923P000266 KEMAH 29/09/2023 Microalbuminaria 29.00 mgr/dl Rp. 120.000
117.00
0220L0020923P000266 KEMAH 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
117.00
0220L0020923P000266 KEMAH 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000266 KEMAH 29/09/2023 Kolesterol HDL 65.00 mgr/dl Rp. 45.000
209.00
0220L0020923P000266 KEMAH 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000266 KEMAH 29/09/2023 Kreatinin 1.23 mgr/dl Rp. 30.000
0220L0020923P000266 KEMAH 29/09/2023 Ureum 36.00 mgr/dl Rp. 30.000
130.00
0220L0020923P000266 KEMAH 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000267 EDI 29/09/2023 HbA1c 5.20 % Rp. 160.000
0220L0020923P000267 EDI 29/09/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000
152.00
0220L0020923P000267 EDI 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
213.00
0220L0020923P000267 EDI 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000267 EDI 29/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
243.00
0220L0020923P000267 EDI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000267 EDI 29/09/2023 Kreatinin 1.86 mgr/dl Rp. 30.000
0220L0020923P000267 EDI 29/09/2023 Ureum 26.00 mgr/dl Rp. 30.000
0220L0020923P000267 EDI 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis 94.00 mgr/dl Rp. 20.000
0220L0020923P000268 DAMAN 29/09/2023 Microalbuminaria 8.00 mgr/dl Rp. 120.000
121.00
0220L0020923P000268 DAMAN 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
193.00
0220L0020923P000268 DAMAN 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000268 DAMAN 29/09/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
208.00
0220L0020923P000268 DAMAN 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000268 DAMAN 29/09/2023 Kreatinin 2.26 mgr/dl Rp. 30.000
0220L0020923P000268 DAMAN 29/09/2023 Ureum 35.00 mgr/dl Rp. 30.000
0220L0020923P000268 DAMAN 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000269 SUHARNO 29/09/2023 Microalbuminaria 18.00 mgr/dl Rp. 120.000
108.00
0220L0020923P000269 SUHARNO 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
123.00
0220L0020923P000269 SUHARNO 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000269 SUHARNO 29/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
184.00
0220L0020923P000269 SUHARNO 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000269 SUHARNO 29/09/2023 Kreatinin 1.93 mgr/dl Rp. 30.000
0220L0020923P000269 SUHARNO 29/09/2023 Ureum 29.00 mgr/dl Rp. 30.000
0220L0020923P000269 SUHARNO 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000270 AMNAH 29/09/2023 Microalbuminaria 30.00 mgr/dl Rp. 120.000
148.00
0220L0020923P000270 AMNAH 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
100.00
0220L0020923P000270 AMNAH 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000270 AMNAH 29/09/2023 Kolesterol HDL 65.00 mgr/dl Rp. 45.000
233.00
0220L0020923P000270 AMNAH 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000270 AMNAH 29/09/2023 Kreatinin 1.76 mgr/dl Rp. 30.000
0220L0020923P000270 AMNAH 29/09/2023 Ureum 32.00 mgr/dl Rp. 30.000
0220L0020923P000270 AMNAH 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000271 MURSINI 29/09/2023 Microalbuminaria 9.00 mgr/dl Rp. 120.000
151.00
0220L0020923P000271 MURSINI 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
151.00
0220L0020923P000271 MURSINI 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000271 MURSINI 29/09/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000
235.00
0220L0020923P000271 MURSINI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000271 MURSINI 29/09/2023 Kreatinin 1.37 mgr/dl Rp. 30.000
0220L0020923P000271 MURSINI 29/09/2023 Ureum 28.00 mgr/dl Rp. 30.000
0220L0020923P000271 MURSINI 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000272 IMAS MASWIAH 29/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000
124.00
0220L0020923P000272 IMAS MASWIAH 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
255.00
0220L0020923P000272 IMAS MASWIAH 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000272 IMAS MASWIAH 29/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
226.00
0220L0020923P000272 IMAS MASWIAH 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000272 IMAS MASWIAH 29/09/2023 Kreatinin 1.14 mgr/dl Rp. 30.000
0220L0020923P000272 IMAS MASWIAH 29/09/2023 Ureum 24.00 mgr/dl Rp. 30.000
0220L0020923P000272 IMAS MASWIAH 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000273 ANONG 29/09/2023 Microalbuminaria 9.00 mgr/dl Rp. 120.000
116.00
0220L0020923P000273 ANONG 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000273 ANONG 29/09/2023 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000
0220L0020923P000273 ANONG 29/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

