KANTOR KESYAHBANDARAN UTAMA TANJUNG PRIOK

PEMERIKSAAN KESEHATAN PEGAWAI

11-13 OKTOBER 2022
MATA PEMERIKSAAN FISIK
VISUS
No. NAMA TGL LAHIR JK BUTA TANPA KACAMATA DENGAN KACAMATA Riwayat Kesehatan/Penyakit Catatan Dokter Umum
WARNA TB BB BMI STATUS BMI TD N
KANAN KIRI KANAN KIRI
1 ANDI HARTONO, ST. NORMAL 0,5 0,6 - - 167 73.3 23,3 125/70 80
2 LUSI ANDAYANI, S.T., M.M.Tr. 6/1/1974 NORMAL 6/6 6/6 155 51 21,2 Normal 160/100 91 OPERASI USUS BUNTU 2003
3 ZAINUDDIN, M.Mar. E, M.Si. NORMAL 0,5 0,6 - - 166 75 27,3 102/81 99 OPERASI KARENA KECELAKAAN

4 KANT DICKY EKA KUNARKO PUTRA, S.H., M.M. NORMAL 1,0 1,0 - - 166 65.4 23,8 107/60 116

5 Capt. HERBERT E. P. MARPAUNG 2/22/1971 NORMAL 6/15 6/9 168 78 27,6 Overweight 104/60 88 KEJANG DEMAM SAAT KECIL

6 ITA MARLITA, MM. 3/26/1969 NORMAL 6/7,5 6/6 162 72 23,10 Normal 120/90 86

7 ANGGY RIZKI YUNANTO, M.MTr. NORMAL 0,2 0,2 - -

8 RAHMAT DESRIAL, M.Mar. Eng., MM. 12/17/1967 NORMAL 6/6 6/6 165 87 32,0 Obesitas 145/96 104

9 Capt. SUHARDI, M.Si., M.Mar. 6/21/1970 NORMAL 6/36 6/12 6/36 6/12 159 72 28,5 Obesitas 198/115 91

10 Capt. MARDIANTIKA SANGGUR, M.M.Tr. 3/23/1970 NORMAL ~ 6/6 159 64 25,3 Overweight 140/90 80

11 ZAINAL ABDUL RAHMAN, SH., MH. 6/30/1980 NORMAL 6/6 6/6 166 70 25,4 Overweight 102/63 81 RIWAYAT TURUNAN DIABET

12 YUDI RATNANTO, ST. 6/4/1980 NORMAL 6/6 6/6 164 81 30,1 Obesitas 160/100 90 HT,

13 ANTON SETIAWAN, S.Si.T., M.M. 1/2/1977 NORMAL 6/9 6/6 171 73 25,0 Normal 170/108 87 HT,
14 Capt. RUDI JAKSA SIMATUPANG, M.Mar., M.Si. 1/7/1974 NORMAL 6/6 6/6 176 100 32,3 Obesitas 140/90 79
15 Capt. BUDI PAROS V. SITOHANG, S.Si.T, M.Si. 7/31/1980 NORMAL 6/6 6/9 168 81 28,7 Obesitas 130/84 108
16 Capt. ASDIAMANI, M.Mar., MM. 1/19/1971 NORMAL 6/6 6/6 170 81 28,0 153/99 85 ASAM URAT
 KANTOR
P

AMBANG DENGAR AUDIOMETRI

Catatan Dokter Gigi KANAN KIRI EKG RADIOLOGI
KANAN KIRI
500 1k 2k 3k 4K 500 1K 2K 3K 4k
SCALING, CABUT GIGI, BUAT GIGI PALSU 20 23.75 20 15 10 20 35 25 20 20 30 30 NORMAL SINUS RHYTHM NORMAL
SCALING 22.5 23.75 30 20 20 20 20 30 25 20 20 20 SINUS RHYTHM, DEMAND PACING NORMAL
SCALING 20 38.75 25 20 20 30 15 30 30 40 50 55 NORMAL SINUS RHYTHM NORMAL

Perlu dipertimbangkan Tb paru kiri lama aktif dengan

SCALING 21.25 22.5 20 20 25 20 20 25 20 25 25 20 VENTRIACLAR PREMATURE CONTRACTION SINUS TACHYCARDIA efusi pleura kiri minimal dd/ penebalan pleura.
Tidak tampak kardiomegali.

SCALING, BUAT GIGI PALSU 26.25 22.5 30 25 25 25 25 25 25 20 20 20 NORMALSINUS RHYTHM NORMAL

Pulmo tidak tampak kelainan, tidak tampak
SCALING, BUAT GIGI PALSU 35 26.25 45 35 30 30 30 30 30 25 20 20 SINUS RHYTHM, POSIBLE ANTENSION INFACT bronkopneumonia/ TB paru aktif.
Kardiomegali (CTR 51,7%) tanpa bendungan paru.
BUAT GIGI PALSU 21.25 20 30 25 15 15 15 30 20 15 10 15 NORMAL

Aorta tampak sedikit elongatio.

CABUT GIGI, SCALING, BUAT GIGI PALSU 25 25 25 20 25 20 30 25 20 25 20 30 SINUS RHYTHM, DEMAND ATRIVAL PACING INFERIOR T-WAVE ABNORMALITY Pulmo saat ini tidak tampak kelainan, tidak tampak
bronkopneumonia/pneumonia/ TB paru aktif.
Tidak tampak kardiomegali.

TAMBAL GIGI, SCALING, CABUT GIGI 27.5 27.5 30 25 25 25 30 40 30 20 20 20 NORMAL SINUS RHYTHM NORMAL

Observasi nodul opak di paru kanan tengah, suspek

granuloma.
SCALING, CABUT SISA AKAR, BUAT GIGI PALSU 25 23.75 40 20 20 20 20 35 20 20 20 20 NORMAL SINUS RHYTHM Fibrosis minimal paru kiri bawah.
Elongatio aorta.
Tidak tampak kardiomegali.

SCALING 23.75 22.5 35 20 20 20 20 30 20 20 20 20 NORMAL SINUS RHYTHM NORMAL

Perlu dipertimbangkan Tb paru bilateral lama aktif dengan
SCALING, CABUT SISA AKAR 25 27.5 30 30 20 20 20 35 35 20 20 20 SINUS RHYTHM, WITH IST DEGREE AV BLOCK fibrosis (mohon korelasi klinis/ lab.).
Tidak tampak kardiomegali.
SCALING 20 22.5 25 15 20 20 20 25 20 20 25 25 NORMAL SINUS RHYTHM NORMAL
SCALING, BUAT GIGI PALSU 22.5 20 30 20 20 20 20 35 15 15 15 15 NORMAL SINUS RHYTHM NORMAL
SCALING, BUAT GIGI PALSU 21.25 22.5 20 20 20 25 25 20 20 25 25 25 ATRIA, FIBRILATIUM, DEMAND ATRIAL PACING PACE MARKER RHYTHM NORMAL
SCALING, BUAT GIGI PALSU 27.5 25 30 25 20 25 35 25 20 20 20 35 NORMAL SINUS RHYTHM NORMAL
 KANTOR KESYAHBANDARAN UTAMA TANJUNG PRIOK
PEMERIKSAAN KESEHATAN PEGAWAI
11-13 OKTOBER 2022
LABORATORIUM
HEMATOLOGI KIMIA DARAH IMUNOLOGI URINALISA MASALAH KESEHATAN ADVICE DOKTER KESIMPULAN
NARKOBA 5
Hb Leu LED Hct Trom GDP Ureum Cre UA AST ALT Chol Trig HbSAg BJ Urine PH Urine Glu Pro Bil Ket Uro Blood Leu PARAMETER
12.4 9,000 10 31.4 326 83 24 0.95 4.8 25 35 128 350 Non Reaktif 1.020 7.0 Neg Neg Neg Neg Neg Neg Neg Neg
13.4 8,540 30 40.2 264 116 19 0.76 4.3 29 42 169 68 Non Reaktif 1.020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg
16.4 7,541 12 41.3 311 151 25 1.29 7.7 21 40 259 407 Non Reaktif 1.020 6.5 Neg +1 Neg Neg Neg Neg Neg Neg

15.1 6,546 6 41.5 265 249 22 0.83 3.9 13 26 243 114 Non Reaktif 1.030 7.0 +2 Neg Neg Neg Neg Neg Neg Neg

15.2 10,500 18 45.6 260 114 26 0.85 6.1 18 44 144 86 Non Reaktif 1.010 6.0 Neg Neg Neg Neg Neg Neg Neg Neg

12.8 6,870 15 38.4 320 187 24 0.83 6.0 53 109 143 56 Non Reaktif 1.010 7.0 Neg Neg Neg Neg Neg Neg Neg Neg

14.4 5,600 5 34.7 256 101 26 1.00 7.3 20 32 209 93 Non Reaktif 1.030 6.0 Neg Neg Neg Neg Neg Neg Neg Neg

14.1 7,790 26 42.3 328 113 25 1.25 5.8 15 32 322 352 Non Reaktif 1.020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg

15.7 8,880 6 47.1 212 150 19 1.54 10.2 31 73 212 174 Non Reaktif 1.020 5.0 Neg Neg Neg Neg Neg Neg Neg Neg

13.6 6,500 13 40.8 213 219 20 0.76 4.2 19 53 206 173 Non Reaktif 1.010 7.0 Neg Neg Neg Neg Neg Neg Neg Neg

15.9 6,980 6 47.7 282 110 17 1.04 5.5 14 15 226 98 Non Reaktif 1.015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg

14.3 7,230 23 42.9 307 120 24 0.90 6.4 19 29 170 238 Non Reaktif 1.020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg

14.9 8,100 39 44.7 292 121 23 1.34 6.4 26 43 243 191 Non Reaktif 1.020 7.0 Neg Neg Neg Neg Neg Neg Neg Neg
15.4 6,200 16 46.2 265 117 17 0.82 6.0 18 42 248 96 Non Reaktif 1.010 6.0 Neg Neg Neg Neg Neg Neg Neg Neg
16.1 5,420 5 48.3 283 110 34 1.01 6.8 19 40 231 52 Non Reaktif 1.030 7.0 Neg Neg Neg Neg Neg Neg Neg Neg
15.2 5,560 7 45.1 264 100 29 1.02 7.4 49 40 221 283 Non Reaktif 1.025 6.0 Neg Neg Neg Neg Neg Neg Neg Neg
NAMA DOKTER PEMERIKSA

dr. Alfian
DR. WAGNER
dr. Sofia

dr. Sofia

DR. WAGNER

DR. WAGNER

DR.MUGI

DR.MUGI

DR,MUGI

DR. WAGNER

DR. WAGNER

DR. WAGNER
DR. WAGNER
DR. WAGNER
dr. Alfian
 KANTOR KESYAHBANDARAN UTAMA TANJUNG PRIOK
PEMERIKSAAN KESEHATAN PEGAWAI
11-13 OKTOBER 2022
MATA PEMERIKSAAN FISIK
AMBANG DENGAR AUDIOMETRI
VISUS
No. NAMA TGL LAHIR JK BUTA Riwayat Kesehatan/Penyakit Catatan Dokter Umum Catatan Dokter Gigi EKG
TANPA KACAMATA DENGAN KACAMATA TB BB BMI STATUS BMI TD N KANAN KIRI
WARNA KANAN KIRI
KANAN KIRI KANAN KIRI 500 1k 2k 3k 4K 500 1K 2K 3K 4k
SUB.BAG KEPEGAWAIAN, UMUM DAN HUMAS 0 0

1 MOH. SAHRI, S.Sos., M.M. 1/1/1969 NORMAL 6,6 6,6 163 76 28,6 Obesitas 157/104 85 HT SCALING 21.25 25 25 20 20 20 20 25 20 20 20 35 SINUS ARRHYTIMIA

2 ACHMAD RAFIK, SE. 5/1/1971 NORMAL 6,6 6,6 176 96 31,0 Obesitas 120/70 78 CABUT GIGI, SCALING 33.75 31.25 35 30 35 35 35 35 30 30 40 30 NORMAL SINUS RHYTHM
3 DADANG 11/29/1971 NORMAL 6,6 6,7,5 160 66 25,8 Overweight 120/70 73 NGILU KAKI KIRI SCALING, CABUT GIGI, BUAT GIGI PALSU 22.5 30 30 20 20 20 20 30 20 20 20 50 NORMAL SINUS RHYTHM

4 HERU PURWITO 3/23/1965 NORMAL 6,12 6,6 166 60 21,8 Normal 173/119 102 POST KLL SCALING, CABUT GIGI, BUAT GIGI PALSU 16.25 18.75 20 20 10 15 15 20 20 20 25 15 NORMAL SINUS RHYTHM

5 KARYANTO ADI KUNTORO 7/3/1971 NORMAL 6,9 6,6 164 58 21,6 Normal 140/89 89 CABUT SISA AKAR, SCALING 31.25 27.5 35 30 30 30 30 35 25 25 25 25 NORMAL SINUS RHYTHM

