BULAN
TAHUN : 2021
BPJS LAIN -
NO JENIS PEMERIKSAAN BAYAR JPKM ASKES JUMLAH KET
LAIN
A HEMATOLOGI
* Hb
* Hb Bumil
* Leukosit
* Eritrosit
* Trombosit
* LED
* Hematokrit
* Hitung Jenis
B KIMIA KLINIK
* Gula Darah
* Asam Urat
* Cholesterol
C SEROLOGI
* Gol darah
* Widal
* HIV
* HBSag
* Syphilis
PARASITOLOGI
* Malaria Negatif
* Malaria Positif
TOTAL PEM. DARAH
II URINALISA
a. Urin Makroskopis
b. Urin Mikroskopis
* Sedimen Eritrosit/Leukosit
* Epitel
* Silinder
* Kristal
c. Reaksi Kimia
* Reduksi
* Protein
* Bilirubin / Urobilin
d. Tes Kehamilan
TOTAL PEM. URINE
III FECES
* Kecacingan
* Amoeba
TOTAL PEM. FECES
IV MIKROBIOLOGI
* BTA / TBC Positif
* BTA / TBC Negatif
TOTAL PEM. SPUTUM
BULAN FEBRUARI
TAHUN : 2021
BPJS LAIN -
NO JENIS PEMERIKSAAN BAYAR JPKM ASKES JUMLAH KET
LAIN
A HEMATOLOGI
* Hb 0 8 0 0 0 8
* Hb Bumil 2 17 0 0 0 19
* Leukosit 0 0 0 0 0 0
* Eritrosit 0 0 0 0 0 0
* Trombosit 0 0 0 0 0 0
* LED 0 0 0 0 0 0
* Hematokrit 0 0 0 0 0 0
* Hitung Jenis 0 0 0 0 0 0
B KIMIA KLINIK
* Gula Darah 5 50 94 0 0 149 P.Lansia
* Asam Urat 5 37 146 0 0 188 P.Lansia
* Cholesterol 4 38 49 0 0 91 P.Lansia
C SEROLOGI 0 0 0 0 0 0
* Gol darah 6 0 0 0 0 6
* Widal 0 0 0 0 0 0
* HIV 0 13 0 0 0 13
* HBSag 0 13 0 0 0 13
* Syphilis 0 0 0 0 0 0
PARASITOLOGI
* Malaria Negatif 0 0 0 0 0 0
* Malaria Positif 0 0 0 0 0 0
TOTAL PEM. DARAH 22 176 289 0 0 487
II URINALISA
a. Urin Makroskopis 4 13 0 0 0 17
b. Urin Mikroskopis
* Sedimen Eritrosit/Leukosit 4 13 0 0 0 17
* Epitel 4 13 0 0 0 17
* Silinder 4 13 0 0 0 17
* Kristal 4 13 0 0 0 17
c. Reaksi Kimia 0 0 0 0 0 0
* Reduksi 4 13 0 0 0 17
* Protein 4 13 0 0 0 17
* Bilirubin / Urobilin 4 13 0 0 0 17
d. Tes Kehamilan 3 7 0 0 0 10
TOTAL PEM. URINE 35 111 0 0 0 146
III FECES
* Kecacingan 0 0 0 0 0 0
* Amoeba 0 0 0 0 0 0
TOTAL PEM. FECES 0 0 0 0 0 0
IV MIKROBIOLOGI
* BTA / TBC Positif 0 0 0 0 0 0
* BTA / TBC Negatif 0 3 0 0 0 3
TOTAL PEM. SPUTUM 0 3 0 0 0 3
BULAN : JANUARI
TAHUN : 2021
BPJS LAIN -
NO JENIS PEMERIKSAAN BAYAR JPKM ASKES JUMLAH KET
LAIN
A HEMATOLOGI
* Hb 0 5 0 0 0 5
* Hb Bumil 0 17 0 0 0 17
* Leukosit 0 0 0 0 0 0
* Eritrosit 0 0 0 0 0 0
* Trombosit 0 0 0 0 0 0
* LED 0 0 0 0 0 0
* Hematokrit 0 0 0 0 0 0