186.00
0220L0020923P000273 ANONG 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000273 ANONG 29/09/2023 Kreatinin 1.03 mgr/dl Rp. 30.000
0220L0020923P000273 ANONG 29/09/2023 Ureum 27.00 mgr/dl Rp. 30.000
0220L0020923P000273 ANONG 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
188.00
0220L0020923P000274 SUPRAH 29/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
125.00
0220L0020923P000274 SUPRAH 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
126.00
0220L0020923P000274 SUPRAH 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000274 SUPRAH 29/09/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
196.00
0220L0020923P000274 SUPRAH 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000274 SUPRAH 29/09/2023 Kreatinin 1.55 mgr/dl Rp. 30.000
0220L0020923P000274 SUPRAH 29/09/2023 Ureum 36.00 mgr/dl Rp. 30.000
0220L0020923P000274 SUPRAH 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000275 siti jumsi 29/09/2023 Microalbuminaria 42.00 mgr/dl Rp. 120.000
120.00
0220L0020923P000275 siti jumsi 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
108.00
0220L0020923P000275 siti jumsi 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000275 siti jumsi 29/09/2023 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
185.00
0220L0020923P000275 siti jumsi 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000275 siti jumsi 29/09/2023 Kreatinin 1.09 mgr/dl Rp. 30.000
0220L0020923P000275 siti jumsi 29/09/2023 Ureum 18.00 mgr/dl Rp. 30.000
0220L0020923P000275 siti jumsi 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000276 ENONG 29/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000
139.00
0220L0020923P000276 ENONG 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000276 ENONG 29/09/2023 Kolesterol Trigliserida 94.00 mgr/dl Rp. 50.000
0220L0020923P000276 ENONG 29/09/2023 Kolesterol HDL 65.00 mgr/dl Rp. 45.000
223.00
0220L0020923P000276 ENONG 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000276 ENONG 29/09/2023 Kreatinin 1.30 mgr/dl Rp. 30.000
0220L0020923P000276 ENONG 29/09/2023 Ureum 29.00 mgr/dl Rp. 30.000
0220L0020923P000276 ENONG 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000277 TITIN ROHANIAH 29/09/2023 HbA1c 5.60 % Rp. 160.000
0220L0020923P000277 TITIN ROHANIAH 29/09/2023 Microalbuminaria 38.00 mgr/dl Rp. 120.000
180.00
0220L0020923P000277 TITIN ROHANIAH 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000277 TITIN ROHANIAH 29/09/2023 Kolesterol Trigliserida 81.00 mgr/dl Rp. 50.000
0220L0020923P000277 TITIN ROHANIAH 29/09/2023 Kolesterol HDL 57.00 mgr/dl Rp. 45.000
253.00
0220L0020923P000277 TITIN ROHANIAH 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000277 TITIN ROHANIAH 29/09/2023 Kreatinin 1.18 mgr/dl Rp. 30.000
0220L0020923P000277 TITIN ROHANIAH 29/09/2023 Ureum 23.00 mgr/dl Rp. 30.000
120.00
0220L0020923P000277 TITIN ROHANIAH 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000278 SUMATRA 29/09/2023 HbA1c 7.90 % Rp. 160.000
0220L0020923P000278 SUMATRA 29/09/2023 Microalbuminaria 30.00 mgr/dl Rp. 120.000
128.00
0220L0020923P000278 SUMATRA 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
242.00
0220L0020923P000278 SUMATRA 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000278 SUMATRA 29/09/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000
236.00
0220L0020923P000278 SUMATRA 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000278 SUMATRA 29/09/2023 Kreatinin 1.24 mgr/dl Rp. 30.000
0220L0020923P000278 SUMATRA 29/09/2023 Ureum 21.00 mgr/dl Rp. 30.000
130.00
0220L0020923P000278 SUMATRA 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000279 METI 29/09/2023 Microalbuminaria 23.00 mgr/dl Rp. 120.000
127.00
0220L0020923P000279 METI 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
138.00
0220L0020923P000279 METI 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000279 METI 29/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000

