FORMULIR HASIL

PEMANTAPAN KUALITAS EKSTRA LABORATORIUM

PERHIMPUNAN DOKTER SPESIALIS PATOLOGI KLINIK INDONESIA
BIDANG KIMIA - Siklus 1 - 2021

Peserta : HERMINA BALIKPAPAN Kode Peserta : 1179

Alamat : Jl Mt Haryono Rt 45 Penanggung Jawab : Adelia Galihsari
Balikpapan,BALIKPAPAN
Telepon : 0542-8532525 Kode Bahan : K211001
Faksimili : 0542-8508989 Tanggal Pemeriksaan : 30/03/2021

Parameter Alat Reagen Hasil Satuan

Protein Total Selectra PRTB-0600 04.4 g/dL
Albumin Selectra ALBU-0600 03.3 g/dL
AST/SGOT Selectra ASSL-0410, 37º C 217.8 U/L
ALT/SGPT Selectra ALSL-0410, 37º C 133.8 U/L
Gamma GT U/L
Alkaline U/L
Phosphatase
Bilirubin Selectra BILI-0600 03.5 mg/dl
Total
Glukosa Selectra GHSL-0600 0292 mg/dl
Ureum Selectra URCO-0605 096.1 mg/dl
Kreatinine Selectra CRCO-0600 04.6 mg/dl
Asam Urat Selectra AUML-0427 08.3 mg/dl
Kolesterol Selectra CHSL-0490 0107 mg/dl
Total
Trigliserida Selectra TGML-0427 0095 mg/dl
Kalsium Total mg/dl
(Ca)
Natrium (Na+) Easylyte / Easylyte Plus 2102 142 mEq/L
Kalium (K+) Easylyte / Easylyte Plus 2101 03.9 mEq/L
Klorida (Cl-) Easylyte / Easylyte Plus 2113 103 mEq/L

Tanggal penerimaan bahan : 23/03/2021 Printed 13/04/2021

Keadaan bahan saat diterima : BAIK Checked,

PKEL-PDSPATKLIN ( ____________________________ )

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