* Hitung Jenis 0 0 0 0 0 0
B KIMIA KLINIK
* Gula Darah 7 20 37 0 0 64
* Asam Urat 4 15 37 0 0 56
* Cholesterol 5 16 37 0 0 58
C SEROLOGI 0 0 0 0 0 0
* Gol darah 5 0 0 0 0 5
* Widal 0 0 0 0 0 0
* HIV 0 13 0 0 0 13
* HBSag 0 13 0 0 0 13
* Syphilis 0 0 0 0 0 0
PARASITOLOGI
* Malaria Negatif 0 0 0 0 0 0
* Malaria Positif 0 0 0 0 0 0
TOTAL PEM. DARAH 21 99 111 0 0 231
II URINALISA
a. Urin Makroskopis 2 15 0 0 0 17
b. Urin Mikroskopis
* Sedimen Eritrosit/Leukosit 2 15 0 0 0 17
* Epitel 2 15 0 0 0 17
* Silinder 2 15 0 0 0 17
* Kristal 2 15 0 0 0 17
c. Reaksi Kimia 0 0 0 0 0 0
* Reduksi 2 15 0 0 0 17
* Protein 2 15 0 0 0 17
* Bilirubin / Urobilin 2 15 0 0 0 17
d. Tes Kehamilan 2 8 0 0 0 10
TOTAL PEM. URINE 18 128 0 0 0 146
III FECES
* Kecacingan 0 0 0 0 0 0
* Amoeba 0 0 0 0 0 0
TOTAL PEM. FECES 0 0 0 0 0 0
IV MIKROBIOLOGI
* BTA / TBC Positif 0 0 0 0 0 0
* BTA / TBC Negatif 0 2 0 0 0 2
TOTAL PEM. SPUTUM 0 2 0 0 0 2
BULAN : DESEMBER
TAHUN : 2020
BPJS LAIN -
NO JENIS PEMERIKSAAN BAYAR JPKM ASKES JUMLAH KET
LAIN
A HEMATOLOGI
* Hb 0 12 0 0 0 12
* Hb Bumil 2 17 0 0 0 19
* Leukosit 0 2 0 0 0 2
* Eritrosit 0 2 0 0 0 2
* Trombosit 0 2 0 0 0 2
* LED 0 0 0 0 0 0
* Hematokrit 0 2 0 0 0 2
* Hitung Jenis 0 2 0 0 0 2
B KIMIA KLINIK
* Gula Darah 2 35 0 0 0 37
* Asam Urat 4 74 0 0 0 78
* Cholesterol 6 89 0 0 0 95
C SEROLOGI 0 0 0 0 0 0
* Gol darah 10 0 0 0 0 10
* Widal 0 0 0 0 0 0
* HIV 0 10 0 0 0 10
* HBSag 0 10 0 0 0 10
* Syphilis 0 10 0 0 0 10
PARASITOLOGI
* Malaria Negatif 0 0 0 0 0 0
* Malaria Positif 0 0 0 0 0 0
TOTAL PEM. DARAH 24 267 0 0 0 291
II URINALISA
a. Urin Makroskopis 2 21 0 0 0 23
b. Urin Mikroskopis
* Sedimen Eritrosit/Leukosit 2 21 0 0 0 23
* Epitel 2 21 0 0 0 23
* Silinder 2 21 0 0 0 23
* Kristal 2 21 0 0 0 23
c. Reaksi Kimia
* Reduksi 2 21 0 0 0 23
* Protein 2 21 0 0 0 23
* Bilirubin / Urobilin 2 21 0 0 0 23
d. Tes Kehamilan 2 9 0 0 0 11
TOTAL PEM. URINE 18 177 0 0 0 195
III FECES
* Kecacingan 0 0 0 0 0 0
* Amoeba 0 0 0 0 0 0
TOTAL PEM. FECES 0 0 0 0 0 0
IV MIKROBIOLOGI
* BTA / TBC Positif 0 0 0 0 0 0
* BTA / TBC Negatif 0 0 0 0 0 0
TOTAL PEM. SPUTUM 0 0 0 0 0 0
BULAN NOVEMBER
TAHUN : 2020
BPJS LAIN -
NO JENIS PEMERIKSAAN BAYAR JPKM ASKES JUMLAH KET