198.00
0220L0020923P000279 METI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000279 METI 29/09/2023 Kreatinin 1.11 mgr/dl Rp. 30.000
0220L0020923P000279 METI 29/09/2023 Ureum 27.00 mgr/dl Rp. 30.000
0220L0020923P000279 METI 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000280 SALINAH 29/09/2023 Microalbuminaria 36.00 mgr/dl Rp. 120.000
0220L0020923P000280 SALINAH 29/09/2023 Kolesterol LDL 97.00 mgr/dl Rp. 60.000
101.00
0220L0020923P000280 SALINAH 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000280 SALINAH 29/09/2023 Kolesterol HDL 81.00 mgr/dl Rp. 45.000
195.00
0220L0020923P000280 SALINAH 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000280 SALINAH 29/09/2023 Kreatinin 1.34 mgr/dl Rp. 30.000
0220L0020923P000280 SALINAH 29/09/2023 Ureum 25.00 mgr/dl Rp. 30.000
0220L0020923P000280 SALINAH 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000281 MARNAH 29/09/2023 HbA1c 9.60 % Rp. 160.000
0220L0020923P000281 MARNAH 29/09/2023 Microalbuminaria 39.00 mgr/dl Rp. 120.000
181.00
0220L0020923P000281 MARNAH 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
101.00
0220L0020923P000281 MARNAH 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000281 MARNAH 29/09/2023 Kolesterol HDL 68.00 mgr/dl Rp. 45.000
317.00
0220L0020923P000281 MARNAH 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000281 MARNAH 29/09/2023 Kreatinin 1.84 mgr/dl Rp. 30.000
0220L0020923P000281 MARNAH 29/09/2023 Ureum 43.00 mgr/dl Rp. 30.000
145.00
0220L0020923P000281 MARNAH 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000282 ENJEN 29/09/2023 HbA1c 9.50 % Rp. 160.000
198.00
0220L0020923P000282 ENJEN 29/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
162.00
0220L0020923P000282 ENJEN 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
102.00
0220L0020923P000282 ENJEN 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000282 ENJEN 29/09/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
228.00
0220L0020923P000282 ENJEN 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000282 ENJEN 29/09/2023 Kreatinin 1.13 mgr/dl Rp. 30.000
0220L0020923P000282 ENJEN 29/09/2023 Ureum 23.00 mgr/dl Rp. 30.000
110.00
0220L0020923P000282 ENJEN 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000283 YUSMINAH 29/09/2023 HbA1c 11.10 % Rp. 160.000
0220L0020923P000283 YUSMINAH 29/09/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000
150.00
0220L0020923P000283 YUSMINAH 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
185.00
0220L0020923P000283 YUSMINAH 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000283 YUSMINAH 29/09/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000
246.00
0220L0020923P000283 YUSMINAH 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000283 YUSMINAH 29/09/2023 Kreatinin 1.00 mgr/dl Rp. 30.000
0220L0020923P000283 YUSMINAH 29/09/2023 Ureum 43.00 mgr/dl Rp. 30.000
121.00
0220L0020923P000283 YUSMINAH 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000284 ENUR JAYA 29/09/2023 Microalbuminaria 15.00 mgr/dl Rp. 120.000
104.00
0220L0020923P000284 ENUR JAYA 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
304.00
0220L0020923P000284 ENUR JAYA 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000284 ENUR JAYA 29/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
203.00
0220L0020923P000284 ENUR JAYA 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000284 ENUR JAYA 29/09/2023 Kreatinin 1.59 mgr/dl Rp. 30.000
0220L0020923P000284 ENUR JAYA 29/09/2023 Ureum 39.00 mgr/dl Rp. 30.000
0220L0020923P000284 ENUR JAYA 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000285 RITA 29/09/2023 Microalbuminaria 39.00 mgr/dl Rp. 120.000
128.00
0220L0020923P000285 RITA 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
197.00
0220L0020923P000285 RITA 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000285 RITA 29/09/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000
221.00
0220L0020923P000285 RITA 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000285 RITA 29/09/2023 Kreatinin 1.02 mgr/dl Rp. 30.000
0220L0020923P000285 RITA 29/09/2023 Ureum 21.00 mgr/dl Rp. 30.000
0220L0020923P000285 RITA 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000286 EKA WIDYA PURI 29/09/2023 Microalbuminaria 14.00 mgr/dl Rp. 120.000
153.00
0220L0020923P000286 EKA WIDYA PURI 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000286 EKA WIDYA PURI 29/09/2023 Kolesterol Trigliserida 98.00 mgr/dl Rp. 50.000
0220L0020923P000286 EKA WIDYA PURI 29/09/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
219.00
0220L0020923P000286 EKA WIDYA PURI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000286 EKA WIDYA PURI 29/09/2023 Kreatinin 1.09 mgr/dl Rp. 30.000
0220L0020923P000286 EKA WIDYA PURI 29/09/2023 Ureum 22.00 mgr/dl Rp. 30.000
0220L0020923P000286 EKA WIDYA PURI 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000287 MARTI 29/09/2023 Microalbuminaria 16.00 mgr/dl Rp. 120.000
125.00
0220L0020923P000287 MARTI 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
178.00
