JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN

BULAN : JANUARI 2018

RAWAT JALAN
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan dari rawat jalan 13 13 12 5 7 14 11 9 5 13 6 14 5 5 13 3 13 11 6 4 5 7
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter 1 1
c. Reduksi 6 11 6 4 4 11 7 7 3 4 3 11 3 2 8 2 3 7 5 3 3 3 3
d. Albumin 6 11 6 4 4 11 7 7 3 4 3 11 3 2 8 2 3 7 5 3 3 3 3
e. Bilirubin 1 0 0 0 0 0 0 0 0 0 0 1
f. Sedimen 1 0 0 0 0 0 0 0 0 0 0 1
2 HEMATOLOGI
a. Darah lengkap 1 2 1 1 1 3 1 1
b. Haemoglobin 9 11 11 4 5 12 10 7 5 9 6 11 3 3 11 2 3 9 7 3 3 5 4
c. Laju endap darah
d. Haematokrit 0 0 1 2 1 0 1 0 0 0 0 0 0 0 1 0 0 3 0 0 0 1 0 0 0 1
e. Eritrosit 0 0 1 2 1 0 1 0 0 0 0 0 0 0 1 0 0 3 0 0 0 1 0 0 0 1
f. Lekosit 0 0 1 2 1 0 1 0 0 0 0 0 0 0 1 0 0 3 0 0 0 1 0 0 0 1
g. Trombosit 0 0 1 2 1 0 1 0 0 0 0 0 0 0 1 0 0 3 0 0 0 1 0 0 0 1
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 3 4 1 1 5 1 3 3 2 3 1 1 1 1 1 1 3
b. Tes Kehamilan Rapid test 1 2 2 2 2 2 2 1 1 1 2 1 2 2
c. Tes Kehamilan (Latec)
d. Test Widal 1 1 1 1 1
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test 5 1 2 1 3 2 2 1 1
4 KIMIA KLINIK
a. Gula darah 2 2 1 1 3 2 1 1 1 2 4 1
b. Asam urat 1 1
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT 1
f. SGPT 1
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol 1 1 2 1 1 1 1 2
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria 1 1
c. Mikrofilaria
d. BTA 1 1 1 1 1 2 1 1 1
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah kunjungan dari rawat inap 4 1 1 3 1 5 2 1 2 3 2 2 2 1 2 2 3 1 2 4 1 1
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter 2
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 4 3 1 5 2 1 2 2 2 2 1 1 2 1 3 1 1 3 1 1
b. Haemoglobin 1
c. Laju endap darah
d. Haematokrit 4 0 0 3 1 0 5 0 2 1 2 2 0 2 2 1 1 2 1 0 3 1 1 3 1 1
e. Eritrosit 4 0 0 3 1 0 5 0 2 1 2 2 0 2 2 1 1 2 1 0 3 1 1 3 1 1
f. Lekosit 4 0 0 3 1 0 5 0 2 1 2 2 0 2 2 1 1 2 1 0 3 1 1 3 1 1
g. Trombosit 4 0 0 3 1 0 5 0 2 1 2 2 0 2 2 1 1 2 1 0 3 1 1 3 1 1
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal 1 2 1 2 2 1 1 1 1 2 2 1 1 1 1
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah 2 1 1
b. Asam urat 1
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT 2 1
f. SGPT 2 1
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol 3 2 1 1 1 1
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria 1 1 1
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP DAN RAWAT JALAN

TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan 0 17 14 13 8 8 0 19 11 11 6 15 9 0 16 7 7 14 2 5 0 16 12 8 8 6 8
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1
c. Reduksi 0 6 11 6 4 4 0 11 7 7 3 4 3 0 11 3 2 8 2 3 0 7 5 3 3 3 3
d. Albumin 0 6 11 6 4 4 0 11 7 7 3 4 3 0 11 3 2 8 2 3 0 7 5 3 3 3 3
e. Bilirubin 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1
f. Sedimen 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1
2 HEMATOLOGI
a. Darah lengkap 0 4 0 1 5 2 0 6 0 2 1 2 2 0 2 3 1 1 5 1 0 3 2 1 3 1 2
b. Haemoglobin 0 9 11 12 4 5 0 12 10 7 5 9 6 0 11 3 3 11 2 3 0 9 7 3 3 5 4
c. Laju endap darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 4 0 1 5 2 0 6 0 2 1 2 2 0 2 3 1 1 5 1 0 3 2 1 3 1 2
e. Eritrosit 0 4 0 1 5 2 0 6 0 2 1 2 2 0 2 3 1 1 5 1 0 3 2 1 3 1 2
f. Lekosit 0 4 0 1 5 2 0 6 0 2 1 2 2 0 2 3 1 1 5 1 0 3 2 1 3 1 2
g. Trombosit 0 4 0 1 5 2 0 6 0 2 1 2 2 0 2 3 1 1 5 1 0 3 2 1 3 1 2
h. Hapusan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 3 0 4 1 0 0 1 5 1 3 3 2 0 3 0 1 1 1 0 0 1 1 0 1 3 0
b. Tes Kehamilan Rapid test 0 1 0 2 2 2 0 2 2 2 1 1 1 0 0 0 0 2 0 0 0 1 2 0 0 2 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Test Widal 0 1 0 0 3 2 0 2 0 2 1 1 1 0 0 1 0 1 3 0 0 2 1 1 1 1 1
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 5 0 1 2 0 0 0 1 0 0 0 0 0 3 0 0 2 0 2 0 0 1 0 0 0 1
4 KIMIA KLINIK
a. Gula darah 0 4 2 0 1 0 0 2 0 0 0 3 0 0 2 1 1 1 0 1 0 2 4 0 0 0 1
b. Asam urat 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. SGOT 0 2 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
f. SGPT 0 2 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 3 1 0 0 0 0 3 0 0 0 3 0 0 1 1 1 0 1 0 0 1 1 2 1 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Malaria 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. BTA 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 2 1 1 0 1
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN LB 4 LABORATORIUM
PUSKESMAS PANDEAN
BULAN : JANUARI 2018
RAWAT JALAN RAWAT INAP
JUMLAH
NO VARIABEL DALAM GEDUNG LUAR GEDUNG JUMLAH DALAM GEDUNG
DW LW DW LW DW LW DW LW DW LW TOTAL
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan Laboratorium 483 7 483 7 44 2 527 9 536
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 2 0 2 0 2 0 4 0 4
c. Reduksi 128 2 128 2 0 0 132 2 134
d. Albumin 128 2 128 2 0 0 132 2 134
e. Bilirubin 2 0 2 0 2 0 4 0 4
f. Sedimen 2 0 2 0 2 0 4 0 4
2 HEMATOLOGI
a. Darah lengkap 11 0 11 0 37 2 48 2 50
b. Haemoglobin 158 6 158 6 1 0 207 8 215
c. Laju endap darah 0 0 0 0 0 0 0 0 0
d. Haematokrit 11 0 11 0 37 2 48 2 50
e. Eritrosit 11 0 11 0 37 2 48 2 50
f. Lekosit 11 0 11 0 37 2 48 2 50
g. Trombosit 11 0 11 0 37 2 48 2 50
h. Hapusan darah 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 32 5 32 5 0 0 32 5 37
b. Tes Kehamilan Rapid test 24 1 24 1 0 0 24 1 25
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0
d. Test Widal 5 0 5 0 19 1 24 1 25
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0
j. HIV rapid test 18 0 18 0 0 0 18 0 18
4 KIMIA KLINIK
a. Gula darah 23 0 23 0 4 0 27 0 27
b. Asam urat 2 0 2 0 0 1 2 1 3
c. Bilirubin Total 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0
e. SGOT 1 0 1 0 3 0 4 0 4
f. SGPT 1 0 1 0 3 0 4 0 4
g. Albumin Serum 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0
k. Cholesterol 13 0 13 0 8 1 21 1 22
l. Triglyserides 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0
b. Malaria
• PCD 2 0 2 0 3 0 5 0 5
• ACD 279 279 0 279 0 279
c. Mikrofilaria 0 0 0 0 0 0 0 0 0
d. BTA 10 0 10 0 0 0 10 0 10
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0
JUMLAH PEMERIKSAAN 1204
 JUMLAH
28 29 30 31 DW LW TOTAL