6 WATINO 07/09/1968 L NORMAL 0.6 0.6 167 75.9 27.2 146/93 111 SCALING, BUAT GIGI PALSU 25 25 30 30 35 35 30 30 35 35 SINUS TAKIKARDI

7 JEFFRY CORNELIS, A.Md. 11/6/1986 NORMAL 6/48 6/36 6/48 6/9 165 83 20,6 Normal 140/90 79 CABUT GIGI, SCALING 23.75 22.5 35 20 20 20 20 30 20 20 20 20 INF, NORMAL SINUS RHYTHM
8 DANNY FERDIANSYAH 0 0

9 DIKI NEVIANA 10/5/1966 NORMAL 6,6 6,6 161 48 18,5 Normal 114/67 88 SCALING, CABUT GIGI, BUAT GIGI PALSU 53.75 55 50 55 50 50 60 50 40 50 50 80 SINUS ARRHYTIMIA

10 INDRAWAN SAPUTRA 3/22/1979 NORMAL 6,12 6,15 173 80 26,7 Overweight 150/90 109 CABUT SISA AKAR, SCALING 31.25 22.5 40 20 20 30 45 20 20 20 30 30 NORMAL SINUS RHYTHM
11 TOGU TIRTAWAN SIAHAAN 1/16/1986 NORMAL 0.2 0.16 159 71 28,0 139/80 79 SCALING 22.5 22.5 25 25 20 20 20 25 20 25 20 20 NORMAL SINUS RHYTHM
12 EKO WAHYU PURWANA 5/26/1982 NORMAL 6,6 6,6 171 86 28,4 Obesitas 183/103 129 SCALING 21.25 22.5 25 20 20 20 20 30 20 20 20 20 NORMAL SINUS RHYTHM
13 AGIAN RIO HANDOKO 0 0
14 LORRY ODER 0 0
15 TEGUH SISWANTO 0 0
16 ALBERT SALAWATI 4/28/1974 NORMAL 1,0 1,0 166 73 26,6 160/120 SCALING 21.25 22.5 25 20 15 15 25 25 20 25 25 20 NORMAL SINUS RHYTHM
17 CESI TAHAN GALUMBANG 5/15/1999 NORMAL 6,6 6,6 162 54 20,6 Normal 114/78 112 SCALING, TAMBAL GIGI 16.25 17.5 20 15 20 15 10 20 20 20 15 10 FLAT T, SINUS TACHYCARDIA
18 DIRGA AHDIYAKA SITEPU 1/25/1996 NORMAL 6,6 6,6 172 82 27,07 Overweight 126/83 78 SCALING 22.5 43.75 30 20 20 20 20 40 20 60 60 55 NORMAL SINUS RHYTHM
19 LA ANDI 4/26/1982 NORMAL 6,6 ~ 159 72 28,5 Obesitas 133/81 98 SCALING, TAMBAL GIGI, CABUT GIGI, BUAT GIGI PALSU 31.25 26.25 35 30 30 30 30 30 20 20 30 35 NORMAL SINUS RHYTHM
3 0 0

20 SAHRUDIN, SE. 5/20/1970 PARSIAL 6,6 6,6 165 54 19,8 Normal 115/72 77 SCALING, CABUT GIGI, BUAT GIGI PALSU 28.75 26.25 30 20 20 30 45 25 20 20 30 40 NORMAL SINUS RHYTHM

21 HIDAYAT ADI SUTRISNO, A.Md. 0 0

22 DENDY HARDIAN, SE. 0 0
23 MUHAMAD WAHYUDIN, S.Pel. 7/23/1982 NORMAL 6/30 6,/75 170 61 21,1 Normal 110/70 92 SCALING, CABUT GIGI, BUAT GIGI PALSU 21.25 20 25 20 20 20 20 20 20 20 20 20 NORMAL SINUS RHYTHM
24 WALUYA TRI NURHADI, SE. 3/26/1981 NORMAL 6/60 6,/75 169 72 25,2 Overweight 110/60 71 CABUT SISA AKAR, SCALING 23.75 22.5 35 20 20 20 20 25 20 15 15 30 NORMAL SINUS RHYTHM
25 RAZIAS PURNAMA 10/13/1982 NORMAL 6/48 6,/75 6/48 6,/75 165 86 31,6 Obesitas 140/89 79 SAKIT PINGGANG, AMBEIN SCALING, CABUT GIGI 22.5 21.25 25 25 20 20 20 25 20 20 20 20 NORMAL SINUS RHYTHM
26 WAHYU ARISTAUDY, A.Md 0 0
27 ANDI MULYANTO 11/29/1984 NORMAL 6,6 6,6 166 80 29,0 Obesitas 144/97 83 SCALING 28.75 21.25 30 20 20 35 45 25 20 20 20 20 NORMAL SINUS RHYTHM
28 PRITA SARI PUSPITA A.Md. 4/1/1985 NORMAL 6,/75 6,/75 162 61 23,2 Normal 100/56 78 SCALING, CABUT GIGI 28.75 26.25 40 25 25 35 25 35 30 20 20 20 NORMAL SINUS RHYTHM
29 KOCAT TURHADI 0 0
30 GUNTUR ULISTIANTO, A.Md. 8/17/1983 NORMAL 6/36 6/48 6/48 6,6 167 69 24,7 Normal 140/80 80 SCALING, TAMBAL GIGI, BUAT GIGI PALSU 22.5 22.5 30 20 20 20 20 30 20 20 20 20 NORMAL SINUS RHYTHM
31 IRFAN MARGHUBI, A.Md. Ak. 0 0
32 SRI WAHYUNI SAPATI 2/28/1985 NORMAL 6/15 6/15 156 91 37,4 Obesitas 218/134 106 HT SCALING 30 27.5 35 35 25 25 25 30 30 25 25 25 SINUS TACHYCARDIA ANT, ABNORMALITY
33 DEA ABRIDANI OKTAVIA SINAMBELA, A.Md.Ak. 10/5/1997 NORMAL 0.125 0.16 0.3 1,0 163 51.5 19,4 119/69 84 OPERASI TIROID TAHUN 2017 SCALING 20 20 25 20 20 20 15 25 20 20 15 15 NORMAL SINUS RHYTHM

3
 KANTOR KESYAHBANDARAN UTAMA TANJUNG PRIOK
PEMERIKSAAN KESEHATAN PEGAWAI
11-13 OKTOBER 2022

RADIOLOGI

Aorta tampak elongatio.

Pulmo saat ini tidak tampak kelainan, tidak tampak
bronkopneumonia/pneumonia/ TB paru aktif.
Tidak tampak kardiomegali.
NORMAL
NORMAL

Os costa 5,7,8 kanan aspek posterior tampak deformitas

(post fracture complete disertai displacement).
Contusio paru kanan, dd/ -Tb paru kanan, -
bronkopneumonia kanan (mohon korelasi klinis/ lab.).
Atherosklerosis aorta.
Tidak tampak kardiomegali.

NORMAL
Aorta tampak sedikit elongatio.
Pulmo saat ini tidak tampak kelainan, tidak tampak
bronkopneumonia/pneumonia/ TB paru aktif.
Tidak tampak kardiomegali
NORMAL

Fibrosis minimal di paru kanan tengah sugestif disertai

bronkopneumonia kanan.
Penebalan pleura kanan bawah, dd/ efusi pleura kanan
minimal.
Tidak tampak kardiomegali.

NORMAL
NORMAL
NORMAL

NORMAL
NORMAL
NORMAL
NORMAL

Tb paru bilateral lama dengan fibrosis disertai infiltrat tipis

(sugestif aktif ).
Penebalan pleura kiri atas lateral.
Tidak tampak kardiomegali.

NORMAL
NORMAL
NORMAL

NORMAL
NORMAL

NORMAL

NORMAL
NORMAL
 KANTOR KESYAHBANDARAN UTAMA TANJUNG PRIOK
PEMERIKSAAN KESEHATAN PEGAWAI
11-13 OKTOBER 2022
LABORATORIUM
MASALAH KESEHATAN ADVICE DOKTER KESIMPULAN NAMA DOKTER PEMERIKSA
HEMATOLOGI KIMIA DARAH IMUNOLOGI URINALISA NARKOBA 5
Hb Leu LED Hct Trom GDP Ureum Cre UA AST ALT Chol Trig HbSAg BJ Urine PH Urine Glu Pro Bil Ket Uro Blood Leu PARAMETER

14.3 6,720 12 42.9 244 133 15 1.03 5.6 24 60 208 294 Non Reaktif 1,010 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR.MUGI

15.7 11,220 119 47.1 369 112 22 0.92 6.1 17 32 211 242 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. MUGI
14.5 10,380 4 43.5 307 165 18 0.83 4.7 17 32 234 199 Non Reaktif 1,020 7.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. WAGNER

16.1 10,060 8 19.2 380 110 27 0.87 5.7 19 36 214 148 Non Reaktif 1,030 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. MUGI

13.2 10,220 17 39.6 553 109 19 0.93 5.9 22 41 174 166 Non Reaktif 1,010 5.5 Neg Neg Neg Neg Neg Neg Neg Neg DR. MUGI

15.9 9,561 6 41.1 364 131 23 1.09 4.5 19 33 181 168 Non Reaktif 1,015 8.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. MEI

15.1 9,020 15 45.3 291 110 23 0.85 6.6 25 46 264 352 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. WAGNER

15.7 8,900 11 47.1 272 120 21 0.98 4.7 25 25 184 72 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. MUGI

14.2 7,230 27 42.6 178 131 18 0.90 6.8 123 216 168 109 Non Reaktif 1,020 7.0 Neg +1 Neg Neg Neg Neg +1 Neg DR. MUGI
13.2 9,456 8 32.5 278 112 18 0.98 6.9 20 61 212 134 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
14.2 6,660 52 42.6 343 119 18 0.94 5.7 13 25 177 166 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. MUGI

14.5 7,428 10 31.6 321 103 24 0.99 7.1 31 51 204 175 Non Reaktif 1,030 8.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
14.6 7,460 4 43.8 339 113 17 0.93 6.6 14 21 205 78 Non Reaktif 1,030 6.0 Neg Neg Neg Neg Neg Neg Neg Positif (MET) DR MUGI
15.5 8,320 5 11.2 307 122 23 0.97 9.7 70 232 262 169 Non Reaktif 1,025 6.5 Neg Neg Neg Neg Neg Neg Neg Neg DR WAGNER
16.2 5,730 7 23.5 357 148 24 0.91 3.5 18 32 232 231 Non Reaktif 1,015 8.0 Neg Neg Neg Neg Neg Neg Neg Neg DR MUGI

13.4 7,300 11 40.2 271 102 23 1.04 5.4 26 26 218 115 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. MUGI

13.9 8,840 11 41.7 338 106 15 0.79 4.2 18 37 195 91 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR WAGNER
14 9,070 13 42 293 145 31 0.92 6.1 19 52 205 107 Non Reaktif 1,010 5.0 Neg Neg Neg Neg Neg Neg Neg Neg DR WAGNER
16 10,800 13 48 276 273 25 0.78 4.4 17 66 217 194 Non Reaktif 1,025 7.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. MUGI

14.7 6,820 12 44.1 247 83 22 1.08 5.8 24 51 269 290 Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. MUGI
13 6,910 35 39 225 110 19 0.72 4.0 21 18 171 75 Non Reaktif 1,015 5.5 Neg Neg Neg Neg Neg Neg Neg Neg DR. MUGI

12.9 5,590 6 38.7 386 117 31 1.06 4.9 22 38 223 359 Non Reaktif 1,010 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR WAGNER

12.5 5,120 46 37.5 426 330 15 0.79 6.1 46 38 321 256 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg DR.MUGI
14.9 6,554 13 42.3 415 108 31 0.79 6.5 23 31 195 115 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
 KANTOR KESYAHBANDARAN UTAMA TANJUNG PRIOK KANTOR KESYAHBANDARAN UTAMA TANJUNG PRIOK
PEMERIKSAAN KESEHATAN PEGAWAI PEMERIKSAAN KESEHATAN PEGAWAI
11-13 OKTOBER 2022 11-13 OKTOBER 2022
MATA PEMERIKSAAN FISIK
AMBANG DENGAR AUDIOMETRI
VISUS
No. NAMA TGL LAHIR JK BUTA Riwayat Kesehatan/Penyakit Catatan Dokter Umum Catatan Dokter Gigi EKG RADIOLOGI
TANPA KACAMATA DENGAN KACAMATA TB BB BMI STATUS BMI TD N KANAN KIRI
WARNA KANAN KIRI
KANAN KIRI KANAN KIRI 500 1k 2k 3k 4K 500 1K 2K 3K 4k
SEKSI KEPELAUTAN

Kardiomegali (CTR 51,5%) tanpa bendungan paru.