0220L0020923P000287 MARTI 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000287 MARTI 29/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
198.00
0220L0020923P000287 MARTI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000287 MARTI 29/09/2023 Kreatinin 1.33 mgr/dl Rp. 30.000
0220L0020923P000287 MARTI 29/09/2023 Ureum 33.00 mgr/dl Rp. 30.000
0220L0020923P000287 MARTI 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000288 UMSI 29/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000
175.00
0220L0020923P000288 UMSI 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
119.00
0220L0020923P000288 UMSI 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000288 UMSI 29/09/2023 Kolesterol HDL 62.00 mgr/dl Rp. 45.000
261.00
0220L0020923P000288 UMSI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000288 UMSI 29/09/2023 Kreatinin 0.94 mgr/dl Rp. 30.000
0220L0020923P000288 UMSI 29/09/2023 Ureum 40.00 mgr/dl Rp. 30.000
0220L0020923P000288 UMSI 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
102.00
0220L0020923P000289 JASINAH 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
101.00
mgr/dl
195.00
mgr/dl
0220L0020923P000290 LAELA SARI 29/09/2023 HbA1c 9.60 % Rp. 160.000
0220L0020923P000290 LAELA SARI 29/09/2023 Microalbuminaria 39.00 mgr/dl Rp. 120.000
181.00
0220L0020923P000290 LAELA SARI 29/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
340.00
0220L0020923P000290 LAELA SARI 29/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000290 LAELA SARI 29/09/2023 Kolesterol HDL 68.00 mgr/dl Rp. 45.000
317.00
0220L0020923P000290 LAELA SARI 29/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000290 LAELA SARI 29/09/2023 Kreatinin 1.84 mgr/dl Rp. 30.000
0220L0020923P000290 LAELA SARI 29/09/2023 Ureum 43.00 mgr/dl Rp. 30.000
130.00
0220L0020923P000290 LAELA SARI 29/09/2023 Gula Darah Puasa (GDP) - PRB/Prolanis Rp. 20.000
mgr/dl
0220L0020923P000292 IROH 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000293 MARNAH 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000294 BANAH 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000295 TATI 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000296 MASTUNI 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000297 RUMINAH 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000298 CIAH 29/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000299 MARNAH 20/09/2023 Microalbuminaria 24.00 mgr/dl Rp. 120.000
124.00
0220L0020923P000299 MARNAH 20/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
0220L0020923P000299 MARNAH 20/09/2023 Kolesterol Trigliserida 76.00 mgr/dl Rp. 50.000
0220L0020923P000299 MARNAH 20/09/2023 Kolesterol HDL 41.00 mgr/dl Rp. 45.000
180.00
0220L0020923P000299 MARNAH 20/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000299 MARNAH 20/09/2023 Kreatinin 0.91 mgr/dl Rp. 30.000
0220L0020923P000299 MARNAH 20/09/2023 Ureum 30.00 mgr/dl Rp. 30.000
0220L0020923P000299 MARNAH 20/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
155.00
0220L0020923P000300 MINA HERPIYANA 22/09/2023 Microalbuminaria Rp. 120.000
mgr/dl
113.00
0220L0020923P000300 MINA HERPIYANA 22/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
289.00
0220L0020923P000300 MINA HERPIYANA 22/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000300 MINA HERPIYANA 22/09/2023 Kolesterol HDL 38.00 mgr/dl Rp. 45.000
209.00
0220L0020923P000300 MINA HERPIYANA 22/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000300 MINA HERPIYANA 22/09/2023 Kreatinin 0.75 mgr/dl Rp. 30.000
0220L0020923P000300 MINA HERPIYANA 22/09/2023 Ureum 22.00 mgr/dl Rp. 30.000
0220L0020923P000300 MINA HERPIYANA 22/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000301 IMAS SUSANTY 22/09/2023 Microalbuminaria 24.00 mgr/dl Rp. 120.000
110.00
0220L0020923P000301 IMAS SUSANTY 22/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
177.00
0220L0020923P000301 IMAS SUSANTY 22/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000301 IMAS SUSANTY 22/09/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000
199.00
0220L0020923P000301 IMAS SUSANTY 22/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000301 IMAS SUSANTY 22/09/2023 Kreatinin 0.70 mgr/dl Rp. 30.000
0220L0020923P000301 IMAS SUSANTY 22/09/2023 Ureum 30.00 mgr/dl Rp. 30.000
0220L0020923P000301 IMAS SUSANTY 22/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
0220L0020923P000302 NENENG NURYANI 22/09/2023 Microalbuminaria 28.00 mgr/dl Rp. 120.000
137.00
0220L0020923P000302 NENENG NURYANI 22/09/2023 Kolesterol LDL Rp. 60.000
mgr/dl
104.00
0220L0020923P000302 NENENG NURYANI 22/09/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
0220L0020923P000302 NENENG NURYANI 22/09/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000
209.00
0220L0020923P000302 NENENG NURYANI 22/09/2023 Kolesterol Total Rp. 45.000
mgr/dl
0220L0020923P000302 NENENG NURYANI 22/09/2023 Kreatinin 0.96 mgr/dl Rp. 30.000
0220L0020923P000302 NENENG NURYANI 22/09/2023 Ureum 17.00 mgr/dl Rp. 30.000
0220L0020923P000302 NENENG NURYANI 22/09/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 20.000
Tanggal terima FPK, Tanggal, 04/10/2023