7 4 6 204 7 211

0 0
2 2
6 2 3 128 2 130
6 2 3 128 2 130
0 0 0 0 2 2
0 0 0 0 2 2

11 11
5 2 4 158 6 164
0 0
0 0 0 0 11 11
0 0 0 0 11 11
0 0 0 0 11 11
0 0 0 0 11 11
0 0
0 0
0 0
1 1 32 5 37
1 1 24 1 25
0 0
5 5
0 0
0 0
0 0
0 0
0 0
18 18
 2 23 23
2 2
0 0
0 0
1 1
1 1
0 0
0 0
0 0
0 0
2 1 13 13
0 0
0 0
0 0

0 0
2 2
0 0
10 10
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

44 2 46

0 0
2 2
0 0
0 0
0 0 0 0 2 2
0 0 0 0 2 2

37 2 39
1 1
0 0
0 0 0 0 37 2 39
0 0 0 0 37 2 39
0 0 0 0 37 2 39
0 0 0 0 37 2 39
0 0
0 0
0 0
 0 0
0 0
0 0
19 1 20
0 0
0 0
0 0
0 0
0 0
0 0
4 4
0 1 1
0 0
0 0
3 3
3 3
0 0
0 0
0 0
0 0
8 1 9
0 0
0 0
0 0

0 0
3 3
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 7 4 6 248 9 257

0 0 0 0 0 0 0
0 0 0 0 4 0 4
0 6 2 3 128 2 130
0 6 2 3 128 2 130
0 0 0 0 4 0 4
0 0 0 0 4 0 4

0 0 0 0 48 2 50
0 5 2 4 159 6 165
0 0 0 0 0 0 0
0 0 0 0 48 2 50
0 0 0 0 48 2 50
0 0 0 0 48 2 50
0 0 0 0 48 2 50
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 1 0 1 32 5 37
0 1 0 1 24 1 25
0 0 0 0 0 0 0
0 0 0 0 24 1 25
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 18 0 18
0 0 0 2 27 0 27
0 0 0 0 2 1 3
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 4 0 4
0 0 0 0 4 0 4
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 2 1 21 1 22
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 5 0 5
0 0 0 0 0 0 0
0 0 0 0 10 0 10
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : FEBRUARI 2018

RAWAT JALAN
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan dari rawat jalan 10 9 2 6 13 11 9 6 7 9 8 9 11 3 12 13 8 10 4 3 8 9
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter 1
c. Reduksi 5 7 1 4 9 5 1 3 6 7 7 7 9 1 8 7 5 7 3 3 7 7
d. Albumin 5 7 1 4 9 5 1 3 6 7 7 7 9 1 8 7 5 7 3 3 7 7
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 1 1 1 1 1 1 2 2
b. Haemoglobin 6 8 1 4 10 5 3 6 6 7 7 7 9 2 8 7 7 8 2 3 7
c. Laju endap darah
d. Haematokrit 1 0 1 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 2 0 0 2 0 0 0 0
e. Eritrosit 1 0 1 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 2 0 0 2 0 0 0 0
f. Lekosit 1 0 1 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 2 0 0 2 0 0 0 0
g. Trombosit 1 0 1 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 2 0 0 2 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 2 3 1 1 2 2 2 1 1 1 2 1 1 3
b. Tes Kehamilan Rapid test 1 1
c. Tes Kehamilan (Latec)
d. Test Widal 1 1 2 1
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test 3 1 2 2 1 1
4 KIMIA KLINIK
a. Gula darah 2 1 1 3 4 1 1 1 2 1 1
b. Asam urat 1
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol 1 2 2 1 1 1
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria 1
c. Mikrofilaria
d. BTA 1 1 1 1 1
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : FEBRUARI 2018

