Date:

uBioClip v70

Time:

Identitas Klien
Nama

Berat badan

kg

Tanggal lahir

Tinggi badan

cm

Jenis kelamin

: L/P

Lingkar perut

cm

No. telpon/HP

Lingkat pinggang

cm

(dd-mm-yyyy)

Toxin Accumulation Scoring System

1. Kegemukan (obesitas abdominal)
2. Penderita diabetes dan darah tinggi yang mengonsumsi obat kimia dalam jangka panjang
3. Merasa diri sakit meskipun pemeriksaan kesehatan menunjukkan hasil yang normal
4. Perokok/peminum
5. Kurang olahraga
6. Kurang mengonsumsi sayuran
7. Mengalami pembengkakan
bengkakan (edema)
8. Sering mengonsumsi daging dan makanan cepat saji
9. Penderita alergi
10. Sering mengalami flu atau sakit
11. Perlemakan hati atau nilai SGOT/SGPT tinggi
12. Sering kencing
13. Mengonsumsi obat kimia dalam jangka panjang
14. Pasangan yang menginginkan anak
15. Merasakan tubuh berat, lelah dan mengantuk
16. Vitalitas yang kurang dan cepat lelah
17. Kurang konsentrasi dan daya ingat menurun
18. Emosi yang tidak stabil dan merasa cemas
19. Penyembuhan luka yang lambat
20. Mengalami
ami pendarahan di hidung, gusi dan dubur
21. Sering mengalami peradangan di mata, tangan dan kaki
22. Sering kesemutan di tangan dan kaki
23. Perut terasa tidak nyaman dan terasa penuh
24. Menurunnya gairah seksual
Keluhan lainnya:
a.

TOTAL SCORES =

b.
c.
d.
e.

4
5-10
11

: sedikit toksin,
n, status kesehatan baik
: akumulasi toksin agak tinggi
: akumulasi toksin sangat tinggi,
status kesehatan sangat jelek

Date:

uBioClip v70

Time:

Vascular Age Test Report

Name:

/Sex:

/Age:

Summary

Signal Level:
Classification

Safe

Caution

Danger

Note
-30 ~ +5
+6 ~ +20
+20 ~
A~B
C~D
E~G

Vascular Age Index

Vascular Age Type

: Safe (Live in Healthy Lifestyle)

: Caution (Attention to Lifestyle)
: Danger (Need for Diagnosis)
: Safe
: Caution
: Danger

Result of Measurement
Classification

Measurement

Vascular Age Index

Detail Result
Average Index of
Age Group

20

40

60

80

100

Measure Index

20

40

60

80

100

Associated with blood circulation by lifestyle

ifestyle. Increases than average index is bad.

Vascular Age Type

A type

B type

C type

D type

E type

F type

G type

Healthy

Average

Caution

Caution
required

Diagnosis

Must
diagnose

Severely
ill

Related to aging of peripheral vascular and disease of blood circulation.

Average Pulse

Average Pulse of
Age Group

40

60

80

100

120

140

Average Pulse of
Yours

40

60

80

100

120

140

The measurement within a range of average pulse of age is normal.

Detail Analysis

My Proper Weight

a
My Obesity Index

a-b
b:
a-cc :
a-d :
a-ee :

ms
ms
ms
ms

Normal
: 10% under than ones
one standard weight
Overweight : 10% over than ones
one standard weight
Obesity
: More over 20% than standard weight

What is My BMI?
d

b/a :
c/a :
d/a :
e/a :

Low weight < 18.5 Normal < 25.0 Overweight < 30.0 Obesity

My Abdominal
nal Obesity Index
Abdominal obesity is closely related with adult diseases and
arteriosclerosis. Women: Over 0.8 / Men: Over 0.95

Date:

uBioClip v70

Time:

Stress Index Report

Name:

/Sex:

/Age:

Stress Index
Interpretation of Stress Index

Normal

25 under
25 ~ 35 under
35 ~ 45 under
45 ~ 60 under

Early stage Ongoing Chronic

: Nearly no stress
: Temporary stress
: Primary stress
: Temporary stress are accumulated.
And the tolerance against the stress is getting weaker.
weaker
: Chronic stress. Seek medical attention.

60 over

Data Analysis
Pulse variability (Complexity =

Adult average is 30 ~ 40, under 20 are in excess stress level.

level

What is Variability?

What is Complexity?

Graph showing changes HRV. More variety of graph line is healthier.

Show complexity of beat

eat pulse index in various forms that
defines immunization against
gainst stress and environment.

Pulse Distributional Map

Autonomic Nerve System Balance Map

Graphed
ed the distributions of heart rate variability.
Slim triangle shaped distribution refers to the excess stress.
str
The standard shape means healthy.

Primary
arrhytmia

Severe
arrhytmia

Fatigue chronic stress

Normal

Acute Stress

Excess stress

Chronic stress

It means type of stress.

tress. Medium domain refers to healthy condition.

Testing Data Analysis

Sympathetic Activity (Average Age)
- Reveal high when excited or nervous (Better to be low within the green range)

LF

10

10

100

120

140

120

150

120

150

Para-sympathetic
ympathetic Activity (Average Age)
- Low when feeling anger,, worry or feat (Better to be high within the green range)

HF

Autonomic Nerve System Balance (Average

(A
Age)
- Autonomic nerve system balance (Normal
(
within the green range)

LF/HF

Average Pulse
- Average pulse per minute (Better to be low within the green range)

Mean

BPM

40

60

80

Pulse Standard Deviation

- Immunization against environment (Better to be high within the green range)

SDNN

30

60

90

Root Mean Square Standard Deviation

Deviati
- Low when madness, worry or fear (Better to be high within the green range)

RMSSD

30

60

90

Medical Record

uBioClip v70
Name:

Date / time

Subjective

Objective

Assessment

/Sex:

Planning