NY WULANINGSIH (P) 25-05-1807 (95TIAEIaH) (00 3OD64KELAS II-EPS) J. ipuat Baru Raya We, 1, Ciutat 15413 Yop. 02174706020 Fae. 02-74707586 + va&MULiR PERMINTAAN PEMERIKSAAN LABORATORIUM INTERNAL Patologi Klinik: dr. Hermawanto, SpPK, MARS NY WULARENSH(F) moon | Sf Pe : Nota] 2eco-1987 (SSTINeaaH) Tass Zz Lansenping: EIS Nama pases 00130063(KELASII-EPJS) Demir [dr HNO Creer Une ames re Puy (™ "Ramada Perminiaan yang ol minia harap bet anda slang (X) TROID FERTILITAS gprs ou rtd Ges tpt Prin gre | teestrn gm 1 Progestron Bre gem Bots ‘Does. idea HORMON LAIN URINE-KHUSUS Gasset. Bet ae a ae a t- SEiictaee gag? Di LajuEndap Darah (LED) SUL AS Di plektrtoresa hen. Bisrees ae Dl mcvncumers =r q Fein ad Be oem co pew 3 ees Beinn: FUNGS! HATI FUNGSIGINJAL 9184 FUNGSI JANTUNG —ELEKTROLIT LS Eee ae fee (Eo i Fo a= = Ceene ——_LEMAIK Bee Aes Sette = Gage MAK Ba aoc ae emer geremme = aaa a. sor) DIABETES Gy tocetsenner ser Naveen ae Bommrme ee 5 PANKREAS 8 Dawa DD Amyase g D Ape CO Upsse 4 Oke) KULTUR+RESIST beat Due Br peneee B Seam Ban 5 a B Rosana page PEwn Leen eee FEACES 1D fee ngeorie esenazcrn Face Ponarean SEDIAAN LANGSUNG B pocaraa srk” B tires Bie Bier (So ne nn for fe fe = so iS fe f= Ze tS. (2 fe Ze (= ££ & LAIN-LAIN fee 19 1D Mitroaibumin se = 4 = a: Onens Pengrima “Tanda Sangan dokter iz — ETS an Biletot ae i oly FRM/LAB/01/REV. 01CINTA KASIH Roman Keluarge JL. Ciputat Baru Raya No. 10. Ciputat, 15413. Teip s021-74708020, AX : 02174707585 LADORATORIUM KLINIK Doktor Penanagundiawab: cr, Hemawanto, PK, MARS No.Med Ree: 00139063 Dokter Peruiuk oi. P. Gottlieb M. Sidabutar, SPOS No. Transaksi = SLAB/2210/01660 Nama Pasien © NY.WULANINGSIH. » Asal Ruangen: Rawat inep “Tal LabirlUmur : 25-May-1987 35 Th. 4 Bln. 20 Hr. LantavRuangan : 1/1012 ol Daftar +: 18-Ociover-2022 / 07:42:44 PM. HASIL PEMERIKSAAN LABORATORIUM, | Pemeriksaan Masi Nilal Normal Satuan Ket HEMATOLOG! GOLONGAN DARAH 8 2 = Hem, HEMOGLOBIN 13.30 120-160 oie : HEMATOKRIT 38 30-42 * - LeuKosiT 4740 5-10 10% - ‘TROMBOSIT 260 150-400 MHL * RHESUS FACTOR Positit : : - Catatan: Deieot Sampling 15-Oclober2022 10:30:00 PM Post sc Date ot Resut 1S0ctbe-2022 10:52:11 PM Laboratory Anayst Nurul Jans PORIUM ASI Rumehfou fen Anak es cen k ear dana soni