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FPK September

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BPJS Kesehatan Cab.

Nomor FPK : P2309000018522

Provider : LABKESDA KAB. LEBAK

Total Data : 300

Total Tagihan : Rp. 126.780.000

NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0220L0020923P000001 JAMINAH 14/09/2023 Kolesterol HDL 42.00 mgr/dl Rp. 45.000

0220L0020923P000001 JAMINAH 14/09/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0220L0020923P000001 JAMINAH 14/09/2023 Ureum 27.00 mgr/dl Rp. 30.000

0220L0020923P000002 ARNAWATI 14/09/2023 Microalbuminaria 30.00 mgr/dl Rp. 120.000

0220L0020923P000002 ARNAWATI 14/09/2023 Kolesterol LDL 86.00 mgr/dl Rp. 60.000

0220L0020923P000002 ARNAWATI 14/09/2023 Kolesterol HDL 61.00 mgr/dl Rp. 45.000

0220L0020923P000002 ARNAWATI 14/09/2023 Kreatinin 1.05 mgr/dl Rp. 30.000

0220L0020923P000002 ARNAWATI 14/09/2023 Ureum 15.00 mgr/dl Rp. 30.000

0220L0020923P000003 SUMAH 14/09/2023 Microalbuminaria 18.00 mgr/dl Rp. 120.000

0220L0020923P000003 SUMAH 14/09/2023 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

0220L0020923P000003 SUMAH 14/09/2023 Kreatinin 1.15 mgr/dl Rp. 30.000

0220L0020923P000003 SUMAH 14/09/2023 Ureum 22.00 mgr/dl Rp. 30.000

0220L0020923P000004 ECIN 14/09/2023 Microalbuminaria 36.00 mgr/dl Rp. 120.000

0220L0020923P000004 ECIN 14/09/2023 Kolesterol HDL 37.00 mgr/dl Rp. 45.000

0220L0020923P000004 ECIN 14/09/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0220L0020923P000004 ECIN 14/09/2023 Ureum 16.00 mgr/dl Rp. 30.000

0220L0020923P000005 AMAH 14/09/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000

0220L0020923P000005 AMAH 14/09/2023 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

0220L0020923P000005 AMAH 14/09/2023 Kreatinin 0.92 mgr/dl Rp. 30.000

0220L0020923P000005 AMAH 14/09/2023 Ureum 22.00 mgr/dl Rp. 30.000

0220L0020923P000006 BAIROH 14/09/2023 Microalbuminaria 16.00 mgr/dl Rp. 120.000

0220L0020923P000006 BAIROH 14/09/2023 Kolesterol Trigliserida 69.00 mgr/dl Rp. 50.000