LAIN
A HEMATOLOGI
* Hb 0 0 0 0 0 0
* Hb Bumil 2 10 0 0 0 12
* Leukosit 0 0 0 0 0 0
* Eritrosit 0 0 0 0 0 0
* Trombosit 0 0 0 0 0 0
* LED 0 0 0 0 0 0
* Hematokrit 0 0 0 0 0 0
* Hitung Jenis 0 0 0 0 0 0
B KIMIA KLINIK
* Gula Darah 6 90 0 0 0 96
* Asam Urat 2 69 0 0 0 71
* Cholesterol 2 76 0 0 0 78
C SEROLOGI 0 0 0 0 0 0
* Gol darah 7 0 0 0 0 7
* Widal 0 0 0 0 0 0
* HIV 0 7 0 0 0 7
* HBSag 0 7 0 0 0 7
* Syphilis 0 7 0 0 0 7
PARASITOLOGI
* Malaria Negatif 0 0 0 0 0 0
* Malaria Positif 0 0 0 0 0 0
TOTAL PEM. DARAH 19 266 0 0 0 285
II URINALISA
a. Urin Makroskopis 2 21 0 0 0 23
b. Urin Mikroskopis
* Sedimen Eritrosit/Leukosit 2 21 0 0 0 23
* Epitel 2 21 0 0 0 23
* Silinder 2 21 0 0 0 23
* Kristal 2 21 0 0 0 23
c. Reaksi Kimia
* Reduksi 2 21 0 0 0 23
* Protein 2 21 0 0 0 23
* Bilirubin / Urobilin 2 21 0 0 0 23
d. Tes Kehamilan 2 10 0 0 0 12
TOTAL PEM. URINE 18 178 0 0 0 196
III FECES
* Kecacingan 0 0 0 0 0 0
* Amoeba 0 0 0 0 0 0
TOTAL PEM. FECES 0 0 0 0 0 0
IV MIKROBIOLOGI
* BTA / TBC Positif 0 0 0 0 0 0
* BTA / TBC Negatif 0 4 0 0 0 4
TOTAL PEM. SPUTUM 0 4 0 0 0 4
BULAN OKTOBER
TAHUN : 2020
BPJS LAIN -
NO JENIS PEMERIKSAAN BAYAR JPKM ASKES JUMLAH KET
LAIN
A HEMATOLOGI
* Hb 3 8 0 0 0 11
* Hb Bumil 4 18 0 0 0 22
* Leukosit 3 9 0 0 0 12
* Eritrosit 3 9 0 0 0 12
* Trombosit 3 9 0 0 0 12
* LED 0 0 0 0 0 0
* Hematokrit 3 9 0 0 0 12
* Hitung Jenis 0 0 0 0 0 0
B KIMIA KLINIK
* Gula Darah 4 40 0 0 0 44
* Asam Urat 3 40 0 0 0 43
* Cholesterol 2 57 0 0 0 59
C SEROLOGI 0 0 0 0 0 0
* Gol darah 6 0 0 0 0 6
* Widal 0 0 0 0 0 0
* HIV 0 6 0 0 0 6
* HBSag 0 6 0 0 0 6
* Syphilis 0 6 0 0 0 6
PARASITOLOGI
* Malaria Negatif 0 0 0 0 0 0
* Malaria Positif 0 0 0 0 0 0
TOTAL PEM. DARAH 34 217 0 0 0 251
II URINALISA
a. Urin Makroskopis 2 21 0 0 0 23
b. Urin Mikroskopis
* Sedimen Eritrosit/Leukosit 2 21 0 0 0 23
* Epitel 2 21 0 0 0 23
* Silinder 2 21 0 0 0 23
* Kristal 2 21 0 0 0 23
c. Reaksi Kimia
* Reduksi 2 21 0 0 0 23
* Protein 2 21 0 0 0 23
* Bilirubin / Urobilin 2 21 0 0 0 23
d. Tes Kehamilan 2 17 0 0 0 19
TOTAL PEM. URINE 18 185 0 0 0 203
III FECES
* Kecacingan 0 0 0 0 0 0
* Amoeba 0 0 0 0 0 0
TOTAL PEM. FECES 0 0 0 0 0 0