1 6/9/1970 NORMAL 0.5 0.6 167 83.7 30,0 140/94 87 SCALING 26.25 20 30 25 25 20 25 30 15 15 15 20 Aorta tampak elongatio.
BUDIYONO, S.Sos.
Pulmo saat ini tidak tampak kelainan, tidak tampak
bronkopneumonia/pneumonia/ TB paru aktif.

Aorta tampak sedikit elongatio.

2 28/04/1968 L NORMAL 0.8 0.8 169 75.8 24.5 136/95 81 TAMBAL GIGI 25 15 15 15 10 25 20 20 20 20 NORMAL SINUS RHYTHM Pulmo saat ini tidak tampak kelainan, tidak tampak
LUKY GABRIEL TAMPI, SE.
bronkopneumonia/pneumonia/ TB paru aktif.
Tidak tampak kardiomegali.
3 AGUS KURNIA, S.IP., SE, M.Si. 3/10/1966 NORMAL 0.2 0.2 0.8 0.6 158 59.7 23,9 128/60 90 SCALING 25 28.75 30 25 25 20 20 30 25 25 30 35 NORMAL SINUS RHYTHM NORMAL
4 TURSIANA, SE. 4/29/1971 NORMAL 0.6 0.5 0.8 0.6 153 55.6 19,2 138/60 86 SCALING 27.5 23.75 35 30 25 20 20 30 25 20 20 20 NORMAL SINUS RHYTHM NORMAL
5 NURMALA DEWI, SE. 20/11/1973 P NORMAL 0.8 1.0 148 59.2 27 119/68 74 SCALING, BUAT GIGI PALSU 30 25 20 20 20 35 25 20 25 20 NORMAL SINUS RHYTHM NORMAL
6 WUKIR, SE. 12/13/1965 NORMAL 0.6 0.5 162 69.9 26,6 138/73 79 SCALING, CABUT GIGI 25 28.75 25 20 20 30 35 30 25 25 40 35 NORMAL SINUS RHYTHM NORMAL
7 KURNIAWAN YAHYA NORMAL 0,8 1,0 SCALING, BUAT GIGI PALSU 28.75 35 30 30 25 30 30 30 30 35 50 45 NORMAL
8 MULYATI 0 0
9 SUKIRMAN, SE. 4/4/1968 NORMAL 0.5 0.2 164 101 37,5 152/91 91 SCALING, CABUT GIGI, BUAT GIGI PALSU 28.75 20 30 25 20 25 40 35 20 15 25 10 NORMAL SINUS RHYTHM NORMAL
10 MODESTA WAKIM, SE. 9/12/1978 NORMAL 0.125 0.16 0.4 0.5 149 57.4 25,9 120/80 80 SCALING, CABUT GIGI, BUAT GIGI PALSU 25 23.75 30 25 25 20 20 25 25 20 25 25 NORMAL SINUS RHYTHM NORMAL
11 SUCI RATNA DEWI, S.S. 5/22/1987 NORMAL 0.6 0.6 158 64.5 25,8 102/68 91 SCALING 22.5 21.25 30 25 20 20 15 25 25 20 20 15 NORMAL SINUS RHYTHM NORMAL

12 MAEMUNAH 1/5/1967 P BUTA 0.5 0.5 161 65.9 25.4 142/73 55 SCALING, CABUT GIGI 0 0 SINUS RHYTHM NORMAL
WARNA

13 ALHAMKA, SE. 11/28/1967 NORMAL 0.16 0.16 164 72.4 27,2 153/93 92 SCALING 26.25 37.5 35 30 20 25 20 35 35 40 35 40 NORMAL SINUS RHYTHM Fibrosis di paru kiri tengah sugestif disertai bronkopneumonia.
Tidak tampak kardiomegali.
14 DELVITA ANDRIYANI 9/9/1976 NORMAL 0.5 0.6 155 60.4 20,9 150/104 SCALING, CABUT GIGI 23.75 20 30 25 20 20 20 30 20 15 15 15 NORMAL SINUS RHYTHM NORMAL
15 POPPY KARTIKA SARI, SH. 10/9/1980 P NORMAL 0.125 0.16 1.0 1.0 154 64.5 27.2 142/72 88 SCALING 25 15 15 15 10 25 20 15 15 15 NORMAL SINUS RHYTHM NORMAL
16 RATIH KUSUMAH PUTRI, SH. 8/30/1989 NORMAL 0.8 1,0 156 87.3 30,2 155/122 86 SCALING 27.5 23.75 35 30 25 20 20 30 25 20 15 20 NORMAL SINUS RHYTHM NORMAL
17 ANDRIJANTO, SE. 10/7/1981 NORMAL 0.4 170 91.9 31,8 116/75 83 SCALING 17.5 20 20 15 15 15 20 25 20 20 15 15 NORMAL SINUS RHYTHM NORMAL
18 RUKMINI 4/1/1976 NORMAL 0.8 1,0 154 72.9 25,2 118/84 97 SCALING, BUAT GIGI PALSU 25 23.75 30 25 25 20 20 30 25 20 20 20 POOR R PROGRESSION, NORMAL SINUS RHYTHM NORMAL
19 RUSWANTORO 4/13/1971 NORMAL 0.6 0.3 169 96.7 33,9 160/94 92 SAKIT MAAG, LAMBUNG, DAN VERTIGO SCALING, CABUT GIGI, TAMBAL GIGI 25 26.25 30 25 20 20 25 35 25 25 20 20 LAD NORMAL
20 PAULUS ZONATHAN 10/15/1987 NORMAL 1,0 1,0 173 84 28,1 122/79 80 SCALING, CABUT GIGI, BUAT GIGI PALSU 17.5 16.25 25 20 15 10 10 25 15 15 10 10 NORMAL SINUS RHYTHM NORMAL
21 ANDRO HOTMARIANTO, SE. NORMAL 0,6 0,6 SCALING, TAMBAL GIGI, BUAT GIGI PALSU 35 25 20 20 20 25 20 20 15 20

22 BAKRI, SE. 8/12/1969 NORMAL 0.3 0.6 169 73.3 25,7 150/85 79 SCALING, CABUT GIGI, BUAT GIGI PALSU 27.5 23.75 30 25 25 25 30 25 20 25 25 25 NEGATIVE T (LAT) MILD LEFT AXIS DEVIATION Fibrosis di paru kanan kiri tengah disertai pneumonia.
Tidak tampak kardiomegali.
23 NONI SUHARTINI, SE. 20/09/1982 P NORMAL 0.6 0.6 154 74.6 31.5 127/73 88 0 0 NORMAL SINUS RHYTHM NORMAL
24 SUSI SRI MAULANI, A.Md. 4/29/1982 NORMAL 0.6 1.0 162 67.5 25.7 102/61 88 SCALING, BUAT GIGI PALSU 22.5 22.5 25 20 25 20 20 20 25 25 20 20 MILD LEFT AXIS DEVIATION, NORMAL SINUS RHYTHM NORMAL
25 BUNGA ADHA ZDULAIKHA 7/13/1989 NORMAL 1.0 1.0 161 96.4 37.2 113/74 83 BUAT GIGI PALSU 25 20 30 25 25 25 20 25 20 20 15 15 SINUS RHYTHM RBBB NORMAL
26 DEASY EKA SUMARYANI 27/12/1990 P NORMAL 0.8 0.8 154 78.3 33 93/61 83 SCALING, BUAT GIGI PALSU 30 30 25 20 20 30 25 30 25 20 NORMAL SINUS RHYTHM NORMAL
TB paru bilateral lama aktif dengan penebalan pleura kanan atas lateral
27 SIGIT AGUNG NUGROHO 10/29/1972 NORMAL 1.0 1.0 166 65.9 23.9 141/84 75 SCALING, CABUT GIGI, BUAT GIGI PALSU 26.25 28.75 25 30 25 25 25 30 30 30 25 25 NORMAL SINUS RHYTHM dan fibrosis.
Tidak tampak kardiomegali
28 MOCHAMAD AGUS SUMARYONO 8/22/1976 NORMAL 0.2 0.5 165 71.8 26.4 139/81 80 SCALING, CABUT GIGI 18.75 18.75 25 20 15 20 15 25 20 15 15 15 NORMAL SINUS RHYTHM NORMAL
29 ADAM SATRIA DIRGANTARA 13/11/1985 L NORMAL 1.0 1.0 170 80.6 27.9 129/85 76 SCLAING 20 15 10 15 15 15 20 15 15 15 SINUS RHYTHM NORMAL
SEKSI TERTIB BANDAR 0 0
Aorta tampak elongatio.
30 IWAN SETIAWAN, S.SiT, MM. 9/29/1975 NORMAL 1.0 0.5 169 96.4 33.8 SCALING, BUAT GIGI PALSU 23.75 26.25 30 25 20 20 20 30 25 20 25 30 SINUS TACHYCARDIA, LATERAL ST-TAH, LEFT WARD AXIS, HYPERTROPHY, LEFT VENTRICULAR HYPERTROPHY Pulmo saat ini tidak tampak kelainan, tidak tampak
bronkopneumonia/pneumonia/ TB paru aktif.
Tidak tampak kardiomegali.
31 YOHANES YUDO BUSONO, S.Kom. 11/27/1973 NORMAL 0.1 0.125 0.8 0.5 176 112 36.0 122/79 85 SCALING, BUAT GIGI PALSU 27.5 30 25 25 30 30 30 30 30 30 25 30 NORMAL SINUS RHYTHM NORMAL
32 MERRY FITRIA, SE. 8/25/1980 NORMAL 1.0 0.8 160 90.4 35.3 117/65 88 SCALING, CABUT GIGI 25 22.5 25 30 20 25 25 30 20 20 20 20 NORMAL SINUS RHYTHM NORMAL
33 GUSTI SAPUTRA, S.Kom. 10/3/1976 NORMAL 0.4 0.8 170 76.3 26.4 107/73 75 SCALING 20 22.5 25 20 20 20 15 25 20 25 20 20 NORMAL SINUS RHYTHM NORMAL
34 MAKMUR SANI 1/12/1966 NORMAL 0.2 0.5 169 89.5 31.3 137/84 108 SCALING 25 26.25 30 25 25 25 20 30 25 25 30 25 NORMAL SINUS RHYTHM NORMAL
35 MARIAMA 0 0
Aorta tampak elongatio.
36 EDDY FERDINAND 26/02/1975 L NORMAL 0.5 0.4 164 76.1 28.3 168/106 82 R/ HT TERKONTROL SCALING, CABUT GIGI, BUAT GIGI PALSU 25 23.75 25 20 25 30 30 25 25 20 25 25 SINUS RHYTHM Gambaran bronchitis (mohon korelasi klinis).
Tidak tampak kardiomegali.
37 FADLI ADRIANSYAH 2/8/1986 NORMAL 0.4 0.6 166 76.2 27.7 137/77 80 SCALING, CABUT GIGI 21.25 23.75 30 20 20 20 15 25 20 20 25 30 FLAT T(ANT), NORMAL SINUS RHYTHM NORMAL
38 ADI KURNIAWAN 10/22/1981 NORMAL 0.8 1.0 171 87.3 29.9 166/103 95 SCALING, CABUT GIGI, BUAT GIGI PALSU 21.25 18.75 25 20 20 20 20 20 20 15 15 20 NORMAL SINUS RHYTHM NORMAL
39 SINTONG RAMOS, SE. 6/9/1986 NORMAL 1.0 1.0 186 103 29.7 146/83 67 SCALING 21.25 25 30 20 15 20 20 30 20 25 20 25 SINUS RHYTHM SMALL INFERIOR Q WAVES NORMAL
40 KOKO SUHARJO 7/19/1978 NORMAL 1.0 161 68 26.2 127/96 96 SCALING, CABUT GIGI 21.25 28.75 25 20 20 20 20 30 30 25 35 30 NORMAL SINUS RHYTHM NORMAL
41 ANGGA REYNALDI 25/02/1987 L NORMAL 1.0 1.0 163 87.4 32.9 136/81 87 R/ ASAM URAT 2010 SCALING, CABUT GIGI, BUAT GIGI PALSU 25 25 25 25 20 25 20 25 25 30 NORMAL SINUS RHYTHM NORMAL
SEKSI GTERTIB BERLAYAR 0 0
Kardiomegali (CTR 52,4%) tanpa bendungan paru.
42 ALFRIA MARETA, SE, MM. 3/7/1973 NORMAL 1.0 0.4 158 50.7 20.3 150/100 86 SCALING 26.25 23.75 30 30 25 20 20 30 25 20 20 20 SINUS RHYTHM LEFT AXIS DEVIATION INF. T WAVE ABNORMELITY Aorta tampak elongatio.
Pulmo saat ini tidak tampak kelainan, tidak tampak
bronkopneumonia/pneumonia/ TB paru aktif.
43 HERY SETIYAWAN, S.Pel, MM. 12/3/1968 NORMAL 1.0 1.0 165 70 24.3 120/74 64 SCALING, TAMBAL GIGI, BUAT GIGI PALSU 25 25 20 25 25 30 30 25 20 25 25 30 NORMAL SINUS RHYTHM NORMAL
Aorta tampak elongatio.
44 AGUS SUPARNO 8/19/1966 NORMAL 0.5 0.8 151 74.5 32.7 160/110 89 SCALING, CABUT GIVGI 25 26.25 30 30 20 20 20 25 25 35 25 20 LEFT AXIS DEVIATION, NORMAL SINUS RHYTHM Pulmo saat ini tidak tampak kelainan, tidak tampak
bronkopneumonia/pneumonia/ TB paru aktif.
Tidak tampak kardiomegali.

