HASIL PEMERIKSAAN LABORATORIUM

NAMA : HARI TANGGAL :

UMUR : ALAMAT :
JENIS KELAMIN : PERMINTAAN DOKTER :

PEMERIKSAAN HEMATOLOGI PEMERIKSAAN KIMIA DARAH

PARAMETER HASIL SATUAN NILAI NORMAL PARAMETER HASIL SATUAN NILAI NORMAL
Hemoglobine gr/% L:14-15 ,P:12-14 gr/% Cholesterol Chod-Pap mg/dl <220 mg/dl
Eritrosit Juta L:4-6 Juta/4-5Juta Cholesterol Colori Metri mg/dl 150-180 mg/dl
Leukosit Mm3 6000-9000/mm3 HDL Cholesterol mg/dl 35-65 mg/dl
Hematocrite % L: 40-45%, P37-47%
LDL Cholesterol mg/dl <130 mg/dl
Trombosit /mm3 150.000-350.000/mm3
Trigliseride GPO-Pap mg/dl <150 mg/dl
MCV fl 80-93
MCH pg 27-31 CK-CPK (OPT 300 C) U/L L:15-30 U/L P: 15-110 U/L

MCHC g/dl 32-36 CK-MB (OPT 300 C) U/L L: 0.9-7.8 U/L P: 0.9-6 U/L
RDW fl 11.4-15.5
Glucose Sewaktu mg/dl <130 mg/dl
MPV fl 7.2-11.1
Glucose Puasa 8 jam mg/dl <100 mg/dl
LED/BSE /Jam L:0-10, P:0-15/Jam
Waktu Perdarahan - menit Duke1-3 menit Glucose Post Prandial mg/dl < 140 mg/dl

Waktu Pembekuan - Menit Lee & white 5-10 Menit

LDH (OPT( 300 C) U/L 160-320 U/L
Diff Count : - -
SGOT (OPT (300 C) U/L L: <25 U/L P: <21 U/L
 Basofil - % 0-1%
 Eosinofil - % 1-4% SGPT (OPT (300 C) U/L L: < 29 U/L P:22 U/L

 Stab - % 2-4% Gamma – GT( OPT 300 C) U/L L:8-38 U/L P:5-25 U/L
 Segmen % 35-70% Alkali Phospate (OPT 300 C) U/L 73-207 U/L
 Limfosit % 25-40% Bilirubin Total mg/dl <1.0 mg/dl
 Monosit % 2-6% Bilirubin Direct mg/dl < 0.25 mg/dl
Golongan Darah - A/B/AB/0 Total Protein gr/dl 6.6-8.7 mg/dl
Malaria / DDR - Negative
Albumin gr/dl 3.6-5.2 mg/dl
Dengue IgG Negative
Globulin gr/dl 2.6-3.6 mg/dl
Dengue IgM Negative
Urea mg/dl 10-50 mg/dl
Dengue NS1 Negative
Creatinine mg/dl L:0.7-1.1 mg/dl P: 0.6-1.0 mg/dl
Antigen Covid -19 Negative
Ureum (BUN) mg/dl 7-20 mg/dl
Urice Acide mg/dl L:3.4-7.0mg/dl P:2.4-5.7 mg/dl
PEMERIKSAAN URINE LENGKAP HBsAg - Negative
PARAMETER HASIL NILAI NORMAL HIV/B20 - Negative
Warna Normal
Shipilys - Negative
Ph urine 6.0-7.6
Elektrolite: - -
Berat Jenis 1.0021-1.0027
o Natrium mmol/L Na : 135-145 mmol/L
Protein Negative
o Kalium mmol/L K : 3.5-5.3 mmol/L
Reduksi Negative
Urobilinogen Negative o Cloride mmol/L Cl : 95-105 mmol/L
Bilirubin Negative
Nitrit Negative Catatan
…………………………………………………………………………………………………………………………
Keton Negative
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Sedimen Urine : -
 Leukosit 0-2/LP
 Eritrosit 0-2/LP
 Epitel Cell Negative Petugas Laboratorium
 Cast Negative RS. Maleo
 Cristal Ca. Oxalat Negative
 Spermatozoa - Negative
Planotest (P.P Test) - Ada/ Tidak /Ada Aglutinasi

Felix Sepa, Amd.Ak