IV MIKROBIOLOGI
* BTA / TBC Positif 0 0 0 0 0 0
* BTA / TBC Negatif 0 0 0 0 0 0
TOTAL PEM. SPUTUM 0 0 0 0 0 0
BULAN SEPTEMBER
TAHUN : 2020
BPJS LAIN -
NO JENIS PEMERIKSAAN BAYAR JPKM ASKES JUMLAH KET
LAIN
A HEMATOLOGI
* Hb 3 17 0 0 0 20
* Hb Bumil 4 19 0 0 0 23
* Leukosit 3 11 0 0 0 14
* Eritrosit 3 11 0 0 0 14
* Trombosit 3 11 0 0 0 14
* LED 0 0 0 0 0 0
* Hematokrit 3 11 0 0 0 14
* Hitung Jenis 0 0 0 0 0 0
B KIMIA KLINIK
* Gula Darah 2 25 0 0 0 27
* Asam Urat 5 37 0 0 0 42
* Cholesterol 4 55 0 0 0 59
C SEROLOGI 0 0 0 0 0 0
* Gol darah 6 0 0 0 0 6
* Widal 0 4 0 0 0 4
* HIV 0 9 0 0 0 9
* HBSag 0 9 0 0 0 9
* Syphilis 0 9 0 0 0 9
PARASITOLOGI
* Malaria Negatif 0 0 0 0 0 0
* Malaria Positif 0 0 0 0 0 0
TOTAL PEM. DARAH 36 228 0 0 0 264
II URINALISA
a. Urin Makroskopis 2 21 0 0 0 23
b. Urin Mikroskopis
* Sedimen Eritrosit/Leukosit 2 21 0 0 0 23
* Epitel 2 21 0 0 0 23
* Silinder 2 21 0 0 0 23
* Kristal 2 21 0 0 0 23
c. Reaksi Kimia
* Reduksi 2 21 0 0 0 23
* Protein 2 21 0 0 0 23
* Bilirubin / Urobilin 2 21 0 0 0 23
d. Tes Kehamilan 4 21 0 0 0 25
TOTAL PEM. URINE 20 189 0 0 0 209
III FECES
* Kecacingan 0 0 0 0 0 0
* Amoeba 0 0 0 0 0 0
TOTAL PEM. FECES 0 0 0 0 0 0
IV MIKROBIOLOGI
* BTA / TBC Positif 0 0 0 0 0 0
* BTA / TBC Negatif 0 2 0 0 0 2
TOTAL PEM. SPUTUM 0 2 0 0 0 2
BULAN AGUSTUS
TAHUN : 2020
BPJS LAIN -
NO JENIS PEMERIKSAAN BAYAR JPKM ASKES JUMLAH KET
LAIN
A HEMATOLOGI
* Hb 4 19 0 0 0 23
* Hb Bumil 2 16 0 0 0 18
* Leukosit 5 8 0 0 0 13
* Eritrosit 3 8 0 0 0 11
* Trombosit 3 10 0 0 0 13
* LED 0 0 0 0 0 0
* Hematokrit 3 10 0 0 0 13
* Hitung Jenis 0 0 0 0 0 0
B KIMIA KLINIK
* Gula Darah 7 81 0 0 0 88
* Asam Urat 5 31 0 0 0 36
* Cholesterol 4 45 0 0 0 49
C SEROLOGI 0 0 0 0 0 0
* Gol darah 6 0 0 0 0 6
* Widal 1 4 0 0 0 5
* HIV 0 6 0 0 0 6
* HBSag 0 11 0 0 0 11
* Syphilis 0 6 0 0 0 6
PARASITOLOGI
* Malaria Negatif 0 0 0 0 0 0
* Malaria Positif 0 0 0 0 0 0
TOTAL PEM. DARAH 43 255 0 0 0 298
II URINALISA
a. Urin Makroskopis 3 17 0 0 0 20
b. Urin Mikroskopis
* Sedimen Eritrosit/Leukosit 3 17 0 0 0 20
* Epitel 3 17 0 0 0 20
* Silinder 3 17 0 0 0 20
* Kristal 3 17 0 0 0 20
c. Reaksi Kimia
* Reduksi 3 17 0 0 0 20
* Protein 3 17 0 0 0 20