Aorta tampak elongatio.

45 PRIMAHARTO 4/23/1967 NORMAL 0.125 0.3 157 70 28.4 146/84 89 SCALING, CABUT GIVGI 31.25 28.75 30 35 30 25 30 30 25 25 30 35 SINUS RHYTHM W/ BORDERLINE 1ST DEGREE AVBLOCK EXTENSIVE INFRACT Pulmo saat ini tidak tampak kelainan, tidak tampak
bronkopneumonia/pneumonia/ TB paru aktif.
Tidak tampak kardiomegali.

Aorta tampak elongatio.

46 ADNAN, SE. 4/2/1967 NORMAL 0.4 0.4 165 71.1 26.1 121/70 85 SCALING, BUAT GIGI PALSU 26.25 25 30 25 25 20 25 30 25 20 20 25 NORMAL SINUS RHYTHM Pulmo saat ini tidak tampak kelainan, tidak tampak
bronkopneumonia/pneumonia/ TB paru aktif.
Tidak tampak kardiomegali.
47 YULIA ROCHYATIN, SE. 3/13/1975 NORMAL 1.0 0.8 152 70.7 30.2 150/79 88 SCALING 25 23.75 25 30 25 20 20 30 25 20 20 20 NORMAL SINUS RHYTHM NORMAL
48 YAYU TRI ADHITA, SH. 0 0
49 SUTOYO 3/8/1967 NORMAL 0.6 0.5 161 52.8 18.3 116/68 74 SCALING 16.25 21.25 20 15 15 15 15 25 25 20 15 15 MILD LEFT AXIS DEV, NORMAL SINUS RHYTHM NORMAL
50 IVANS TAMBUNAN 9/2/1981 NORMAL 0.6 0.5 169 90.4 31.7 160/109 86 SCALING, TAMBAL GIGI, CABUT GIGI 17.5 16.25 20 20 15 15 15 25 15 15 15 10 ABNORMAL Q, NORMAL SINUS RHYTHM NORMAL
Elevasi diafragma kanan.
51 ARYUS YULIANTONI 7/12/1977 NORMAL 0.5 0.6 159 85 33.7 132/93 89 SCALING, CABUT GIGI, BUAT GIGI PALSU 23.75 23.75 30 25 20 25 20 30 25 20 20 20 RSR PATTERN SINUS TACHYCARDIA, NORMAL SINUS RHYTHM Pulmo saat ini tidak tampak kelainan, tidak tampak
bronkopneumonia/pneumonia/ TB paru aktif.
Tidak tampak kardiomegali.
52 DEDDY ARIYANTO, S.Si.T. 4/24/1973 NORMAL 1.0 0.8 169 77 26.6 118/85 77 SCALING, BUAT GIGI PALSU 20 23.75 20 25 20 20 15 20 20 15 30 40 MILD LEFT AXIS DEV, NORMAL SINUS RHYTHM NORMAL
53 Capt. ARIEF SUNANDAR, SE. 2/2/1975 NORMAL 1.0 0.5 1.0 1.0 162 75 26.0 146/90 72 SCALING, BUAT GIGI PALSU 20 18.75 30 20 15 15 15 20 20 20 15 15 NORMAL SINUS RHYTHM NORMAL
54 RONALD EDWARD MARTIN 11/29/1981 NORMAL 1.0 1.0 174 154 50.9 139/90 88 SCALING, CABUT GIGI 22.5 22.5 25 25 20 20 20 25 20 25 20 20 NORMAL SINUS RHYTHM NORMAL
55 RICKSON FRYADI MARISITUA 2/23/1978 NORMAL 1.0 1.0 167 87 30.2 104/70 74 SCALING, CABUT GIGI 23.75 23.75 30 20 25 20 20 30 20 25 20 20 SINUS RHYTHM RIGHTWORD AXIS NORMAL
56 ZULFAHMI, SE. 8/28/1975 NORMAL 1.0 1.0 164 75.9 26.3 166/100 88 SCALING 17.5 18.75 15 15 20 25 20 20 15 20 20 20 MILD LEFT AXIS DEV, NORMAL SINUS RHYTHM NORMAL
57 BAGUS RIYANTO, A.Md. 7/27/1977 NORMAL 0.8 0.4 169 91.7 32.1 130/79 81 SCALING, CABUT GIGI 25 27.5 30 25 25 20 20 35 30 25 20 20 NORMAL SINUS RHYTHM NORMAL
58 VINA ANGGRAINY, S.Kom. 12/11/1983 NORMAL 1.0 1.0 161 66 22.8 138/70 90 SCALING 23.75 22.5 30 25 20 20 20 35 25 15 20 15 NORMAL SINUS RHYTHM NORMAL
59 SUFYAN BINTORO 9/14/1971 NORMAL 1.0 1.0 162 85.3 32.5 125/88 73 SCALING, TAMBAL GIGI 22.5 23.75 25 25 20 20 20 30 25 20 20 20 NORMAL SINUS RHYTHM NORMAL
60 LILI HARBRUARI PRASETYO 2/4/1971 NORMAL 0.125 0.125 0.6 1.0 158 56.1 22.5 116/70 90 SCALING, CABUT GIGI, BUAT GIGI PALSU 27.5 32.5 30 25 25 25 30 30 25 35 50 40 NORMAL SINUS RHYTHM NORMAL

61 IKSANUDIN 6/21/1970 NORMAL 0.3 0.6 165 54.8 20.1 128/83 97 SCALING, BUAT GIGI PALSU 32.5 27.5 40 35 30 30 25 35 25 30 30 20 NORMAL SINUS RHYTHM Pneumonia kanan (mohon korelasi klinis/ lab.).
Tidak tampak kardiomegali.
62 IBNU HAJAR, ST. 2/11/1968 NORMAL 1.0 0.6 167 68 24.4 111/82 89 SCALING, TAMBAL GIGI 42.5 23.75 45 40 40 35 45 25 25 20 25 25 NORMAL SINUS RHYTHM NORMAL
TB paru kanan lama dengan fibrosis disertai infiltrat (perlu
63 DONI EKO WIJAYANTO, SE. 3/28/1980 NORMAL 0.8 0.8 164 94.3 35.1 124/92 102 SCALING, CABUT GIGI 35 21.25 35 30 40 35 35 30 20 20 20 15 SINUS RHYTHM NORMAL ECG dipertimbangkan aktif).
Penebalan pleura kanan atas lateral.
Tidak tampak kardiomegali.
64 HERMAWAN 1/20/1978 NORMAL 0.2 0.5 172 80 27.1 115/69 95 SCALING, BUAT GIGI PALSU 22.5 25 25 15 20 25 30 25 20 20 30 35 NORMAL SINUS RHYTHM NORMAL
65 IBNU PRAMUDIONO, ST. 0 0
66 DEFI AFRIYANTO 4/14/1978 NORMAL 0.6 0.8 164 74 27.6 148/97 86 SCALING, CABUT GIGI, BUAT GIGI PALSU 25 23.75 30 30 20 20 20 25 25 20 20 25 SINUS TAKIKARDI NORMAL
67 KOMAR BADRI, SE. 3/24/1983 NORMAL 0.2 0.3 174 89.9 29.7 139/81 82 SCALING, CABUT GIGI 22.5 22.5 35 25 20 20 10 20 25 30 15 15 NORMAL SINUS RHYTHM NORMAL
68 QOMARUDDIN 1/11/1970 NORMAL 1.0 0.5 170 60 20.9 114/74 86 SCALING, TAMBAL GIGI, CABUT GIGI 30 25 35 30 25 25 30 25 20 20 25 35 NORMAL SINUS RHYTHM Pneumonia bilateral.
Tidak tampak kardiomegali.
69 TRI ADIGUNA 11/18/1982 NORMAL 1.0 1.0 163 56.2 21.1 106/79 87 SCALING 25 18.75 30 25 25 20 20 20 20 15 15 20 NORMAL SINUS RHYTHM NORMAL
70 FAISAL ISRODJI 11/02/1980 L NORMAL 0.6 0.6 165 68.3 25.1 93/51 87 R/ DISLIPI SCALING, TAMBAL GIGI, BUAT GIGI PALSU 25 20 15 15 10 20 15 20 15 20 NORMAL SINUS RHYTHM NORMAL
71 BAYU WIBISONO 2/19/1982 NORMAL 0.8 1.0 175 90 29.5 150/90 80 SCALING, CABUT GIGI 20 17.5 25 20 20 20 15 20 20 15 15 15 NORMAL SINUS RHYTHM NORMAL
72 MUHAMAD JAENUDIN 10/25/1972 NORMAL 1.0 1.0 168 72.6 25.7 102/63 97 SCALING, CABUT GIGI 25 30 25 20 25 25 30 30 25 25 30 40 NORMAL SINUS RHYTHM TB paru kiri lama aktif dengan efusi pleura kiri dan fibrosis.
73 M. A. SIGIT BIMO 11/15/1983 NORMAL 0.2 0.2 163 99.2 37.3 147/95 87 SCALING 17.5 20 20 15 15 30 20 20 20 25 20 15 NORMAL SINUS RHYTHM NORMAL
 KANTOR KESYAHBANDARAN UTAMA TANJUNG PRIOK
PEMERIKSAAN KESEHATAN PEGAWAI
11-13 OKTOBER 2022
LABORATORIUM
MASALAH KESEHATAN ADVICE DOKTER KESIMPULAN NAMA DOKTER PEMERIKSA
HEMATOLOGI KIMIA DARAH IMUNOLOGI URINALISA NARKOBA 5
Hb Leu LED Hct Trom GDP Ureum Cre UA AST ALT Chol Trig HbSAg BJ Urine PH Urine Glu Pro Bil Ket Uro Blood Leu PARAMETER

14.1 6,125 12 32.1 351 111 26 0.92 5.2 22 42 228 154 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA

13.3 6,897 7 39.5 349 214 35 0.60 3.8 15 28 259 32 Non Reaktif 1,010 7.0 +2 Neg Neg Neg Neg Neg Neg Neg DR. RAHAYU EVI

15.2 7,256 13 36.5 265 444 27 1.28 4.5 16 31 98 200 Non Reaktif 1,025 6.0 +2 Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
13.1 8,898 29 41.5 312 108 17 0.61 3.9 23 35 206 108 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
16.9 6,451 33 53.1 338 105 18 0.56 3.5 18 27 212 70 Non Reaktif 1,010 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. SOFIA
14.2 7.456 12 31.5 264 133 29 1.11 5.8 17 27 273 315 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
15.2 9.421 5 45.7 415 98 25 1.05 6.0 25 41 238 89 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. WAGNER

dr. SOFIA
14.6 10,987 7 41.5 234 119 20 0.64 3.9 21 28 158 58 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
13.6 8,978 8 49.1 500 116 31 0.66 3.6 16 17 200 80 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr.SOFIA

15.1 8,154 47 47.1 235 334 24 0.68 4.3 18 33 219 125 Non Reaktif 1,030 6.0 +2 Neg Neg Neg Neg Neg Neg Neg DR. ALFIAN

16.8 7,122 14 41.2 416 276 43 1.70 7.4 22 30 319 381 Non Reaktif 1,015 6.0 +1 Neg Neg Neg Neg Neg Neg Neg dr. SOFIA

14.2 6,151 17 42.1 350 137 33 1.02 6.3 12 22 156 105 Non Reaktif 1,025 7.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
15.1 6,157 10 42.1 321 110 21 1.02 6.5 24 22 155 100 Non Reaktif 1,025 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. ALFIAN
13.1 5,172 10 41.2 360 117 14 0.79 5.0 18 32 259 172 Non Reaktif 1,010 6.0 Neg Neg Neg +1 Neg Neg Neg Neg dr. ALFIAN
14.5 11,895 12 49.7 329 100 12 0.89 7.0 26 36 288 139 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
16.1 5,651 5 41.5 246 86 16 0.99 7.1 21 35 189 164 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
15.4 8,941 2 49.1 235 194 19 0.96 5.4 18 38 223 297 Non Reaktif 1,025 6.0 +1 Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
14.4 7,615 7 41.2 341 102 22 0.94 5.7 30 85 265 98 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA

15.6 9,541 9 39.1 461 58 52 2.12 7.4 20 31 244 92 Non Reaktif 1,010 6.0 +1 +1 Neg Neg Neg Neg Neg Neg dr. SOFIA

15.5 7,590 38 45.3 196 123 14 0.63 4.1 22 40 224 78 Non Reaktif 1,030 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. MEI
16.1 8,462 10 39.2 511 125 19 0.82 3.8 14 24 215 58 Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
14.2 7,455 15 40.1 321 124 21 0.75 5.1 23 43 261 198 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
15.3 8,110 23 44.4 198 106 18 0.61 4.0 21 45 165 32 Reaktif 1,030 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. RAHAYU EVI

14.3 6,451 12 49.5 198 115 24 1.06 7.3 17 34 219 120 Non Reaktif 1,010 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN

14.5 7,155 56 48.1 235 111 17 1.14 5.7 27 66 186 68 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
16.1 8,561 4 48.2 440 135 20 1.04 7.7 26 56 226 481 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. RAHAYU EVI

13.2 7,154 1 47.2 314 125 38 2.24 8.8 23 24 259 233 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA

14.2 6,125 21 47.8 324 95 25 0.95 5.9 19 45 169 79 Non Reaktif 1,030 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
15.2 12,651 15 47.2 370 137 19 0.68 6.1 20 43 173 100 Non Reaktif 1,010 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
13.2 9,565 16 49.2 420 144 22 0.89 5.0 24 44 143 115 Non Reaktif 1,010 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
13.9 7,896 33 47.2 321 330 54 1.69 8.1 25 24 241 266 Non Reaktif 1,015 6.5 Neg +1 Neg Neg Neg Neg Neg Neg dr. ALFIAN

14.4 8,654 15 42.8 409 126 27 1.08 8.6 19 30 150 70 Non Reaktif 1,030 7.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. SOFIA

14.2 8,784 13 46.1 294 282 25 0.88 8.1 26 42 282 201 Non Reaktif 1,030 5.0 +2 Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
17.2 9,743 13 42.1 397 116 24 1.18 7.8 26 56 243 472 Non Reaktif 1,025 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
15.5 6,154 4 46.1 346 115 26 1.06 4.6 15 28 250 168 Non Reaktif 1,015 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
14.2 7,891 10 48.1 256 123 18 0.96 6.1 18 32 152 83 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
16.1 6.65 10 46.8 234 135 19 0.97 7.9 25 52 251 185 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. MEI

16.1 8,456 5 49.1 215 87 14 0.62 5.2 27 26 206 89 Non Reaktif 1,020 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA

15.2 6,455 25 47.1 315 109 24 1.07 5.9 20 51 220 142 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA

14.2 10,780 11 45.1 364 109 23 1.12 7.9 16 19 254 131 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA

13.2 9,451 29 49.1 346 201 34 1.30 7.7 22 58 240 159 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA

12.2 8,455 10 49.2 389 116 21 0.91 4.4 19 31 158 125 Non Reaktif 1,010 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA

15.1 7,155 35 44.3 411 116 22 0.59 3.9 16 24 184 40 Non Reaktif 1,015 6.0 Neg Neg Neg +1 Neg Neg Neg Neg dr. ALFIAN

16.2 6,000 6 42.1 325 277 28 0.91 3.1 28 62 162 122 Reaktif 1,015 6.0 +1 Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
16.5 3,120 26 42.4 311 123 21 1.07 7.9 21 55 176 72 Non Reaktif 1,020 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN

14.3 7,154 12 42.1 235 101 17 0.70 6.6 24 45 156 90 Non Reaktif 1,030 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA

13.8 8,125 17 41.5 178 79 20 0.92 5.5 20 54 258 111 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
16.2 7,155 22 41.8 280 107 26 1.04 5.8 25 49 315 175 Non Reaktif 1,010 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
15.2 9,225 11 49.2 245 143 12 0.68 6.3 60 109 260 215 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
13.2 11,450 9 51.2 321 116 16 1.06 5.0 20 36 236 135 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
13.6 9,452 10 50.9 179 128 29 1.26 8.3 18 35 210 96 Non Reaktif 1,015 7.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
14.9 8,454 27 52.1 265 166 22 1.03 5.9 26 78 256 368 Non Reaktif 1,020 6.0 +2 Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
15.9 7,640 19 42.7 219 115 23 0.55 3.7 17 23 190 50 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
15.1 6,894 19 41.2 400 220 21 1.24 5.6 39 26 192 108 Non Reaktif 1,020 6.0 +2 Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
16.1 7,462 13 42.3 416 286 30 0.87 3.5 17 41 297 282 Non Reaktif 1,030 5.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA

14.1 8,454 26 40.2 476 335 26 1.06 4.1 26 41 240 152 Non Reaktif 1,015 6.5 +2 Neg Neg Neg Neg Neg Neg Neg dr. SOFIA

15.2 6,454 19 48.5 203 132 26 1.13 8.7 19 26 217 61 Non Reaktif 1,025 8.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA

16.2 1.7 11 43.3 379 121 19 0.90 6.9 29 96 248 239 Non Reaktif 1,010 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA

15.2 9,545 9 45.5 369 146 20 0.91 4.9 22 54 227 234 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA

14.1 9,000 4 46.2 239 224 25 0.99 6.1 42 79 326 665 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
13.2 7,155 3 49.1 297 99 19 0.94 5.3 25 48 211 132 Non Reaktif 1,010 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
15.2 9,456 3 46.2 199 151 16 0.96 3.1 13 21 210 159 Non Reaktif 1,020 7.0 +1 Neg Neg Neg Neg Neg Neg Neg dr. SOFIA

13.2 9,423 33 45.1 187 130 34 1.020 5.6 17 28 216 195 Non Reaktif 1,020 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
16.2 7,440 13 45.4 199 152 21 1.08 8.2 17 37 280 92 Non Reaktif 1,020 7.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. MEI
16.2 9,252 6 45.2 264 124 35 0.86 6.3 27 54 207 146 Non Reaktif 1,015 6.0 Neg +2 Neg Neg Neg Neg Neg Neg dr. ALFIAN
15.2 9,456 13 46.2 435 121 26 1.01 5.4 16 28 265 238 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. SOFIA
16.1 8,154 5 47.1 389 144 33 0.85 8.5 27 44 275 273 Non Reaktif 1,025 5.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
 KANTOR KESYAHBANDARAN UTAMA TANJUNG PRIOK KANTOR KESYAHBANDARAN UTAMA TANJUNG PRIOK
PEMERIKSAAN KESEHATAN PEGAWAI PEMERIKSAAN KESEHATAN PEGAWAI
11-13 OKTOBER 2022 11-13 OKTOBER 2022
MATA PEMERIKSAAN FISIK
AMBANG DENGAR AUDIOMETRI
VISUS
No. NAMA TGL LAHIR JK BUTA Riwayat Kesehatan/Penyakit Catatan Dokter Umum Catatan Dokter Gigi EKG RADIOLOGI
TANPA KACAMATA DENGAN KACAMATA TB BB BMI STATUS BMI TD N KANAN KIRI
WARNA KANAN KIRI
KANAN KIRI KANAN KIRI 500 1k 2k 3k 4K 500 1K 2K 3K 4k
SEKSI STATUS HUKUM KAPAL 0 0
1 PURNOMO, ST., MA. 4/10/1969 NORMAL 0,16 0,3 1,0 1,0 SCALING 50 40 35 40 40 40 40 35 35 30 NORMAL SINUS RHYTHM NORMAL
2 NOVIATINI, SH, MH. 11/21/1965 NORMAL 6,6 6,6 161 52 20,1 Normal 157/91 106 SCALING, CABUT GIGI, BUAT GIGI PALSU 35 35 50 30 30 30 30 50 40 25 25 25 MID ST-T ABNORMALITY,NORMAL SINUS RHYTHM NORMAL
3 YUSRINI HARUN, Amd. 7/8/1971 NORMAL 6/7,5 6/7,5 153 67 28,6 Obesitas 180/90 70 SCALING 27.5 23.75 45 20 20 20 25 30 20 20 25 25 MID ST-T ABNORMALITY,NORMAL SINUS RHYTHM NORMAL

Aorta tampak elongatio.

Pulmo saat ini tidak tampak kelainan,
tidak tampak
4 SONY SYAFTANI PAWIKA, SE. 2/4/1975 NORMAL 0,5 1,0 SCALING, TAMBAL GIGI, BUAT GIGI PALSU 30 25 20 20 20 30 20 20 25 20 NORMAL SINUS RHYTHM bronkopneumonia/pneumonia/ TB
paru aktif.
Tidak tampak kardiomegali.

Pulmo tidak tampak kelainan, tidak

tampak bronkopneumonia/ TB paru
5 ENIKE FITRIANI 9/27/1976 NORMAL 6,6 6,6 153 79 33,7 Obesitas 155/90 81 SCALING, TAMBAL GIGI, CABUT GIGI 27.5 26.25 35 25 25 25 25 30 30 25 25 20 MILD LEFT AXIS DEVIATION NORMAL SINUS RHYTHM aktif.
Kardiomegali (CTR 53,5%) tanpa
bendungan paru.

6 ARIF RAHMAN HAKIM 12/12/1973 NORMAL 6/36 6/9 6/30 6/15 172 81 27,1 Overweight 127/71 71 RIW. OPERASI EMPEDU SCALING, TAMBAL GIGI, CABUT GIGI, BUAT GIGI PALSU 30 32.5 30 20 20 30 50 30 20 20 20 60 NORMAL SINUS RHYTHM NORMAL
7 VALENTINUS CHRISTIAWAN AKBAR HAKIM 12/21/1986 NORMAL 6/9 6/12 171 67 22,9 Normal 130/90 128 FLEK PARU,OBAT 8 BLN CABUT GIGI, BUAT GIGI PALSU 20 22.5 20 20 20 20 20 30 20 20 20 20 NORMAL SINUS RHYTHM, CANNOT RULE OUT SEPTAL INFACT LATERAL WAVE ABNORMALILTY NORMAL
8 MOH. NURIL FATUR APRILIANZAH 4/28/1997 NORMAL 6/9 6/9 166 69 25,0 Normal 114/64 73 SCALING 18.75 17.5 30 15 15 15 15 20 20 15 15 15 NORMAL SINUS RHYTHM NORMAL
SEKSI SERTIFIKASI KESELAMATAN KAPAL 0 0
Observasi Nodul opak paru kanan
bawah.
9 TITIK WAHYUNI, S.Sos., M.MTr. 10/22/1972 NORMAL 6/30 6/30 153 60 23,7 Normal 140/90 98 SCALING, TAMBAL GIGI, BUAT GIGI PALSU 32.5 40 40 25 30 35 35 45 40 40 40 35 NORMAL SINUS RHYTHM Aorta tampak elongatio.
Tidak tampak kardiomegali.

Aorta tampak elongatio.

Pulmo saat ini tidak tampak kelainan,
tidak tampak
10 SUSI RUSMANA DEWI, SE. 12/1/1966 NORMAL 6/15 6/12 155 74 30,8 Obesitas 130/80 74 SCALING, TAMBAL GIGI, BUAT GIGI PALSU 31.25 22.5 30 25 30 40 40 25 20 20 30 25 NORMAL SINUS RHYTHM bronkopneumonia/pneumonia/ TB
paru aktif.
Tidak tampak kardiomegali.

11 NASWAL, SE. 0 0

Perlu dipertimbangkan tuberkuloma

12 EKO SUPRIYANTO, ST. 12/11/1970 NORMAL 6/18 6/6 6/15 6/6 155 46 19,1 Normal 149/80 102 SCALING 25 28.75 35 25 20 20 20 40 25 25 25 25 RIGHT AXIS DEVIATION, NORMAL SINUS RYHTHM kecil di apex paru kiri.
Tidak tampak kardiomegali.

13 DONALD PARULIAN SITOMPUL 23/12/1976 L NORMAL 1.0 1.0 174 97.7 32.3 144/89 73 0 0 LEFT VENTRIKEL HYPERTROPHY NORMAL

Atherosklerosis dan elongatio aorta.