RAWAT INAP
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah kunjungan dari rawat inap 1 2 1 2 2 4 4 1 3 6 1 3 4 6 2 5 2 1
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter 1 1 1
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 1 1 1 1 2 4 2 1 3 5 1 3 3 5 2 5 2 1
b. Haemoglobin 1
c. Laju endap darah
d. Haematokrit 1 1 0 0 1 1 2 0 4 0 0 2 1 3 5 0 1 0 3 3 5 2 5 0 0 2 1
e. Eritrosit 1 1 0 0 1 1 2 0 4 0 0 2 1 3 5 0 1 0 3 3 5 2 5 0 0 2 1
f. Lekosit 1 1 0 0 1 1 2 0 4 0 0 2 1 3 5 0 1 0 3 3 5 2 5 0 0 2 1
g. Trombosit 1 1 0 0 1 1 2 0 4 0 0 2 1 3 5 0 1 0 3 3 5 2 5 0 0 2 1
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal 1 2 2 2 1 1 2 1 1
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah 1 1 2 1 2
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT 1 1
f. SGPT 1 1
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol 2 2
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA 1
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : FEBRUARI 2018

RAWAT INAP DAN RAWAT JALAN

TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan 11 11 2 0 7 15 13 9 10 7 0 13 9 12 17 0 4 0 15 17 14 12 9 3 0 10 10
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0
c. Reduksi 5 7 1 0 4 9 5 1 3 6 0 7 7 7 9 0 1 0 8 7 5 7 3 3 0 7 7
d. Albumin 5 7 1 0 4 9 5 1 3 6 0 7 7 7 9 0 1 0 8 7 5 7 3 3 0 7 7
e. Bilirubin 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 2 1 1 0 2 2 2 0 4 0 0 2 1 4 6 0 1 0 3 5 5 2 7 0 0 2 1
b. Haemoglobin 6 8 1 0 4 10 5 3 6 6 0 8 7 7 9 0 2 0 8 7 7 8 2 3 0 7 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Haematokrit 2 1 1 0 2 2 2 0 4 0 0 2 1 4 6 0 1 0 3 5 5 2 7 0 0 2 1
e. Eritrosit 2 1 1 0 2 2 2 0 4 0 0 2 1 4 6 0 1 0 3 5 5 2 7 0 0 2 1
f. Lekosit 2 1 1 0 2 2 2 0 4 0 0 2 1 4 6 0 1 0 3 5 5 2 7 0 0 2 1
g. Trombosit 2 1 1 0 2 2 2 0 4 0 0 2 1 4 6 0 1 0 3 5 5 2 7 0 0 2 1
h. Hapusan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 2 3 0 0 1 1 2 2 0 0 0 0 2 1 0 0 1 0 1 0 0 2 0 1 0 1 3
b. Tes Kehamilan Rapid test 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 2 0 2 0 2 0 0 2 1 1 1 0 0 0 2 3 0 0 2 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. HIV rapid test 3 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 1 1
4 KIMIA KLINIK
a. Gula darah 2 1 1 0 0 2 3 4 3 0 0 1 1 0 1 0 0 0 2 1 2 0 0 0 0 1 0
b. Asam urat 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 1 2 2 0 0 0 1 0 0 2 0 1 0 0 2 0 1 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. BTA 1 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN LB 4 LABORATORIUM
PUSKESMAS PANDEAN
BULAN : JFEBRUARI 2018
RAWAT JALAN RAWAT INAP
JUMLAH
NO VARIABEL DALAM GEDUNG LUAR GEDUNG JUMLAH DALAM GEDUNG
DW LW DW LW DW LW DW LW DW LW TOTAL
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan Laboratorium 190 3 190 3 49 2 239 5 244
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 1 0 1 0 2 1 3 1 4
c. Reduksi 126 1 126 1 0 0 129 2 131
d. Albumin 126 1 126 1 0 0 129 2 131
e. Bilirubin 1 0 1 0 2 1 3 1 4
f. Sedimen 1 0 1 0 2 1 3 1 4
2 HEMATOLOGI
a. Darah lengkap 10 1 10 1 42 2 52 3 55
b. Haemoglobin 130 3 130 3 1 0 183 6 189
c. Laju endap darah 0 0 0 0 0 0 0 0 0
d. Haematokrit 11 0 11 0 43 1 54 1 55
e. Eritrosit 11 0 11 0 43 1 54 1 55
f. Lekosit 11 0 11 0 43 1 54 1 55
g. Trombosit 11 0 11 0 43 1 54 1 55
h. Hapusan darah 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 26 0 26 0 0 0 26 0 26
b. Tes Kehamilan Rapid test 2 0 2 0 0 0 2 0 2
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0
d. Test Widal 6 0 6 0 13 0 19 0 19
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0
j. HIV rapid test 17 0 17 0 0 0 17 0 17
4 KIMIA KLINIK
a. Gula darah 18 0 18 0 7 0 25 0 25
b. Asam urat 1 0 1 0 0 0 1 0 1
c. Bilirubin Total 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 1 1 1 1 2
f. SGPT 0 0 0 0 1 1 1 1 2
g. Albumin Serum 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0
k. Cholesterol 9 0 9 0 3 1 12 1 13
l. Triglyserides 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0
b. Malaria
• PCD 1 0 1 0 0 0 1 0 1
• ACD 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0
d. BTA 5 0 5 0 1 0 6 0 6
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0
JUMLAH PEMERIKSAAN 852
 JUMLAH
28 29 30 31 DW LW TOTAL

13 190 3 193

0 0
1 0 1
8 126 1 127
8 126 1 127
0 0 0 0 1 1
0 0 0 0 1 1

1 10 1 11
10 130 3 133
0 0
1 0 0 0 11 11
1 0 0 0 11 11
1 0 0 0 11 11
1 0 0 0 11 11
0 0
0 0
0 0
3 26 26
2 2
0 0
1 6 6
0 0
0 0
0 0
0 0
0 0
7 17 17
 18 18
1 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 9 9
0 0
0 0
0 0

