PEMERINTAH KABUPATEN LOMBOK TIMUR

DINAS KESEHATAN
PUSKESMAS KARANG BARU
HASIL PEMERIKSAAN LABORATORIUM
NAMA : ....................................................................
UMUR : ....................................................................
ALAMAT : ....................................................................
NO. SPESIMEN : ....................................................................
PENGIRIM : ....................................................................

HEMATOLOGI KIMIA DARAH

DARAH HASIL SATUAN NILAI PEMERIKSAAN HASIL SATUAN NILAI
LENGKAP RUJUKAN RUJUKAN
WBC 10*3/uL 5.0 - 12.0 Glukosa Sewaktu mg/dl 70 - 115
LYM% % 20.0 - 40.0 Glukosa Puasa mg/dl 70 - 115
MON% % 1.0 - 15.0 Glukosa 2 Jam PP mg/dl 70 - 115
GRA% % 50.0 - 70.0 Cholesterol mg/dl 140 - 200
LYM# 10*3/uL 0.6 - 4.1 Asam Urat mg/dl 2,4 - 7,0
MON# 10*3/uL 0.1 - 1.8 TES SEROLOGI
GRA# 10*3/uL 2.0 - 7.8 PEMERIKSAAN HASIL
RBC 10*6/uL 4.00 - 5.20 Salmonella Thypi O
HGB g/dL 12.0 - 15.0 Salmonella Thypi H
HCT % 35.0 - 49.0
Widal Slide Salmonella ParaThypi AH
Salmonella ParaThypi NH
MCV fL 80.0 - 99.0 HbsAg
MCH pg 26.0 - 32.0 IgG/IgM/NS1
MCHC g/dL 32.0 - 36.0 HIV
RDW-SD fL 37.0 - 54.0 BTA (Zielh Nelsen)
RDW-CV % 11.5 - 14.5 TES URINE
PLT 10*3/uL 150 - 450 Urine Lengkap
MPV fL 7.4 - 10.4 Warna Sedimen Urine
PDW % 10.0 - 17.0 Protein Leukosit /Ip
PCT % 0.10 - 0.28 Reduksi Erytrosit /Ip
P-LCR % 13.0 - 43.0 Urobilin Epitel /Ip
Bilirubin Kristal /Ip
PEMERIKSAAN LAINNYA Keton Silinder /Ip
BTA Nitrit Ph
Malaria Darah Bj
Golongan Darah TES KEHAMILAN
Rapid Antigen SARS Cov.2

Karang Baru, 2021

Penanggung Jawab Petugas Laboratorium

Dr. SITI NUR INDRIANINGSIH SILVIA AMELIA, S.Si

NIP. 19790814 200801 2 015 NIP. 19780101 199803 2 002