Pulmo saat ini tidak tampak kelainan,
tidak tampak
14 MASLAKAH, S.AP. 04/02/1967 L NORMAL 0.8 0.8 165 64.1 23.5 144/86 80 SCALING 40 35 35 30 35 35 25 25 25 30 NORMAL SINUS RHYTHM bronkopneumonia/pneumonia/ TB
paru aktif.
Tidak tampak kardiomegali

15 DONNY NURYACHYA, S.SiT. 6/24/1980 NORMAL 6/7,5 6,6 165 116 42,6 Obesitas 151/91 87 SCALING, CABUT GIGI, BUAT GIGI PALSU 25 21.25 25 25 15 15 35 25 20 20 20 20 NORMAL SINUS RHYTHM NORMAL

Perlu dipertimbangkan
16 AGUS HERMAWAN SUSILOHARTO, S. SiT. 26/08/1977 L NORMAL 0.2 0.8 1.0 1.0 169 94 32.9 117/78 89 0 0 NORMAL SINUS RHYTHM bronkopneumonia kanan.
Tidak tampak kardiomegali.
17 Dr. Capt. EUIS HAPPY WANGLOAN, M.Mar., MM. 5/30/1982 NORMAL 6,6 6/7,5 160 67 26,2 Overweight 110/65 88 SCALING 27.5 21.25 30 20 20 20 40 25 20 20 20 20 NORMAL SINUS RHYTHM NORMAL
18 DIRAJAYA PATUAN RUM, S.T. 10/15/1984 NORMAL 0,125 0,16 1,0 1,0 176 86.6 28.0 134/65 95 SCALING 20 20 15 15 15 25 15 15 20 25 NORMAL SINUS RHYTHM NORMAL
19 HERI, S.Si.T 10/3/1979 NORMAL 1.0 1.0 168 78.2 27.7 104/69 67 SCALING, BUAT GIGI PALSU 35 20 20 20 15 25 20 20 15 15 NORMAL SINUS RHYTHM NORMAL

Aorta tampak elongatio.

Pulmo saat ini tidak tampak kelainan,
tidak tampak
20 RIF'AT, SE. 18/05/1968 NORMAL 6/36 6/36 171 73 25,0 Normal 140/87 92 SCALING 25 25 25 20 20 30 35 25 20 20 20 35 NORMAL SINUS RHYTHM bronkopneumonia/pneumonia/ TB
paru aktif.
Tidak tampak kardiomegali.

21 HAJJAR WINNY AVIANTI, S.Kom. 9/18/1982 NORMAL 6,6 6,6 158 68 27,2 Overweight 108/70 85 SCALING 30 27.5 45 25 25 25 25 35 35 20 20 20 NORMAL SINUS RHYTHM NORMAL
22 ENCHEN NESTALUS 11/12/1966 NORMAL 6/7,5 6,6 169 74 26,9 Overweight 143/75 86 SCALING, BUAT GIGI PALSU 25 22.5 30 25 25 15 20 20 20 25 20 25 NORMAL SINUS RHYTHM NORMAL
23 FAISAL SYAYUTI, ST. 9/29/1982 NORMAL 0.5 1.0 173 86.3 28.8 132/69 71 SINUS RHYTHM LATERAL T WAVE NORMAL
24 DODY SATRYA, ST. 28/10/1984 L NORMAL 0.8 0.8 165 74.7 27.4 117/74 72 SCALING, CABUT GIGI 25 20 15 15 15 25 25 20 20 20 SINUS RHYTHM RIGHTWARD AXIS NORMAL
25 HENDRI RAMADHANI RAMSES, SE. 29/05/1985 L NORMAL 1.0 1.0 162 82.2 31.3 136/96 86 SCALING, BUAT GIGI PALSU 25 20 20 15 15 25 15 15 15 15 NORMAL SINUS RHYTHM NORMAL

Pulmo tidak tampak kelainan, tidak

tampak bronkopneumonia/ TB paru
26 RUBEN CHRISTIAN 5/2/1989 NORMAL 1.0 1.0. 173 97.2 32.5 130/77 68 NORMAL SINUS RHYTHM aktif.
Kardiomegali (CTR 51,5%) tanpa
bendungan paru.

27 ANDREAS KURNIAWAN, SH. 22/02/1982 L NORMAL 0.8 0.8 169 85.4 29.9 134/72 76 R/ OP KANTUNG EMPEDU 2004, R/ DISLIPI SCALING 25 30 25 25 30 25 20 25 20 20 NORMAL SINUS RHYTHM NORMAL
28 MUHAMMADIYAH PANJI MAULANA BUNGA, ST. 21/10/1989 L NORMAL 1.0 1.0 165 55.6 20.4 114/77 85 SCALING, TAMBAL GIGI 36.25 22.5 40 35 40 35 30 30 20 20 20 20 SINUS RHYTHM NORMAL
29 RERI FERARI, ST. 1/2/1979 NORMAL 6,6 6,6 172 77 26,0 Overweight 160/100 71 HT SCALING, BUAT GIGI PALSU 22.5 20 20 30 20 20 20 20 20 20 20 20 SINUS ARRYTAMIA, DEMAND ATRIAL PACING ST JUNTINAL DEPOSITION IS NM SPESIFIK NORMAL

Pulmo tidak tampak kelainan, tidak

tampak bronkopneumonia/ TB paru
aktif.
30 HANNA FITRIANI 5/6/1987 NORMAL 6/7,5 6,6 165 110 40,4 Obesitas 110/66 76 SCALING, TAMBAL GIGI, CABUT SISA AKAR 23.75 27.5 30 25 20 20 20 45 25 20 20 20 MILD ST- T ABNORMALITY, NORMAL SINUS RHYTHM Kardiomegali (CTR 53,5%) tanpa
bendungan paru.
Elongatio aorta.

31 SUDIGNO 8/31/1979 NORMAL 6,6 6,6 169 68 23,8 Normal 141/92 99 RIWAYAT DM SCALING,TAMBAL GIGI, CABUT GIGI, BUAT GIGI PALSU 27.5 22.5 35 25 25 25 25 25 20 25 25 20 NORMAL SINUS RHYTM NORMAL
32 GINA REGIANA, A.Md. 9/16/1984 NORMAL 6/36 6,6 155 68 28,3 Obesitas 125/75 78 SCALING 21.25 17.5 25 20 20 20 20 25 15 15 15 15 NORMAL SINUS RHYTM NORMAL
33 RIFKY MARIO SHANDY 0 0
34 FAJAR FITRINANDO 5/3/1989 NORMAL 0.4 0.4 180 93.1 28.7 134/85 75 NORMAL SINUS RHYTHM NORMAL
SEKSI PENCEGAHAN PENCEMARAN DAN KESELAMATAN KAPAL 0 0
35 DESSIE INDAH FATMAWATI, S.Si.T. 12/12/1982 NORMAL 6,6 6,6 158 80 32 Obesitas 130/90 93 SCALING, BUAT GIGI PALSU 32.5 25 45 35 25 25 25 30 30 20 20 20 NORMAL SINUS RHYTHM NORMAL

Os clavicula dekstra 1/3 tengah, os

costa 5 dan 7 kanan aspek posterior
tampak deformitas-->sugestif post
fracture.
36 IBRIYANTO 9/13/1976 NORMAL 6,6 6,6 173 89 29,7 Obesitas 130/79 83 SCALING 41.25 28.75 35 35 30 30 65 25 25 20 25 45 SINUS RHYTHM , DEMAND ATRIAL PACING LATERAL INFARCT Pulmo saat ini tidak tampak kelainan,
tidak tampak
bronkopneumonia/pneumonia/TB paru
aktif.
Tidak tampak kardiomegali.

37 ROY FRANSISKUS SITORUS 27/10/1978 L NORMAL 1.0 1.0 169 87 30.5 139/81 73 SCALING 23.75 22.5 30 25 20 20 20 25 25 20 20 20 NORMAL SINUS RHYTHM NORMAL
38 SINGGIH DWI RAHARJO, A.Md. 10/23/1979 NORMAL 1.0 1.0 161 75.8 25.5 142/84 70 SCALING, TAMBAL GIGI 21.25 21.25 25 25 20 15 15 20 20 20 25 25 NORMAL
39 MERYANTA S., SE. 8/9/1973 NORMAL 6,6 6/9 155 74 30,8 Obesitas 140/80 72 SCALING 31.25 35 25 30 40 40 30 35 30 35 45 40 NORMALSINUS RHYTHM NORMAL
40 RADEN TAUFIK, ST. 3/27/1985 NORMAL 1.0 1.0 179 76.7 23.5 117/78 73 SCALING, CABUUT GIGI 20 13.75 25 15 15 10 25 20 10 10 10 15 NORMAL SINUS RHYTHM NORMAL
41 ALI ROHADI 4/12/1989 NORMAL 0.4 0.5 180 78.1 24.1 128/73 65 SCALING, CABUUT GIGI 12.5 17.5 15 15 10 10 10 20 20 15 10 15 NORMAL SINUS RHYTHM NORMAL
42 ALOIN DWINDA YULIA RESTANTI, SE. 7/14/1977 NORMAL 6,6 6,6 157 63 25,6 Overweight 115/60 82 SCALING, CABUT GIGI, BUAT GIGI PALSU 27.5 23.75 40 30 20 20 20 30 20 20 20 25 NORMALSINUS RHYTHM NORMAL
43 PRISKA CEILA 10/27/1992 NORMAL 6,6 6,6 155 80 33,3 Obesitas 100/76 81 SCALING, TAMBAL GIGI, BUAT GIGI PALSU 22.5 22.5 30 20 20 20 20 30 20 20 20 20 NORMALSINUS RHYTHM NORMAL
 KANTOR KESYAHBANDARAN UTAMA TANJUNG PRIOK
PEMERIKSAAN KESEHATAN PEGAWAI
11-13 OKTOBER 2022
LABORATORIUM
MASALAH KESEHATAN ADVICE DOKTER KESIMPULAN NAMA DOKTER PEMERIKSA
HEMATOLOGI KIMIA DARAH IMUNOLOGI URINALISA NARKOBA 5
Hb Leu LED Hct Trom GDP Ureum Cre UA AST ALT Chol Trig HbSAg BJ Urine PH Urine Glu Pro Bil Ket Uro Blood Leu PARAMETER

16.1 6,125 15 38.2 251 194 37 1.01 4.7 19 34 212 87 Non Reaktif 1,015 6.0 Neg +1 Neg Neg Neg Neg Neg Neg 10-04-1969 DR. SOFIA
13.6 8,410 28 40.8 233 120 31 0.95 5.8 19 26 153 53 Non Reaktif 1,010 5.0 Neg Neg Neg Neg Neg Neg Neg Neg 21-11-1965 DR MUGI
12.9 7,700 68 38.7 379 114 19 0.79 4.9 23 46 224 123 Non Reaktif 1,015 8.0 Neg +1 Neg Neg Neg Neg Neg Neg 08-07-1971 DR WAGNER

13.6 7,156 2 41.5 354 103 22 1.05 6.4 24 50 174 112 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg 04-02-1975 DR. ALFIAN

12.4 8,120 16 37.2 258 117 32 0.82 6.8 17 31 179 161 Non Reaktif 1,020 5.0 Neg Neg Neg Neg Neg Neg Neg Neg 27-09-1976 DR WAGNER

14.8 7,770 36 44.4 191 81 20 0.92 4.5 22 61 213 204 Non Reaktif 1,010 7.0 Neg Neg Neg Neg Neg Neg Neg Neg 12-12-1973 DR MUGI
14.8 9,200 71 44.4 389 87 19 1.07 4.4 50 36 183 145 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg 22-12-1986 DR WAGNER
13.1 5,870 20 39.3 305 109 20 1.00 5.8 39 44 183 137 Non Reaktif 1,025 6.5 Neg Neg Neg Neg Neg Neg Neg Neg 28-08-1997 DR WAGNER

14.1 6,740 45 42.3 370 98 22 0.64 3.9 23 24 169 78 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg 22-10-1972 DR WAGNER

13.4 6,320 40 40.2 350 102 33 0.71 3.6 24 50 235 187 Non Reaktif 1,015 6.5 Neg Neg Neg Neg Neg Neg Neg Neg 01-12-1966 DR WAGNER

15.2 7,120 38 45.6 332 131 18 0.80 4.7 29 53 230 116 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg 11-12-1970 DR WAGNER

15.1 8,971 5 42.1 295 126 24 1.03 6.1 24 62 119 96 Non Reaktif 1,015 6.5 Neg Neg Neg Neg Neg Neg Neg Neg 23-12-1976 DR. ALFIAN

16.1 7,080 10 50.2 242 145 30 1.06 6.3 29 26 200 109 Non Reaktif 1,030 7.0 Neg Neg Neg Neg Neg Neg Neg Neg 04-02-1970 DR. RAHAYU EVI

16.3 7,330 22 48.9 243 141 23 0.88 7.9 22 57 238 206 Non Reaktif 1,010 6.0 Neg Neg Neg Neg Neg Neg Neg Neg 24-06-1980 DR MUGI

16.1 6,830 16 46.9 211 98 20 0.83 5.5 34 70 224 185 Non Reaktif 1,020 7.0 Neg Neg Neg Neg Neg Neg Neg Neg 26-08-1977 DR. SOFIA

11.4 9,010 58 34.2 477 118 17 0.56 3.6 16 20 220 67 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg 30-05-1982 DR MUGI
13.6 9,145 14 36.1 321 118 23 0.88 6.4 28 57 214 46 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg 15-10-1984 DR. SOFIA
16.5 9,455 16 41.1 420 120 28 1.10 6.0 23 37 208 101 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg 03-10-1979 DR. SOFIA