0 0
1 1
0 0
5 5
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

1 49 2 51

0 0
2 1 3
0 0
0 0
0 0 0 0 2 1 3
0 0 0 0 2 1 3

1 42 2 44
1 1
0 0
1 0 0 0 43 1 44
1 0 0 0 43 1 44
1 0 0 0 43 1 44
1 0 0 0 43 1 44
0 0
0 0
0 0
 0 0
0 0
0 0
13 13
0 0
0 0
0 0
0 0
0 0
0 0
7 7
0 0
0 0
0 0
1 1 2
1 1 2
0 0
0 0
0 0
0 0
3 1 4
0 0
0 0
0 0

0 0
0 0
0 0
1 1
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

14 0 0 0 239 5 244

0 0 0 0 0 0 0
0 0 0 0 3 1 4
8 0 0 0 126 1 127
8 0 0 0 126 1 127
0 0 0 0 3 1 4
0 0 0 0 3 1 4

2 0 0 0 52 3 55
10 0 0 0 131 3 134
0 0 0 0 0 0 0
2 0 0 0 54 1 55
2 0 0 0 54 1 55
2 0 0 0 54 1 55
2 0 0 0 54 1 55
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
3 0 0 0 26 0 26
0 0 0 0 2 0 2
0 0 0 0 0 0 0
1 0 0 0 19 0 19
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
7 0 0 0 17 0 17
0 0 0 0 25 0 25
0 0 0 0 1 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 1 1 2
0 0 0 0 1 1 2
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 0 12 1 13
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 1 0 1
0 0 0 0 0 0 0
0 0 0 0 6 0 6
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : MARET 2018

RAWAT JALAN
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan dari rawat jalan 5 2 6 10 9 13 3 5 2 10 13 10 6 8 13 19 9 4 9 3 9 5
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter 1 2 8 1 1
c. Reduksi 3 2 4 7 8 5 4 2 9 10 2 6 5 7 9 6 1 4 3 7
d. Albumin 3 2 4 7 8 5 4 2 9 10 2 6 5 7 9 6 1 4 3 7
e. Bilirubin 0 0 1 0 0 0 2 0 0 0 0 0 0 8 0 0 0 0 1 0 1 0 0 0 0 0 0
f. Sedimen 0 0 1 0 0 0 2 0 0 0 0 0 0 8 0 0 0 0 1 0 1 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 1 1 1 1 1 1 8 1 1 2
b. Haemoglobin 5 2 4 9 7 8 2 4 2 9 11 2 6 7 10 14 7 1 6 2 7 2
c. Laju endap darah 0
d. Haematokrit 0 0 1 0 0 1 1 1 1 0 0 0 1 8 0 0 0 0 1 0 0 1 0 0 0 0 2
e. Eritrosit 0 0 1 0 0 1 1 1 1 0 0 0 1 8 0 0 0 0 1 0 0 1 0 0 0 0 2
f. Lekosit 0 0 1 0 0 1 1 1 1 0 0 0 1 8 0 0 0 0 1 0 0 1 0 0 0 0 2
g. Trombosit 0 0 1 0 0 1 1 1 1 0 0 0 1 8 0 0 0 0 1 0 0 1 0 0 0 0 2
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 2 1 4 1 2 2 2 5 1
b. Tes Kehamilan Rapid test 1 1 3 4 1 3 2 1 1
c. Tes Kehamilan (Latec)
d. Test Widal 1 1 1 1 1
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test 1 1 1 3 1 3 2 6 1 1
4 KIMIA KLINIK
a. Gula darah 8 1 1 1 2
b. Asam urat 8 3 2
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol 1 1 8 3 1
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria 1 1
c. Mikrofilaria
d. BTA 1 1 1 2
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : MARET 2018

RAWAT INAP
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah kunjungan dari rawat inap 1 3 6 2 4 4 3 1 4 2 1 2 1 2 5 5 4 3 3 9
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter 1 1 1 1 1
c. Reduksi 1 3 2
d. Albumin 1 3 2
e. Bilirubin 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0
f. Sedimen 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0
2 HEMATOLOGI
a. Darah lengkap 1 3 5 1 4 4 3 1 4 2 1 2 1 2 4 5 3 2 1 9
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 1 3 0 5 1 4 4 3 1 0 4 2 1 2 1 0 0 2 4 5 3 2 1 0 9 0
e. Eritrosit 0 1 3 0 5 1 4 4 3 1 0 4 2 1 2 1 0 0 2 4 5 3 2 1 0 9 0
f. Lekosit 0 1 3 0 5 1 4 4 3 1 0 4 2 1 2 1 0 0 2 4 5 3 2 1 0 9 0
g. Trombosit 0 1 3 0 5 1 4 4 3 1 0 4 2 1 2 1 0 0 2 4 5 3 2 1 0 9 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal 1 2 1 1 2 1 1 1 3
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test 1
4 KIMIA KLINIK
a. Gula darah
b. Asam urat 1
c. Bilirubin Total 1 1 1
d. Bilirubin Direct 1 1
e. SGOT 1 2 2 1 1 1
f. SGPT 1 2 2 1 1 1
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol 1 2 1 1 1 2 4 3 1 1
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA 1 1 1
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : MARET 2018

