No.

X RAY Dextra Sinistra Bilateral

1. ABDOMEN 3 POSISI
2. ABDOMEN + +
3. ANTEBRACHI + + +
4. ANKLE + + +
5. BNO + +
6. CRANIUM + +
7. CERVICAL + +
8. CLAVICULA + + +
9. COXIGEUS + +
10. CRURIS + + +
11. CALCANEUS + + +
12. CHEPALOMETRY + +
13. ELBOW + + +
14. FEMUR + + +
15. GENUE // KNEE JOINT + + +
16. HUMERI + + +
17. LUMBAL + +
18. LUMBOSACRAL + +
19. MANUS + + +
20. MANDIBULA + + +
21. MASTOID + + +
22. ORTHOPANTOMOGRAPHY +
23. PELVIS
24. PENIS OBLIQ + +
25. SHOULDER + + +
26. SCAPULA + + +
27. STERNUM + +
28. SACRUM + +
29. THORAX +
30. THORACOLUMBAL + +
31. TMJ + + +
32. WRIST JOINT + + +
32. WHOLE SPINE + + +
No. X RAY KONTRAS
1. APG
2. APPENDICOGRAFI
3. BNO IVP
4. BARIUM FOLLOW THROUGH
5. COLON IN LOOP
6. CYSTOGRAFI
7. FISTULOGRAFI
8. HSG
9. LOPOGRAFI
10. OMD
11. OESOFAGOGRAFI
12. RPG
13. URETHROGRAFI

No. USG Dextra Sinistra Bilateral

1. USG AXILLA + + +
2. USG ANTEBRACHI + + +
3. USG ABDOMEN
4. USG ANKLE + + +
5. USG COLLI + + +
6. USG CRURIS + + +
7. USG ELBOW + + +
8. USG FEMUR + + +
9. USG GENUE + + +
10. USG HIP JOINT + + +
11. USG INGUINAL + + +
12. USG MUSKULOSKELETAL
13. USG MAMAE + + +
14. USG PAROTIS + + +
15. USG PEDIS + + +
16. USG RENAL/GINJAL + + +
17. USG SCROTUM + + +
18. USG SUB MANDIBULA + + +
19. USG THYROID
20. USG UROLOGI
No. USG Dextra Sinistra Bilateral
SMALL PART + + +
1. USG AXILLA + + +
2. USG THYROID
3. USG COLLI + + +
4. USG KAROTIS + + +
5. USG PAROTIS
6. USG SCROTUM/TESTIS + + +
7. USG MAMAE + + +
8. USG MAMAE + AXILLA + + +
9. USG MANDIBULA + + +
10. USG INGUINAL
USG MUSKULOSKELETAL /
JOINT
11. USG SHOULDER + + +
12. USG ELBOW + + +
13. USG WRIST + + +
14. USG HIP + + +
15. USG GENUE + + +
16. USG ANKLE + + +
17. USG PEDIS + + +
USG UROLOGI / ABDOMEN

USG DOPPLER / VASKULER + + +

No. MRI NON KONTRAS Dextra Sinistra Bilateral

1. MRCP + +
2. MRI BRAIN / HEAD + +
3. MRI CERVICAL + +
4. MRI THORACAL + +
5. MRI CERVICOTHORAKAL + +
6. MRI LUMBAL + +
7. MRI LUMBOSACRAL + +
8. MRI PELVIS + +
9. MRI MANUS + +
10. MRI WRIST JOINT + +
11. MRI ANTEBRACHI + +
12. MRI ELBOW JOINT + +
13. MRI HUMERI + +
 14. MRI SHOULDER JOINT + +
15. MRI HIP JOINT + +
16. MRI FEMUR + +
17. MRI KNEE JOINT + +
18. MRI CRURIS + +
19. MRI ANKLE + +
20. MRI PEDIS + +
21. MRI WHOLE SPINE
22. MRI ABDOMEN

No. MRI KONTRAS Dextra Sinistra Bilateral

1. MRCP + +
2. MRI BRAIN / HEAD + +
3. MRI CERVICAL + +
4. MRI THORACAL + +
5. MRI CERVICOTHORAKAL + +
6. MRI LUMBAL + +
7. MRI LUMBOSACRAL + +
8. MRI PELVIS + +
9. MRI MANUS + +
10. MRI WRIST JOINT + +
11. MRI ANTEBRACHI + +
12. MRI ELBOW JOINT + +
13. MRI HUMERI + +
14. MRI SHOULDER JOINT + +
15. MRI HIP JOINT + +
16. MRI FEMUR + +
17. MRI KNEE JOINT + +
18. MRI CRURIS + +
19. MRI ANKLE + +
20. MRI PEDIS + +
21. MRI WHOLE SPINE
22. MRI ABDOMEN