* Bilirubin / Urobilin 3 17 0 0 0 20
d. Tes Kehamilan 2 10 0 0 0 12
TOTAL PEM. URINE 26 146 0 0 0 172
III FECES
* Kecacingan 0 0 0 0 0 0
* Amoeba 0 0 0 0 0 0
TOTAL PEM. FECES 0 0 0 0 0 0
IV MIKROBIOLOGI
* BTA / TBC Positif 0 0 0 0 0 0
* BTA / TBC Negatif 0 0 0 0 0 0
TOTAL PEM. SPUTUM 0 0 0 0 0 0
BULAN : JANUARI
TAHUN : 2020
BPJS LAIN -
NO JENIS PEMERIKSAAN BAYAR JPKM ASKES JUMLAH KET
LAIN
A HEMATOLOGI
* Hb 5 41 0 0 0 46
* Hb Bumil 7 16 0 0 0 23
* Leukosit 3 34 0 0 0 37
* Eritrosit 2 21 0 0 0 23
* Trombosit 3 34 0 0 0 37
* LED 0 0 0 0 0 0
* Hematokrit 3 31 0 0 0 34
* Hitung Jenis 0 0 0 0 0 0
B KIMIA KLINIK
* Gula Darah 7 105 0 0 0 112
* Asam Urat 3 34 0 0 0 37
* Cholesterol 2 15 0 0 0 17
C SEROLOGI 0 0 0 0 0 0
* Gol darah 3 0 0 0 0 3
* Widal 1 23 0 0 0 24
* HIV 3 12 0 0 0 15
* HBSag 3 12 0 0 0 15
* Syphilis 0 0 0 0 0 0
PARASITOLOGI
* Malaria Negatif 0 0 0 0 0 0
* Malaria Positif 0 0 0 0 0 0
TOTAL PEM. DARAH 45 378 0 0 0 423
II URINALISA
a. Urin Makroskopis 5 17 0 0 0 22
b. Urin Mikroskopis 0 0 0 0 0 0
* Sedimen Eritrosit/Leukosit 5 17 0 0 0 22
* Epitel 5 17 0 0 0 22
* Silinder 5 17 0 0 0 22
* Kristal 5 17 0 0 0 22
c. Reaksi Kimia 0 0 0 0 0 0
* Reduksi 5 17 0 0 0 22
* Protein 5 17 0 0 0 22
* Bilirubin / Urobilin 5 17 0 0 0 22
d. Tes Kehamilan 6 15 0 0 0 21
TOTAL PEM. URINE 46 151 0 0 0 197
III FECES 0 0
* Kecacingan 0 0 0 0 0 0
* Amoeba 0 0 0 0 0 0
TOTAL PEM. FECES 0 0 0 0 0 0
IV MIKROBIOLOGI
* BTA / TBC Positif 0 0 0 0 0 0
* BTA / TBC Negatif 0 8 0 0 0 8
TOTAL PEM. SPUTUM 0 8 0 0 0 8
BULAN FEBRUARI
TAHUN : 2020
BPJS LAIN -
NO JENIS PEMERIKSAAN BAYAR JPKM ASKES JUMLAH KET
LAIN
A HEMATOLOGI
* Hb 20 19 0 0 0 39
* Hb Bumil 1 7 0 0 0 8
* Leukosit 18 17 0 0 0 35
* Eritrosit 16 19 0 0 0 35
* Trombosit 19 17 0 0 0 36
* LED 0 0 0 0 0 0
* Hematokrit 15 20 0 0 0 35
* Hitung Jenis 0 0 0 0 0 0
B KIMIA KLINIK
* Gula Darah 17 89 25 0 0 131 lansia
* Asam Urat 13 28 40 0 0 81 lansia
* Cholesterol 15 23 0 0 0 38
C SEROLOGI 0 0 0 0 0 0
* Gol darah 16 0 0 0 0 16
* Widal 3 16 0 0 0 19
* HIV 3 11 0 0 0 14
* HBSag 2 14 0 0 0 16
* Syphilis 0 0 0 0 0 0
PARASITOLOGI
* Malaria Negatif 0 0 0 0 0 0
* Malaria Positif 0 0 0 0 0 0
TOTAL PEM. DARAH 158 280 65 0 0 503