RAWAT INAP DAN RAWAT JALAN

TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan 5 3 9 0 16 11 17 7 8 3 0 14 15 11 8 9 0 0 15 24 14 8 12 6 0 18 5
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 1 0 0 0 3 1 0 1 0 0 0 8 0 0 0 0 1 0 1 1 0 0 0 1 0
c. Reduksi 3 2 4 0 7 9 5 0 4 2 0 9 10 2 6 5 0 0 7 9 6 1 7 3 0 9 0
d. Albumin 3 2 4 0 7 9 5 0 4 2 0 9 10 2 6 5 0 0 7 9 6 1 7 3 0 9 0
e. Bilirubin 0 0 1 0 0 0 3 1 0 1 0 0 0 8 0 0 0 0 1 0 1 1 0 0 0 1 0
f. Sedimen 0 0 1 0 0 0 3 1 0 1 0 0 0 8 0 0 0 0 1 0 1 1 0 0 0 1 0
2 HEMATOLOGI
a. Darah lengkap 0 1 4 0 5 2 5 5 4 1 0 4 3 9 2 1 0 0 3 4 5 4 2 1 0 9 2
b. Haemoglobin 5 0 4 0 9 7 8 2 4 2 0 9 11 2 6 7 0 0 10 14 7 1 6 2 0 7 2
c. Laju endap darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 1 4 0 5 2 5 5 4 1 0 4 3 9 2 1 0 0 3 4 5 4 2 1 0 9 2
e. Eritrosit 0 1 4 0 5 2 5 5 4 1 0 4 3 9 2 1 0 0 3 4 5 4 2 1 0 9 2
f. Lekosit 0 1 4 0 5 2 5 5 4 1 0 4 3 9 2 1 0 0 3 4 5 4 2 1 0 9 2
g. Trombosit 0 1 4 0 5 2 5 5 4 1 0 4 3 9 2 1 0 0 3 4 5 4 2 1 0 9 2
h. Hapusan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 2 0 0 0 0 1 4 0 0 0 0 1 0 0 2 2 0 0 2 5 0 0 0 0 0 1 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 1 1 0 0 0 3 0 4 0 1 0 0 3 2 1 0 0 0 0 0 1
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Test Widal 0 1 2 0 1 1 1 1 0 0 0 0 1 0 2 0 0 0 1 1 1 0 0 1 0 3 1
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 1 0 1 1 1 0 0 3 1 0 0 3 0 0 2 6 1 0 1 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 1 1 1 2 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 1 0 0 0 0 0 8 0 0 0 0 0 3 0 0 2 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0
e. SGOT 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 0 0 1 0
f. SGPT 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 0 0 1 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 2 0 2 1 0 1 0 1 1 8 0 0 0 0 2 7 0 3 2 1 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Malaria 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 2 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN LB 4 LABORATORIUM
PUSKESMAS PANDEAN
BULAN : MARET 2018
RAWAT JALAN RAWAT INAP
JUMLAH
NO VARIABEL DALAM GEDUNG LUAR GEDUNG JUMLAH DALAM GEDUNG
DW LW DW LW DW LW DW LW DW LW TOTAL
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan Laboratorium 194 2 194 2 73 2 267 4 271
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 13 0 13 0 5 0 18 0 18
c. Reduksi 112 0 112 0 6 0 136 0 136
d. Albumin 112 0 112 0 6 0 136 0 136
e. Bilirubin 13 0 13 0 5 0 18 0 18
f. Sedimen 13 0 13 0 5 0 18 0 18
2 HEMATOLOGI
a. Darah lengkap 20 0 20 0 64 1 84 1 85
b. Haemoglobin 131 1 131 1 0 0 215 2 217
c. Laju endap darah 0 0 0 0 0 0 0 0 0
d. Haematokrit 20 0 20 0 65 0 85 0 85
e. Eritrosit 20 0 20 0 65 0 85 0 85
f. Lekosit 20 0 20 0 65 0 85 0 85
g. Trombosit 20 0 20 0 65 0 85 0 85
h. Hapusan darah 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 22 1 22 1 0 0 22 1 23
b. Tes Kehamilan Rapid test 16 1 16 1 0 0 16 1 17
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0
d. Test Widal 7 0 7 0 15 0 22 0 22
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0
j. HIV rapid test 23 0 23 0 1 0 24 0 24
4 KIMIA KLINIK
a. Gula darah 23 0 23 0 2 0 25 0 25
b. Asam urat 15 0 15 0 1 1 16 1 17
c. Bilirubin Total 0 0 0 0 3 0 3 0 3
d. Bilirubin Direct 0 0 0 0 2 0 2 0 2
e. SGOT 0 0 0 0 9 0 9 0 9
f. SGPT 0 0 0 0 9 0 9 0 9
g. Albumin Serum 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0
k. Cholesterol 17 0 17 0 17 1 34 1 35
l. Triglyserides 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0
b. Malaria
• PCD 2 0 2 0 0 0 2 0 2
• ACD 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0
d. BTA 6 0 6 0 4 0 10 0 10
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0
JUMLAH PEMERIKSAAN 1166
 JUMLAH
28 29 30 31 DW LW TOTAL

19 4 194 2 196

0 0
13 13
5 3 112 112
5 3 112 112
0 0 0 0 13 13
0 0 0 0 13 13

1 1 20 20
5 131 1 132
0 0
1 1 0 0 20 20
1 1 0 0 20 20
1 1 0 0 20 20
1 1 0 0 20 20
0 0
0 0
0 0
3 22 1 23
16 1 17
0 0
1 1 7 7
0 0
0 0
0 0
0 0
0 0
3 23 23
10 23 23
2 15 15
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 17 17
0 0
0 0
0 0

0 0
2 2
0 0
1 6 6
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

5 5 73 2 75

0 0
5 5
6 6
6 6
0 0 0 0 5 5
0 0 0 0 5 5

4 3 64 1 65
0 0
0 0
4 3 0 0 65 65
4 3 0 0 65 65
4 3 0 0 65 65
4 3 0 0 65 65
0 0
0 0
0 0
 0 0
0 0
0 0
1 1 15 15
0 0
0 0
0 0
0 0
0 0
1 1
1 1 2 2
1 1 1 2
3 3
2 2
1 9 9
1 9 9
0 0
0 0
0 0
0 0
1 17 1 18
0 0
0 0
0 0

0 0
0 0
0 0
1 4 4
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

24 9 0 0 267 4 271

0 0 0 0 0 0 0
0 0 0 0 18 0 18
5 3 0 0 118 0 118
5 3 0 0 118 0 118
0 0 0 0 18 0 18
0 0 0 0 18 0 18