13.2 7,450 12 39.6 222 113 17 1.03 6.3 19 36 262 204 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg 18-05-1968 DR WAGNER

11.2 8,990 50 33.6 316 116 23 0.59 5.4 21 36 208 113 Non Reaktif 1,020 7.0 Neg +1 Neg Neg Neg Neg Neg Neg 18-09-1982 DR WAGNER
16.2 8,960 12 48.6 180 112 28 0.99 5.2 26 19 240 102 Non Reaktif 1,030 5.0 Neg Neg Neg Neg Neg Neg Neg Neg 12-11-1966 DR MUGI
15.1 7,111 15 45.6 297 123 33 0.92 7.0 21 44 245 95 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg 29-09-1982 DR. SOFIA
15.9 8,461 16 49.1 188 119 15 0.97 5.0 16 32 199 84 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg 28-10-1984 DR. MEI
15.7 6,791 14 44.3 261 95 24 0.69 4.4 27 60 171 209 Non Reaktif 1,025 6.5 Neg Neg Neg Neg Neg Neg Neg Neg 29-05-1985 DR. RAHAYU EVI

16.2 8,614 2 41.6 299 123 26 1.09 8.2 29 58 207 133 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg 05-05-1989 dr. SOFIA

16.1 8,151 9 47.4 371 57 24 0.97 6.0 61 185 160 313 Non Reaktif 1,025 6.0 Neg Neg Neg Neg Neg Neg Neg Neg 22-02-1982 DR. MEI
14.9 6,145 9 40.6 310 106 24 0.87 2.8 16 27 224 73 Non Reaktif 1,010 6.0 Neg Neg Neg Neg Neg Neg Neg Neg 21-10-1989 DR. SOFIA
15.6 7,410 38 46.8 209 120 15 0.98 5.6 32 30 193 76 Non Reaktif 1,010 7.0 Neg Neg Neg Neg Neg Neg Neg Neg 02-01-1979 DR WAGNER

13.8 6,470 12 41.4 166 123 15 0.43 5.4 52 42 155 136 Non Reaktif 1,015 6.5 Neg Neg Neg Neg Neg Neg Neg Neg 06-05-1987 DR WAGNER

14.9 7,760 50 44.7 215 120 21 0.93 2.7 25 43 220 143 Non Reaktif 1,010 6.0 Neg Neg Neg Neg Neg Neg Neg Neg 31-08-1979 DR MUGI
13.5 5,320 50 40.5 309 118 28 0.69 4.8 17 21 181 119 Non Reaktif 1,015 6.5 Neg Neg Neg Neg Neg Neg Neg Neg - DR MUGI

15.1 7,641 16 41.6 315 120 19 0.94 7.6 20 47 257 180 Non Reaktif 1,030 7.0 Neg Neg Neg Neg Neg Neg Neg Neg 03-05-1989 dr. SOFIA

11.5 7,600 38 34.5 468 123 25 0.63 3.6 11 26 248 116 Non Reaktif 1,015 6.0 Neg +1 Neg Neg Neg Neg Neg Neg 12-12-1982 DR WAGNER

14.7 7,130 17 44.1 424 111 25 0.85 6.3 14 34 234 178 Non Reaktif 1,010 6.0 Neg Neg Neg Neg Neg Neg Neg Neg 13-09-1976 DR WAGNER

16.2 8,145 13 41.2 415 127 35 0.98 6.8 26 44 246 179 Non Reaktif 1,030 6.0 Neg Neg Neg Neg Neg Neg Neg Neg 21-10-1978 DR. SOFIA
14.1 9,145 14 45.1 411 131 29 1.09 6.2 35 63 277 777 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg 23-10-1979 DR. ALFIAN
12.4 4,900 40 37.2 338 109 23 0.70 3.4 19 21 213 67 Non Reaktif 1,010 6.0 Neg Neg Neg Neg Neg Neg Neg Neg 09-08-1975 DR WAGNER
15.2 7,145 36 39.1 387 105 28 1.09 5.7 24 37 200 106 Reaktif 1,010 6.0 Neg +1 Neg Neg Neg Neg Neg Neg 27-03-1985 DR. WAGNER
16.1 6,154 21 41.5 375 122 26 1.00 7.2 15 19 166 52 Non Reaktif 1,020 7.0 Neg Neg Neg Neg Neg Neg Neg Neg 12-04-1989 DR. WAGNER
14.3 6,510 25 42.9 255 110 23 0.80 4.2 18 20 170 181 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg 14-07-1977 DR MUGI
13 10,150 6 39 374 107 17 0.58 4.6 24 34 196 97 Non Reaktif 1,025 6.5 Neg Neg Neg Neg Neg Neg Neg Neg 27-10-1992 DR WAGNER
 KANTOR KESYAHBANDARAN UTAMA TANJUNG PRIOK KANTOR KESYAHBANDARAN UTAMA TANJUNG PRIOK
PEMERIKSAAN KESEHATAN PEGAWAI PEMERIKSAAN KESEHATAN PEGAWAI
11-13 OKTOBER 2022 11-13 OKTOBER 2022
MATA PEMERIKSAAN FISIK
AMBANG DENGAR AUDIOMETRI
VISUS
No. NAMA TGL LAHIR JK Riwayat Kesehatan/Penyakit Catatan Dokter Umum Catatan Dokter Gigi EKG RADIOLOGI
BUTA WARNA TANPA KACAMATA DENGAN KACAMATA TB BB BMI STATUS BMI TD N KANAN KIRI
KANAN KIRI
KANAN KIRI KANAN KIRI 500 1k 2k 3k 4K 500 1K 2K 3K 4k
SEKSI PENJAGAAN 0 0
1 HARIO WIBOWO SUPRIYADI, MM. 06/11/1977 L NORMAL 0.16 0.125 0.5 0.5 161 72.9 28.7 129/78 95 SCALING, CABUT GIGI, BUAT GIGI PALSU 25 20 20 20 25 20 20 20 30 30 NORMAL SINUS RHYTHM NORMAL
2 PUJIANTO, SE.
3 MAROSAS PANANGIAN GULTOM 13/11/1971 L NORMAL 1.0 1.0 161 72.8 28.1 156/90 85 R/ HT SCALING, BUAT GIGI PALSU 25 25 20 20 20 25 20 20 20 25 NORMAL SINUS RHYTHM NORMAL
4 Capt. DESSY JUMIARTISA, M.Mar. 31/12/1976 P NORMAL 0.4 0.3 0.6 0.6 163 62.3 23.4 113/73 84 BATUK +- 1 MINGGU SCALING, BUAT GIGI PALSU 35 35 25 20 25 30 25 20 15 15 NORMAL SINUS RHYTHM NORMAL

Hydropneumothoraks kanan (dd/

Large bulla yang terinfeksi), disertai
5 MUGI PRAYITNO, SE. 19/08/1969 L NORMAL 0.5 0.5 173 75.8 25.3 110/56 98 SCALING, CABUT GIGI, BUAT GIGI PALSU 25 20 30 50 55 30 20 50 55 50 SINUS RHYTHM LEFTWARD AXIS atelektasis kompresif paru kanan).
Saran: bila perlu CT scan thoraks.
Tidak tampak kardiomegali

6 ABD RACHMAN, SE.

Aorta tampak Sedikit elongatio.

Pulmo saat ini tidak tampak
kelainan, tidak tampak
7 RADEN ABDUL MUTOLIP, SE. 12/05/1970 L NORMAL 0.8 0.8 160 69.4 27.1 143/97 95 SCALING, CABUT GIGI, BUAT GIGI PALSU 35 30 25 20 30 30 25 20 25 30 NORMAL SINUS RHYTHM bronkopneumonia/pneumonia/ TB
paru aktif.
Tidak tampak kardiomegali.

8 SAMUEL LUMBAN GAOL, SST. 9/25/1981 NORMAL 0.6 0.6 164 94 34.9 146/99 114 SCALING, BUAT GIGI PALSU 35 35 30 30 25 30 30 30 25 25 NORMAL SINUS RHYTHM NORMAL

Atherosklerosis aorta.
Pulmo saat ini tidak tampak
kelainan, tidak tampak
9 MUNARDI, A.Md. 12/4/1968 NORMAL 6/6 6/6 171 65 22,2 117/83 80 SCALING, CABUT SISA AKAR, TAMBAL GIGI, BUAT GIGI PALSU 35.75 28.75 53 30 30 30 30 30 30 25 35 30
ANTEROSEPTAL INFERCTION =, LENTRICULAR PREMATURE SINUS RHYTHMbronkopneumonia/pneumonia/ TB
paru aktif.
Tidak tampak kardiomegali.

10 RIZKI SUSLA PUTRA, S.AP. 23/08/1983 L NORMAL 1.0 1.0 175 92 30.0 137/83 81 IMPAKSI GIGI 25 20 15 15 15 20 20 20 15 15 SINUS RHYTHM LEFTWARD AXIS BODERLINE ECG NORMAL

Tb paru bilateral lama aktif dengan

fibrosis (mohon korelasi klinis/
lab.).Penebalan pleura kanan atas
11 ASWADI, SH. 15/06/1965 L NORMAL 0.4 0.5 156 66.2 27.2 120/80 95 SCALING, CABUT GIGI, BUAT GIGI PALSU 25 30 20 20 25 30 25 25 30 30 NORMAL SINUS RHYTHM lateral.
Aorta tampak sedikit elongatio.
Tidak tampak kardiomegali.

12 JAKA HARYAMTA 13/12/1968 L NORMAL 0.125 0.125 0.8 0.8 171 85.1 29.1 150/90 81 R/ PATAH JARI TENGAH, R/ COVID, R/ HT,DISLIP SCALING, CABUT GIGI, TAMBEL GIGI 25 30 25 25 30 25 20 20 20 20 SINUS RHYTHM T WAVE ABNORMALITY NORMAL

Pulmo bilateral saat ini tidak

tampak kelainan, tidak tampak
infiltrat.
13 LAMBOK SIHOMBING 06/08/1972 L NORMAL 1.0 1.0 170 84.7 29.3 121/78 100 SCALING, CABUT GIGI 25 20 25 20 20 25 15 15 25 25 NORMAL SINUS RHYTHM Tidak tampak kardiomegali.
Vertebra thorakalis tampak sedikit
lateralisasi ke kanan.

14 PUJIYONO, SE. 8/20/1976 NORMAL 0.8 0.6 175 94 31.9 145/84 92 SCALING 30 30 25 25 30 30 30 30 30 35 NORMAL SINUS RHYTHM NORMAL
15 BUDI YULIANTO 0 0
16 DIAN PERMANA PUTRA, ST. 06/04/1976 L PARTIAL 1.0 1.0 169 76.2 26.7 133/72 88 SCALING, CABUT GIGI 25 15 10 15 30 15 15 15 15 20 NORMAL SINUS RHYTHM NORMAL
17 HOTLER SIMBOLON, S.Pel. 17/12/1979 L NORMAL 1.0 1.0 165 90.8 33.4 170/110 89 SCALING, CABUT GIGI, BUAT GIGI PALSU 25 25 20 15 20 25 25 20 20 30 NORMAL SINUS RHYTHM NORMAL
18 RUDI WARTONO, S.Pd. 28/05/1983 L NORMAL ~ ~ 1.0 1.0 173 61.7 20.6 127/76 74 SCALING, CABUT GIGI 35 30 25 20 20 30 20 15 15 20 SINUS RHYTHM Rsr(v1) probalbe normal variant normal ECG NORMAL

Kardiomegali (CTR 51,5%) tanpa

bendungan paru.
Aorta tampak elongatio.
19 SUDIRMAN 4/25/1965 NORMAL 0.6 0.3 153 68.3 29.2 128/68 62 SCALING, BUAT GIGI PALSU 40 40 45 50 40 55 55 50 40 35 NORMAL SINUS RHYTHM Pulmo saat ini tidak tampak
kelainan, tidak tampak
bronkopneumonia/pneumonia/ TB
paru aktif.

20 HERMAN SUKRI 0 0
21 HERU SUCIPTO 0 0
22 HERY WINARNO 10/10/1970 L NORMAL 1.0 0.8 161 74.6 28.8 126/90 97 SCALING, CABUT GIGI, TAMBAL GIGI, BUAT GIGI PALSU 25 30 30 30 25 35 30 25 25 20 SINUS TACHYCARDIA NORMAL
23 MEGA SUKARNO 0 0
24 MOCH ZAENUDDIN 0 0

Aorta tampak elongatio.

Pulmo saat ini tidak tampak
kelainan, tidak tampak
25 MOCHAMMAD SISWANTORO 13/01/1971 L NORMAL 0.6 0.5 176 87.3 28.2 130/83 115 SCALING, CABUT GIGI, BUAT GIGI PALSU 30 30 25 20 20 35 30 30 40 25 SINUS TACHYCARDIA, INFERIOR ST-T ABNORMALITY IS NONSPECIFIC bronkopneumonia/pneumonia/ TB
paru aktif.
Tidak tampak kardiomegali.