II URINALISA
a. Urin Makroskopis 12 6 0 0 0 18
b. Urin Mikroskopis 0 0 0 0 0 0
* Sedimen Eritrosit/Leukosit 12 6 0 0 0 18
* Epitel 12 6 0 0 0 18
* Silinder 12 6 0 0 0 18
* Kristal 12 6 0 0 0 18
c. Reaksi Kimia 0 0 0 0 0 0
* Reduksi 12 6 0 0 0 18
* Protein 12 6 0 0 0 18
* Bilirubin / Urobilin 12 6 0 0 0 18
d. Tes Kehamilan 2 4 0 0 0 6
TOTAL PEM. URINE 98 52 0 0 0 150
III FECES 0 0
* Kecacingan 0 0 0 0 0 0
* Amoeba 0 0 0 0 0 0
TOTAL PEM. FECES 0 0 0 0 0 0
IV MIKROBIOLOGI
* BTA / TBC Positif 0 1 0 0 0 1
* BTA / TBC Negatif 0 2 0 0 0 2
TOTAL PEM. SPUTUM 0 3 0 0 0 3
BULAN MARET
TAHUN : 2020
BPJS LAIN -
NO JENIS PEMERIKSAAN BAYAR JPKM ASKES JUMLAH KET
LAIN
A HEMATOLOGI
* Hb 2 22 0 0 0 24
* Hb Bumil 2 6 0 0 0 8
* Leukosit 4 17 0 0 0 21
* Eritrosit 4 18 0 0 0 22
* Trombosit 4 17 0 0 0 21
* LED 0 0 0 0 0 0
* Hematokrit 4 17 0 0 0 21
* Hitung Jenis 0 0 0 0 0 0
B KIMIA KLINIK
* Gula Darah 7 55 33 0 0 95 lansia
* Asam Urat 4 27 41 0 0 72 lansia
* Cholesterol 3 26 0 0 0 29
C SEROLOGI 0 0 0 0 0 0
* Gol darah 8 0 0 0 0 8
* Widal 0 0 0 0 0 0
* HIV 0 0 0 0 0 0
* HBSag 0 7 0 0 0 7
* Syphilis 0 0 0 0 0 0
PARASITOLOGI
* Malaria Negatif 0 0 0 0 0 0
* Malaria Positif 0 0 0 0 0 0
TOTAL PEM. DARAH 42 212 74 0 0 328
II URINALISA
a. Urin Makroskopis 0 0 0 0 0 0
b. Urin Mikroskopis 0 0 0 0 0 0
* Sedimen Eritrosit/Leukosit 0 0 0 0 0 0
* Epitel 0 0 0 0 0 0
* Silinder 0 0 0 0 0 0
* Kristal 0 0 0 0 0 0
c. Reaksi Kimia 0 0 0 0 0 0
* Reduksi 0 0 0 0 0 0
* Protein 0 0 0 0 0 0
* Bilirubin / Urobilin 0 0 0 0 0 0
d. Tes Kehamilan 2 4 0 0 0 6
TOTAL PEM. URINE 2 4 0 0 0 6
III FECES
* Kecacingan 0 0 0 0 0 0
* Amoeba 0 0 0 0 0 0
TOTAL PEM. FECES 0 0 0 0 0 0
IV MIKROBIOLOGI
* BTA / TBC Positif 0 1 0 0 0 1
* BTA / TBC Negatif 0 4 0 0 0 4
TOTAL PEM. SPUTUM 0 5 0 0 0 5
Diketahui Kampung Teleng, 30 Maret 2020
Kepala Puskesmas kp.Teleng Koordinator Laboratorium
BULAN APRIL
TAHUN : 2020
BPJS LAIN -
NO JENIS PEMERIKSAAN BAYAR JPKM ASKES JUMLAH KET
LAIN
A HEMATOLOGI
* Hb 2 22 0 0 0 24
* Hb Bumil 2 6 0 0 0 8
* Leukosit 4 17 0 0 0 21
* Eritrosit 4 18 0 0 0 22
* Trombosit 4 17 0 0 0 21
* LED 0 0 0 0 0 0
* Hematokrit 4 17 0 0 0 21
* Hitung Jenis 0 0 0 0 0 0
B KIMIA KLINIK