5 4 0 0 84 1 85
5 0 0 0 129 1 130
0 0 0 0 0 0 0
5 4 0 0 85 0 85
5 4 0 0 85 0 85
5 4 0 0 85 0 85
5 4 0 0 85 0 85
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
3 0 0 0 22 1 23
0 0 0 0 16 1 17
0 0 0 0 0 0 0
2 2 0 0 22 0 22
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
3 0 0 0 24 0 24
11 1 0 0 25 0 25
2 1 0 0 16 1 17
0 0 0 0 3 0 3
0 0 0 0 2 0 2
1 0 0 0 9 0 9
1 0 0 0 9 0 9
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
3 1 0 0 34 1 35
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 2 0 2
0 0 0 0 0 0 0
1 1 0 0 10 0 10
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : APRIL 2018

RAWAT JALAN
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan dari rawat jalan 19 8 7 7 7 5 12 13 4
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter 1 1
c. Reduksi 13 6 6 4 3 1 10 3 2
d. Albumin 13 6 6 4 3 1 10 3 2
e. Bilirubin 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 1 1 1 1
b. Haemoglobin 14 7 6 5 3 10 8 3
c. Laju endap darah
d. Haematokrit 0 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 2 3 1 1 1 4 1
b. Tes Kehamilan Rapid test 1 2 2 1 1 2 1
c. Tes Kehamilan (Latec)
d. Test Widal 1
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test 1 1 4
4 KIMIA KLINIK
a. Gula darah 4 1 1 5 1
b. Asam urat 1 1 1
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol 1 1
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA 1 1 1 2
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : APRIL 2018

RAWAT INAP
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
KUNJUNGAN LABORATORIUM
Jumlah kunjungan dari rawat inap 8 4 5 6 1 2 4 5
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter 1 1
c. Reduksi 4 1 1
d. Albumin 4 1 1
e. Bilirubin 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 8 3 5 1 2 4 5
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 8 3 5 0 0 1 0 2 4 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 8 3 5 0 0 1 0 2 4 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 8 3 5 0 0 1 0 2 4 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 8 3 5 0 0 1 0 2 4 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal 4 3 4 3 1
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test 1
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol 1 1 1
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : APRIL 2018

RAWAT INAP DAN RAWAT JALAN

TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan 0 27 12 12 7 13 6 0 14 17 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Reduksi 0 17 7 7 4 3 1 0 10 3 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Albumin 0 17 7 7 4 3 1 0 10 3 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 9 3 5 1 0 1 0 3 5 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 14 7 6 0 5 3 0 10 8 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 9 3 5 1 0 1 0 3 5 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 9 3 5 1 0 1 0 3 5 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 9 3 5 1 0 1 0 3 5 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 9 3 5 1 0 1 0 3 5 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 2 3 0 1 1 0 0 1 4 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 1 2 0 0 2 1 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Test Widal 0 4 3 4 1 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 1 0 0 1 1 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 4 0 0 1 0 0 0 1 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Asam urat 0 1 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 2 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. BTA 0 1 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN LB 4 LABORATORIUM
PUSKESMAS PANDEAN
BULAN : APRIL 2018
RAWAT JALAN RAWAT INAP
JUMLAH
NO VARIABEL DALAM GEDUNG LUAR GEDUNG JUMLAH DALAM GEDUNG
DW LW DW LW DW LW DW LW DW LW TOTAL
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan Laboratorium 82 0 82 0 35 0 117 0 117
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 2 0 2 0 2 0 4 0 4
c. Reduksi 48 0 48 0 6 0 58 0 58
d. Albumin 48 0 48 0 6 0 58 0 58
e. Bilirubin 2 0 2 0 2 0 4 0 4
f. Sedimen 2 0 2 0 2 0 4 0 4
2 HEMATOLOGI
a. Darah lengkap 4 0 4 0 28 0 32 0 32
b. Haemoglobin 56 0 56 0 0 0 88 0 88
c. Laju endap darah 0 0 0 0 0 0 0 0 0
d. Haematokrit 4 0 4 0 28 0 32 0 32
e. Eritrosit 4 0 4 0 28 0 32 0 32
f. Lekosit 4 0 4 0 28 0 32 0 32
g. Trombosit 4 0 4 0 28 0 32 0 32
h. Hapusan darah 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 13 0 13 0 0 0 13 0 13
b. Tes Kehamilan Rapid test 10 0 10 0 0 0 10 0 10
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0
d. Test Widal 1 0 1 0 15 0 16 0 16
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0
j. HIV rapid test 6 0 6 0 1 0 7 0 7
4 KIMIA KLINIK
a. Gula darah 12 0 12 0 0 0 12 0 12
b. Asam urat 3 0 3 0 0 0 3 0 3
c. Bilirubin Total 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0
k. Cholesterol 2 0 2 0 3 0 5 0 5
l. Triglyserides 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0
b. Malaria
• PCD 0 0 0 0 0 0 0 0 0
• ACD 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0
d. BTA 5 0 5 0 0 0 5 0 5
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0
JUMLAH PEMERIKSAAN 447
 JUMLAH
DW LW TOTAL

82 82

0 0
2 2
48 48
48 48
2 2
2 2

4 4
56 56
0 0
4 4
4 4
4 4
4 4
0 0
0 0
0 0
13 13
10 10
0 0
1 1
0 0
0 0
0 0
0 0
0 0
6 6
12 12
3 3
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 2
0 0
0 0
0 0

0 0
0 0
0 0
5 5
0 0
0 0
 JUMLAH
DW LW TOTAL

35 35

0 0
2 2
6 6
6 6
2 2
2 2

28 28
0 0
0 0
28 28
28 28
28 28
28 28
0 0
0 0
0 0
 0 0
0 0
0 0
15 15
0 0
0 0
0 0
0 0
0 0
1 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 3
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
DW LW TOTAL

117 0 117

0 0 0
4 0 4
54 0 54
54 0 54
4 0 4
4 0 4

32 0 32
56 0 56
0 0 0
32 0 32
32 0 32
32 0 32
32 0 32
0 0 0
0 0 0
0 0 0
13 0 13
10 0 10
0 0 0
16 0 16
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
7 0 7
12 0 12
3 0 3
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
5 0 5
0 0 0
0 0 0
0 0 0