0220L0020923P000006 BAIROH 14/09/2023 Kolesterol HDL 34.00 mgr/dl Rp. 45.000

0220L0020923P000006 BAIROH 14/09/2023 Kreatinin 0.91 mgr/dl Rp. 30.000

0220L0020923P000006 BAIROH 14/09/2023 Ureum 14.00 mgr/dl Rp. 30.000

0220L0020923P000007 MARYATI 14/09/2023 Microalbuminaria 27.00 mgr/dl Rp. 120.000

0220L0020923P000007 MARYATI 14/09/2023 Kolesterol HDL 32.00 mgr/dl Rp. 45.000

0220L0020923P000007 MARYATI 14/09/2023 Kreatinin 0.87 mgr/dl Rp. 30.000

0220L0020923P000007 MARYATI 14/09/2023 Ureum 27.00 mgr/dl Rp. 30.000

0220L0020923P000008 ECIH SUARSIH 14/09/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000

0220L0020923P000008 ECIH SUARSIH 14/09/2023 Kreatinin 1.23 mgr/dl Rp. 30.000

0220L0020923P000008 ECIH SUARSIH 14/09/2023 Ureum 24.00 mgr/dl Rp. 30.000

0220L0020923P000009 DIDI SUPARDI 14/09/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000

0220L0020923P000009 DIDI SUPARDI 14/09/2023 Kreatinin 0.95 mgr/dl Rp. 30.000

0220L0020923P000009 DIDI SUPARDI 14/09/2023 Ureum 22.00 mgr/dl Rp. 30.000

0220L0020923P000010 SURTI 14/09/2023 Microalbuminaria 33.00 mgr/dl Rp. 120.000

0220L0020923P000010 SURTI 14/09/2023 Kolesterol HDL 29.00 mgr/dl Rp. 45.000

0220L0020923P000010 SURTI 14/09/2023 Kreatinin 0.92 mgr/dl Rp. 30.000

0220L0020923P000010 SURTI 14/09/2023 Ureum 30.00 mgr/dl Rp. 30.000

0220L0020923P000012 SITI YANTI 14/09/2023 Microalbuminaria 28.00 mgr/dl Rp. 120.000

0220L0020923P000012 SITI YANTI 14/09/2023 Kreatinin 1.34 mgr/dl Rp. 30.000

0220L0020923P000012 SITI YANTI 14/09/2023 Ureum 27.00 mgr/dl Rp. 30.000

0220L0020923P000013 JANASIH 14/09/2023 Microalbuminaria 27.00 mgr/dl Rp. 120.000

0220L0020923P000013 JANASIH 14/09/2023 Kolesterol Trigliserida 70.00 mgr/dl Rp. 50.000

0220L0020923P000013 JANASIH 14/09/2023 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

0220L0020923P000013 JANASIH 14/09/2023 Kreatinin 1.11 mgr/dl Rp. 30.000

0220L0020923P000013 JANASIH 14/09/2023 Ureum 30.00 mgr/dl Rp. 30.000

0220L0020923P000015 MURSAH 14/09/2023 Microalbuminaria 31.00 mgr/dl Rp. 120.000

0220L0020923P000015 MURSAH 14/09/2023 Kolesterol LDL 80.00 mgr/dl Rp. 60.000

0220L0020923P000015 MURSAH 14/09/2023 Kolesterol HDL 42.00 mgr/dl Rp. 45.000

0220L0020923P000015 MURSAH 14/09/2023 Kreatinin 1.17 mgr/dl Rp. 30.000

0220L0020923P000015 MURSAH 14/09/2023 Ureum 20.00 mgr/dl Rp. 30.000

0220L0020923P000016 SUKMA 14/09/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000

0220L0020923P000016 SUKMA 14/09/2023 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

0220L0020923P000016 SUKMA 14/09/2023 Kreatinin 1.17 mgr/dl Rp. 30.000

0220L0020923P000016 SUKMA 14/09/2023 Ureum 28.00 mgr/dl Rp. 30.000

0220L0020923P000017 SURATNO 14/09/2023 Microalbuminaria 17.00 mgr/dl Rp. 120.000