* Gula Darah 7 55 0 0 0 62
* Asam Urat 4 27 0 0 0 31
* Cholesterol 3 26 0 0 0 29
C SEROLOGI 0 0 0 0 0 0
* Gol darah 8 0 0 0 0 8
* Widal 0 0 0 0 0 0
* HIV 0 0 0 0 0 0
* HBSag 0 4 0 0 0 4
* Syphilis 0 0 0 0 0 0
PARASITOLOGI
* Malaria Negatif 0 0 0 0 0 0
* Malaria Positif 0 0 0 0 0 0
TOTAL PEM. DARAH 42 209 0 0 0 251
II URINALISA
a. Urin Makroskopis 0 8 0 0 0 8
b. Urin Mikroskopis 0 0 0 0 0 0
* Sedimen Eritrosit/Leukosit 0 8 0 0 0 8
* Epitel 0 8 0 0 0 8
* Silinder 0 8 0 0 0 8
* Kristal 0 8 0 0 0 8
c. Reaksi Kimia 0 8 0 0 0 8
* Reduksi 0 8 0 0 0 8
* Protein 0 8 0 0 0 8
* Bilirubin / Urobilin 0 8 0 0 0 8
d. Tes Kehamilan 2 4 0 0 0 6
TOTAL PEM. URINE 2 76 0 0 0 79
III FECES
* Kecacingan 0 0 0 0 0 0
* Amoeba 0 0 0 0 0 0
TOTAL PEM. FECES 0 0 0 0 0 0
IV MIKROBIOLOGI
* BTA / TBC Positif 0 0 0 0 0 0
* BTA / TBC Negatif 0 7 0 0 0 7
TOTAL PEM. SPUTUM 0 7 0 0 0 7
BULAN MAI
TAHUN : 2020
BPJS LAIN -
NO JENIS PEMERIKSAAN BAYAR JPKM ASKES JUMLAH KET
LAIN
A HEMATOLOGI
* Hb 2 12 0 0 0 14
* Hb Bumil 2 6 0 0 0 8
* Leukosit 4 11 0 0 0 15
* Eritrosit 4 11 0 0 0 15
* Trombosit 4 11 0 0 0 15
* LED 0 0 0 0 0 0
* Hematokrit 4 11 0 0 0 15
* Hitung Jenis 0 0 0 0 0 0
B KIMIA KLINIK
* Gula Darah 7 12 0 0 0 19
* Asam Urat 4 15 0 0 0 19
* Cholesterol 3 18 0 0 0 21
C SEROLOGI 0 0 0 0 0 0
* Gol darah 2 0 0 0 0 2
* Widal 0 0 0 0 0 0
* HIV 0 0 0 0 0 0
* HBSag 0 3 0 0 0 3
* Syphilis 0 0 0 0 0 0
PARASITOLOGI
* Malaria Negatif 0 0 0 0 0 0
* Malaria Positif 0 0 0 0 0 0
TOTAL PEM. DARAH 36 110 0 0 0 146
II URINALISA
a. Urin Makroskopis 0 4 0 0 0 4
b. Urin Mikroskopis
* Sedimen Eritrosit/Leukosit 0 4 0 0 0 4
* Epitel 0 4 0 0 0 4
* Silinder 0 4 0 0 0 4
* Kristal 0 4 0 0 0 4
c. Reaksi Kimia
* Reduksi 0 4 0 0 0 4
* Protein 0 4 0 0 0 4
* Bilirubin / Urobilin 0 4 0 0 0 4
d. Tes Kehamilan 2 3 0 0 0 5
TOTAL PEM. URINE 2 35 0 0 0 37
III FECES
* Kecacingan 0 0 0 0 0 0
* Amoeba 0 0 0 0 0 0
TOTAL PEM. FECES 0 0 0 0 0 0
IV MIKROBIOLOGI
* BTA / TBC Positif 0 2 0 0 0 2
* BTA / TBC Negatif 0 4 0 0 0 4
TOTAL PEM. SPUTUM 0 6 0 0 0 6
BULAN JULI
TAHUN : 2020
BPJS LAIN -
NO JENIS PEMERIKSAAN BAYAR JPKM ASKES JUMLAH KET
LAIN
A HEMATOLOGI
* Hb 2 8 0 0 0 10
* Hb Bumil 2 16 0 0 0 18
* Leukosit 1 4 0 0 0 5