0 0 0
0 0 0
0 0 0
5 0 5
0 0 0
0 0 0
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT JALAN
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan dari rawat jalan
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah kunjungan dari rawat inap
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP DAN RAWAT JALAN

TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Reduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Albumin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN LB 4 LABORATORIUM
PUSKESMAS PANDEAN
BULAN : JANUARI 2018
RAWAT JALAN RAWAT INAP
JUMLAH
NO VARIABEL DALAM GEDUNG LUAR GEDUNG JUMLAH DALAM GEDUNG
DW LW DW LW DW LW DW LW DW LW TOTAL
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan Laboratorium 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 0 0
c. Reduksi 0 0 0 0 0 0 0 0 0
d. Albumin 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0
b. Malaria
• PCD 0 0 0 0 0 0 0 0 0
• ACD 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0
JUMLAH PEMERIKSAAN 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0

0 0
0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0

0 0
0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT JALAN
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan dari rawat jalan
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah kunjungan dari rawat inap
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP DAN RAWAT JALAN

TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Reduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Albumin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN LB 4 LABORATORIUM
PUSKESMAS PANDEAN
BULAN : JANUARI 2018
RAWAT JALAN RAWAT INAP
JUMLAH
NO VARIABEL DALAM GEDUNG LUAR GEDUNG JUMLAH DALAM GEDUNG
DW LW DW LW DW LW DW LW DW LW TOTAL
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan Laboratorium 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 0 0
c. Reduksi 0 0 0 0 0 0 0 0 0
d. Albumin 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0
b. Malaria
• PCD 0 0 0 0 0 0 0 0 0
• ACD 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0
JUMLAH PEMERIKSAAN 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0

0 0
0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0

0 0
0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT JALAN
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan dari rawat jalan
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah kunjungan dari rawat inap
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP DAN RAWAT JALAN

TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Reduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Albumin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN LB 4 LABORATORIUM
PUSKESMAS PANDEAN
BULAN : JANUARI 2018
RAWAT JALAN RAWAT INAP
JUMLAH
NO VARIABEL DALAM GEDUNG LUAR GEDUNG JUMLAH DALAM GEDUNG
DW LW DW LW DW LW DW LW DW LW TOTAL
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan Laboratorium 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 0 0
c. Reduksi 0 0 0 0 0 0 0 0 0
d. Albumin 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0
b. Malaria
• PCD 0 0 0 0 0 0 0 0 0
• ACD 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0
JUMLAH PEMERIKSAAN 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0

0 0
0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0

0 0
0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT JALAN
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan dari rawat jalan
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah kunjungan dari rawat inap
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP DAN RAWAT JALAN

TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Reduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Albumin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN LB 4 LABORATORIUM
PUSKESMAS PANDEAN
BULAN : JANUARI 2018
RAWAT JALAN RAWAT INAP
JUMLAH
NO VARIABEL DALAM GEDUNG LUAR GEDUNG JUMLAH DALAM GEDUNG
DW LW DW LW DW LW DW LW DW LW TOTAL
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan Laboratorium 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 0 0
c. Reduksi 0 0 0 0 0 0 0 0 0
d. Albumin 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0
b. Malaria
• PCD 0 0 0 0 0 0 0 0 0
• ACD 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0
JUMLAH PEMERIKSAAN 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0

0 0
0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0

0 0
0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT JALAN
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan dari rawat jalan
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah kunjungan dari rawat inap
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP DAN RAWAT JALAN

TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Reduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Albumin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN LB 4 LABORATORIUM
PUSKESMAS PANDEAN
BULAN : JANUARI 2018
RAWAT JALAN RAWAT INAP
JUMLAH
NO VARIABEL DALAM GEDUNG LUAR GEDUNG JUMLAH DALAM GEDUNG
DW LW DW LW DW LW DW LW DW LW TOTAL
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan Laboratorium 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 0 0
c. Reduksi 0 0 0 0 0 0 0 0 0
d. Albumin 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0
b. Malaria
• PCD 0 0 0 0 0 0 0 0 0
• ACD 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0
JUMLAH PEMERIKSAAN 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0

0 0
0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0

0 0
0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT JALAN
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan dari rawat jalan
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah kunjungan dari rawat inap
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP DAN RAWAT JALAN

TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Reduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Albumin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN LB 4 LABORATORIUM
PUSKESMAS PANDEAN
BULAN : JANUARI 2018
RAWAT JALAN RAWAT INAP
JUMLAH
NO VARIABEL DALAM GEDUNG LUAR GEDUNG JUMLAH DALAM GEDUNG
DW LW DW LW DW LW DW LW DW LW TOTAL
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan Laboratorium 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 0 0
c. Reduksi 0 0 0 0 0 0 0 0 0
d. Albumin 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0
b. Malaria
• PCD 0 0 0 0 0 0 0 0 0
• ACD 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0
JUMLAH PEMERIKSAAN 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0

0 0
0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0

0 0
0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT JALAN
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan dari rawat jalan
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah kunjungan dari rawat inap
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP DAN RAWAT JALAN

TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Reduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Albumin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN LB 4 LABORATORIUM
PUSKESMAS PANDEAN
BULAN : JANUARI 2018
RAWAT JALAN RAWAT INAP
JUMLAH
NO VARIABEL DALAM GEDUNG LUAR GEDUNG JUMLAH DALAM GEDUNG
DW LW DW LW DW LW DW LW DW LW TOTAL
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan Laboratorium 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 0 0
c. Reduksi 0 0 0 0 0 0 0 0 0
d. Albumin 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0
b. Malaria
• PCD 0 0 0 0 0 0 0 0 0
• ACD 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0
JUMLAH PEMERIKSAAN 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0

0 0
0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0

0 0
0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT JALAN
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan dari rawat jalan
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah kunjungan dari rawat inap
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP DAN RAWAT JALAN

TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Reduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Albumin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN LB 4 LABORATORIUM
PUSKESMAS PANDEAN
BULAN : JANUARI 2018
RAWAT JALAN RAWAT INAP
JUMLAH
NO VARIABEL DALAM GEDUNG LUAR GEDUNG JUMLAH DALAM GEDUNG
DW LW DW LW DW LW DW LW DW LW TOTAL
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan Laboratorium 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 0 0
c. Reduksi 0 0 0 0 0 0 0 0 0
d. Albumin 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0
b. Malaria
• PCD 0 0 0 0 0 0 0 0 0
• ACD 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0
JUMLAH PEMERIKSAAN 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0

0 0
0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0

0 0
0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT JALAN
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan dari rawat jalan
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP
TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah kunjungan dari rawat inap
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter
b. Urine 10 Parameter
c. Reduksi
d. Albumin
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap
b. Haemoglobin
c. Laju endap darah
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah
i. Masa Perdarahan
j. Masa Pembekuan
3 IMUNOLOGI & SEROLOGI
a. Golongan darah
b. Tes Kehamilan Rapid test
c. Tes Kehamilan (Latec)
d. Test Widal
e. Syphilis rapid test
f. HBsAg rapid test
g. HBsAg Ellisa
h. Narkoba ( 1 panel )
i. Narkoba ( 4 panel )
j. HIV rapid test
4 KIMIA KLINIK
a. Gula darah
b. Asam urat
c. Bilirubin Total
d. Bilirubin Direct
e. SGOT
f. SGPT
g. Albumin Serum
h. Total Protein
i. Urea / BUN
j. Serum Kreatinin
k. Cholesterol
l. Triglyserides
m. HDL / LDL Choles
n. Elektrolit serum
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin
b. Malaria
c. Mikrofilaria
d. BTA
e. Pewarnaan niesser
f. Pewarnaan gram
 JUMLAH PASIEN PERHARI LABORATORIUM PUSKESMAS PANDEAN
BULAN : JANUARI 2018

RAWAT INAP DAN RAWAT JALAN

TANGGAL
NO VARIABEL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Reduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Albumin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN LB 4 LABORATORIUM
PUSKESMAS PANDEAN
BULAN : JANUARI 2018
RAWAT JALAN RAWAT INAP
JUMLAH
NO VARIABEL DALAM GEDUNG LUAR GEDUNG JUMLAH DALAM GEDUNG
DW LW DW LW DW LW DW LW DW LW TOTAL
KUNJUNGAN LABORATORIUM
Jumlah Kunjungan Laboratorium 0 0 0 0 0 0 0 0 0
PEMERIKSAAN LABORATORIUM
1 URINE
a. Urine 3 Parameter 0 0 0 0 0 0 0 0 0
b. Urine 10 Parameter 0 0 0 0 0 0 0 0 0
c. Reduksi 0 0 0 0 0 0 0 0 0
d. Albumin 0 0 0 0 0 0 0 0 0
e. Bilirubin 0 0 0 0 0 0 0 0 0
f. Sedimen 0 0 0 0 0 0 0 0 0
2 HEMATOLOGI
a. Darah lengkap 0 0 0 0 0 0 0 0 0
b. Haemoglobin 0 0 0 0 0 0 0 0 0
c. Laju endap darah 0 0 0 0 0 0 0 0 0
d. Haematokrit 0 0 0 0 0 0 0 0 0
e. Eritrosit 0 0 0 0 0 0 0 0 0
f. Lekosit 0 0 0 0 0 0 0 0 0
g. Trombosit 0 0 0 0 0 0 0 0 0
h. Hapusan darah 0 0 0 0 0 0 0 0 0
i. Masa Perdarahan 0 0 0 0 0 0 0 0 0
j. Masa Pembekuan 0 0 0 0 0 0 0 0 0
3 IMUNOLOGI & SEROLOGI
a. Golongan darah 0 0 0 0 0 0 0 0 0
b. Tes Kehamilan Rapid test 0 0 0 0 0 0 0 0 0
c. Tes Kehamilan (Latec) 0 0 0 0 0 0 0 0 0
d. Test Widal 0 0 0 0 0 0 0 0 0
e. Syphilis rapid test 0 0 0 0 0 0 0 0 0
f. HBsAg rapid test 0 0 0 0 0 0 0 0 0
g. HBsAg Ellisa 0 0 0 0 0 0 0 0 0
h. Narkoba ( 1 panel ) 0 0 0 0 0 0 0 0 0
i. Narkoba ( 4 panel ) 0 0 0 0 0 0 0 0 0
j. HIV rapid test 0 0 0 0 0 0 0 0 0
4 KIMIA KLINIK
a. Gula darah 0 0 0 0 0 0 0 0 0
b. Asam urat 0 0 0 0 0 0 0 0 0
c. Bilirubin Total 0 0 0 0 0 0 0 0 0
d. Bilirubin Direct 0 0 0 0 0 0 0 0 0
e. SGOT 0 0 0 0 0 0 0 0 0
f. SGPT 0 0 0 0 0 0 0 0 0
g. Albumin Serum 0 0 0 0 0 0 0 0 0
h. Total Protein 0 0 0 0 0 0 0 0 0
i. Urea / BUN 0 0 0 0 0 0 0 0 0
j. Serum Kreatinin 0 0 0 0 0 0 0 0 0
k. Cholesterol 0 0 0 0 0 0 0 0 0
l. Triglyserides 0 0 0 0 0 0 0 0 0
m. HDL / LDL Choles 0 0 0 0 0 0 0 0 0
n. Elektrolit serum 0 0 0 0 0 0 0 0 0
5 PARASITOLOGI & BAKTERIOLOGI KLINIK
a. Faeces rutin 0 0 0 0 0 0 0 0 0
b. Malaria
• PCD 0 0 0 0 0 0 0 0 0
• ACD 0 0 0 0 0
c. Mikrofilaria 0 0 0 0 0 0 0 0 0
d. BTA 0 0 0 0 0 0 0 0 0
e. Pewarnaan niesser 0 0 0 0 0 0 0 0 0
f. Pewarnaan gram 0 0 0 0 0 0 0 0 0
JUMLAH PEMERIKSAAN 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0

0 0
0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0

0 0
0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0
0 0
0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
 JUMLAH
28 29 30 31 DW LW TOTAL

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0