* Eritrosit 1 4 0 0 0 5
* Trombosit 1 4 0 0 0 5
* LED 0 0 0 0 0 0
* Hematokrit 1 4 0 0 0 5
* Hitung Jenis 0 0 0 0 0 0
B KIMIA KLINIK
* Gula Darah 4 75 0 0 0 79
* Asam Urat 2 29 0 0 0 31
* Cholesterol 4 39 0 0 0 43
C SEROLOGI 0 0 0 0 0 0
* Gol darah 5 0 0 0 0 5
* Widal 0 0 0 0 0 0
* HIV 0 0 0 0 0 0
* HBSag 0 9 0 0 0 9
* Syphilis 0 0 0 0 0 0
PARASITOLOGI
* Malaria Negatif 0 0 0 0 0 0
* Malaria Positif 0 0 0 0 0 0
TOTAL PEM. DARAH 23 192 0 0 0 215
II URINALISA
a. Urin Makroskopis 3 17 0 0 0 20
b. Urin Mikroskopis
* Sedimen Eritrosit/Leukosit 3 17 0 0 0 20
* Epitel 3 17 0 0 0 20
* Silinder 3 17 0 0 0 20
* Kristal 3 17 0 0 0 20
c. Reaksi Kimia
* Reduksi 3 17 0 0 0 20
* Protein 3 17 0 0 0 20
* Bilirubin / Urobilin 3 17 0 0 0 20
d. Tes Kehamilan 2 10 0 0 0 12
TOTAL PEM. URINE 26 146 0 0 0 172
III FECES
* Kecacingan 0 0 0 0 0 0
* Amoeba 0 0 0 0 0 0
TOTAL PEM. FECES 0 0 0 0 0 0
IV MIKROBIOLOGI
* BTA / TBC Positif 0 0 0 0 0 0
* BTA / TBC Negatif 0 0 0 0 0 0
TOTAL PEM. SPUTUM 0 0 0 0 0 0
BULAN JULI
TAHUN : 2020
BPJS LAIN -
NO JENIS PEMERIKSAAN BAYAR JPKM ASKES JUMLAH KET
LAIN
A HEMATOLOGI
* Hb 2 8 0 0 0 10
* Hb Bumil 2 16 0 0 0 18
* Leukosit 1 4 0 0 0 5
* Eritrosit 1 4 0 0 0 5
* Trombosit 1 4 0 0 0 5
* LED 0 0 0 0 0 0
* Hematokrit 1 4 0 0 0 5
* Hitung Jenis 0 0 0 0 0 0
B KIMIA KLINIK
* Gula Darah 4 75 0 0 0 79
* Asam Urat 2 29 0 0 0 31
* Cholesterol 4 39 0 0 0 43
C SEROLOGI 0 0 0 0 0 0
* Gol darah 5 0 0 0 0 5
* Widal 0 0 0 0 0 0
* HIV 0 0 0 0 0 0
* HBSag 0 9 0 0 0 9
* Syphilis 0 0 0 0 0 0
PARASITOLOGI
* Malaria Negatif 0 0 0 0 0 0
* Malaria Positif 0 0 0 0 0 0
TOTAL PEM. DARAH 23 192 0 0 0 215
II URINALISA
a. Urin Makroskopis 3 17 0 0 0 20
b. Urin Mikroskopis
* Sedimen Eritrosit/Leukosit 3 17 0 0 0 20
* Epitel 3 17 0 0 0 20
* Silinder 3 17 0 0 0 20
* Kristal 3 17 0 0 0 20
c. Reaksi Kimia
* Reduksi 3 17 0 0 0 20
* Protein 3 17 0 0 0 20
* Bilirubin / Urobilin 3 17 0 0 0 20
d. Tes Kehamilan 2 10 0 0 0 12
TOTAL PEM. URINE 26 146 0 0 0 172
III FECES
* Kecacingan 0 0 0 0 0 0
* Amoeba 0 0 0 0 0 0
TOTAL PEM. FECES 0 0 0 0 0 0
IV MIKROBIOLOGI
* BTA / TBC Positif 0 0 0 0 0 0
* BTA / TBC Negatif 0 0 0 0 0 0
TOTAL PEM. SPUTUM 0 0 0 0 0 0