26 PUJIYONO, SE. 0 0
Perlu dipertimbangkan Tb paru
kanan aktif.
27 ZAENAL ARIFIN 31/10/1966 L NORMAL 0.6 0.6 165 61.8 22.7 131/89 83 SCALING, CABUT GIGI, BUAT GIGI PALSU 35 30 20 25 20 25 20 20 25 30 NORMAL SINUS RHYTHM Aorta tampak sedikit elongatio
Tidak tampak kardiomegali
28 MATASAN 02/09/1967 L NORMAL 0.6 0.6 167 65.4 23.5 156/83 121 R/ HT SCALING, CABUT GIGI, BUAT GIGI PALSU 30 25 20 20 20 25 20 20 20 25 SINUS TACHYCARDIA NORMAL

Sugestif fibrosis dengan

tuberkuloma kecil di paru kiri atas.
29 NASKAN 03/08/1968 L NORMAL 1.0 1.0 167 55.9 20.0 129/64 110 SCALING, CABUT GIGI, BUAT GIGI PALSU 25 30 30 25 25 25 25 20 20 25 NORMAL SINUS RHYTHM Atherosklerosis aorta.
Tidak tampak kardiomegali

30 SUKUR 0 0
31 WAHIDIN 0 0

Aorta tampak elongatio.

Pulmo saat ini tidak tampak
kelainan, tidak tampak
32 SJAMSUL ABDILLAH 4/5/1972 NORMAL 0.8 0.8 168 129 45.6 174/114 88 SCALING, CABUT GIGI, BUAT GIGI PALSU 30 25 25 20 20 35 35 30 20 25 NORMAL SINUS RHYTHM bronkopneumonia/pneumonia/ TB
paru aktif.
Tidak tampak kardiomegali.

Pneumonia kiri sugestif disertai

33 M. JEFRI DJAFAR, SH 5/13/1977 NORMAL 1.0 0.8 165 57.4 21.1 118/70 97 SCALING, BUAT GIGI PALSU 35 30 30 30 25 55 50 50 45 50 NORMAL SINUS RHYTHM pneumatocele.
Tidak tampak kardiomegali
Sugestif Tb paru kanan aktif.
34 SURYADI 14/01/1969 L NORMAL 1.0 1.0 170 65.7 22.7 114/69 83 SCALING, CABUT GIGI, BUAT GIGI PALSU 60 60 50 55 45 35 30 20 30 55 normal sinus rhythm Tidak tampak kardiomegali.
35 TRIMO NORMAL 0,5 0,4 SCALING, CABUT GIGI, BUAT GIGI PALSU 30 30 25 25 30 30 25 25 30 35 NORMAL SINUS RHYTHM NORMAL
36 VICTORVALIAN THENU 0 0
37 INDAH KEMALA SARI, A.Md. 14/10/1987 P NORMAL 0.6 0.4 156 61.7 26.4 120/72 81 SPACE KECIL 30 25 20 20 20 30 20 20 25 25 SINUS RHYTHM NORMAL
Suspek tuberkuloma kecil di paru
38 IIN INDARSIH, SE. 15 November 1977 P NORMAL 1.0 1.0 156 68.2 28.0 109/61 70 SCALING, BUAT GIGI PALSU 35 30 30 30 25 25 20 25 25 20 NORMAL SINUS RHYTHM kiri atas.
Tidak tampak kardiomegali
39 DJAENUDDIN 05/09/1969 L NORMAL 0.16 0.16 167 58.9 21.1 116/77 96 SCALING, TAMBAL GIGI, CABUT GIGI 25 35 30 25 25 30 25 30 25 25 NORMAL SINUS RHYTHM NORMAL

Perlu dipertimbangkan Tb paru

40 ANTO PRIYADI 08/11/1983 L NORMAL 1.0 1.0 161 61.1 23.6 TIDAK DITULIS SCALING 25 20 20 25 25 25 20 25 55 50 NORMAL SINUS RHYTHM kanan (mohon korelasi klinis/ lab.).
Tidak tampak kardiomegali

41 TRI HANDAYANI 13/04/1991 P NORMAL 0.1 0.125 161 88.2 34.0 128/77 93 SCALING, CABUT GIGI, BUAT GIGI PALSU 35 30 20 20 20 30 20 15 20 20 NORMAL SINUS RHYTHM NORMAL
42 DWIPO YUDONO OKTAVIANU 10/25/1978 NORMAL 6/6 6/7,5 170 71 24,6 Normal 130/80 86 SCALING, TAMBAL GIGI, CABUT GIGI 31.25 25 40 25 25 50 35 25 25 25 25 25 NORMALSINUS RHYTHM NORMAL
43 ABDUL HADI 0 0
44 YEN ANTHONY SEFNAT SINAGA 28/12/1979 L NORMAL 1.0 0.5 157 82.5 33.5 128/84 105 SCALING, CABUT GIGI, BUAT GIGI PALSU 25 20 25 25 20 30 20 20 25 30 NORMAL SINUS RHYTHM NORMAL
45 RUSTAM 0 0
46 HERU SUMARNO 07/08/1988 L NORMAL 0.2 0.2 155 60.5 25.2 127/79 100 SCALING, CABUT GIGI 30 25 25 25 30 35 30 25 30 30 SINUS TACHYCARDIA, LEFTWARD AXIS BODERLINE ECG.. NORMAL
47 SIRHAN 0 0
48 PANDJI BROTO SUDARMO 0 0
Tb paru kiri aktif.
49 SANTUS SIANIPAR 26/01/1968 L NORMAL 0.4 0.5 165 55.7 20.5 118/73 85 SCALING, BUAT GIGI PALSU 35 30 25 25 20 30 25 30 25 30 NORMAL SINUS RHYTHM Tidak tampak kardiomegali
50 THERESIA JULIANA 21/07/1991 P NORMAL ~ ~ 0.4 0.5 156 88.9 36.5 107/70 81 SCALING, CABUT GIGI, TAMBAL GIGI 25 25 20 20 15 20 25 20 15 15 NORMAL SINUS RHYTHM NORMAL

Os clavicula dekstra 1/3 tengah

tampak deformitas-->sugestif post
fracture.
Pulmo saat ini tidak tampak
51 INDRA WIDIANTO 11/5/1968 NORMAL 6/9 6/9 172 96,8, 32,4 Obesitas 133/77 84 SCALING, TAMBAL GIGI, BUAT GIGI PALSU 36.25 42.5 35 30 35 40 45 35 45 40 50 50 NORMAL SINUS RHYTHM kelainan, tidak tampak
bronkopneumonia/pneumonia/TB
paru aktif.
Tidak tampak kardiomegali.

52 E. SUPRIYONO 0 0
53 WAHYUDIN 0 0
SEKSI PATROLI 0 0
54 DJOKO ANOMPEN, SH. 0 0

Kardiomegali (CTR 51,5%) tanpa

bendungan paru.
Atherokslrosis aorta dan elongatio
aorta.
55 RUSNAN, SE. 24/03/1966 L NORMAL 0.8 0.5 163 71.4 26.8 169/120 101 SCALING, BUAT GIGI PALSU 30 30 25 20 20 25 25 20 25 20 SINUS TACHYCARDIA NORMAL ECG Pulmo saat ini tidak tampak
kelainan, tidak tampak
bronkopneumonia/pneumonia/ TB
paru aktif

Atherosklerosis aorta.
Pulmo saat ini tidak tampak
kelainan, tidak tampak
56 TEGUH PRIYONO 06/06/1971 L NORMAL 0.8 1.0 169 79.1 27.7 162/97 94 R/ COVID, R/ DISLIP, R/ OP KTG EMPEDU SCALING, SABUT GIGI, TAMBAL GIGI, BUAT GIGI BARU 25 20 20 15 15 30 20 15 15 15 NORMAL SINUS RHYTHM bronkopneumonia/pneumonia/ TB
paru aktif.
Tidak tampak kardiomegali

Tb paru bilateral aktif.

57 UDI SUPRIYATTO, SE. 10/11/1965 L NORMAL 0.5 0.5 158 56.5 22.6 164/93 85 R/ DM 2011 TERKONTROL,R/ HT TERKONTROL SCALING, CABUT GIGI, BUAT GIGI PALSU 25 20 20 25 25 30 20 25 45 40 NORMAL SINUS RHYTHM Tidak tampak kardiomegali.
58 BUGI SETYONO, SE. 21/09/1972 L NORMAL 0.6 0.8 172 77.6 26.2 118/80 77 SCALING, CABUT GIGI, BUAT GIGI PALSU 30 25 25 25 30 30 20 20 20 20 NORMAL SINUS RHYTHM NORMAL
59 INDRATMO HUMUGI, S.Sos. 0 0
60 JUNAIDI, SH 0 0
61 ARBEST SIMAMORA, S.Pel. 0 0
62 IKHSAN 20/10/1967 L NORMAL 0.5 0.3 161 61.5 23.7 123/84 90 SCALING, BUAT GIGI PALSU 35 35 35 50 45 35 40 40 45 45 SINUS RHYTHM POSSIBLE LEFT ANTERIOR FASCULAR BLOCK NORMAL

Apex paru kanan tampak infiltrat

63 SURYANA, SE. 14/09/1968 L NORMAL 1.0 1.0 165 82.6 30.3 90/53 56 R/ COVID 2020 SCALING, BUAT GIGI PALSU 35 30 25 45 45 25 20 25 40 60 NORMAL SINUS RHYTHM tipis, Sugestif Tb paru kanan aktif.
Tidak tampak kardiomegali

64 ANSYAR 0 0
65 SYARIFUDDIN, SE. 31/12/1970 L NORMAL 0.8 1.0 174 86.8 28.7 164/91 87 SCALING, CABUT GIGI, BUAT GIGI PALSU 30 20 15 20 25 25 20 25 20 20 NORMAL SINUS RHYTHM NORMAL

Aorta tampak elongatio.

Pulmo saat ini tidak tampak
kelainan, tidak tampak
66 DUSMA, SE 14/07/1971 L NORMAL 0.2 0.3 159 67.6 26.7 148/92 108 R/ DM 2010, R/ HT SCALING, SABUT GIGI, TAMBAL GIGI, BUAT GIGI BARU 30 30 25 25 25 30 35 35 30 30 SINUS RHYTHM INFERIOR INFARCT bronkopneumonia/pneumonia/ TB
paru aktif.Tidak tampak
kardiomegali

Atherosklerosis aorta.
Pulmo saat ini tidak tampak
kelainan, tidak tampak
67 SUDIYONO 15/10/1970 L NORMAL 0.8 0.8 154 63.4 26.7 155/88 77 SCALING, BUAT GIGI PALSU 30 25 20 25 30 35 30 25 30 30 NORMAL SINUS RHYTHM bronkopneumonia/pneumonia/ TB
paru aktif.
Tidak tampak kardiomegali

68 YAN GUNAWAN, ST. 30/06/1978 L NORMAL ~ 1.0 167 73.6 26.4 113/66 83 SCALING 25 20 15 15 15 20 20 15 15 15 NORMAL SINUS RHYTHM NORMAL

Os clavicula kanan 1/3 tengah

tampak deformitas.
Bronkopneumonia kanan (mohon
69 ABDUL PUJA TRISNA 07/09/1969 L NORMAL 1.0 0.8 171 59.5 20.2 139/83 88 SCALING, TAMBAL GIGI, BUAT GIGI PALSU 45 40 30 35 35 25 20 20 20 25 NORMAL SINUS RHYTHM korelasi klinis/ lab.).
Atherosklerosis dan elongatio
aorta.Tidak tampak kardiomegali

70 DARWIN 19/06/1968 L NORMAL 0.8 0.5 1.0 0.5 163 66 24.8 142/95 78 SCALING, CABUT GIGI, BUAT GIGI PALSU 25 25 30 25 30 50 45 45 35 40 SINUS RHYTHM INFERIOR T WAVE ABNORMALITY NORMAL
71 DARYANTO 0 0
72 DEDI SUPRIYADI R. 29/04/1972 L NORMAL 0.6 0.8 154 69.4 29.3 149/77 99 R/ CHOL 3 THN YG LALU SCALING, CABUT GIGI 30 25 20 25 45 30 25 20 30 50 NORMAL SINUS RHYTHM NORMAL

Aorta tampak elongatio.

Pulmo saat ini tidak tampak
kelainan, tidak tampak
73 ISMED DARUSSALAM 29/02/1968 L NORMAL 0.6 0.6 170 107 36.9 157/91 101 SCALING, CABUT GIGI, BUAT GIGI PALSU 30 25 25 20 20 25 20 20 30 25 SINUS RHYTHM INFERIOR T WAVE ABNORMALITY. bronkopneumonia/pneumonia/ TB
paru aktif.
Tidak tampak kardiomegali

74 JUBAIDI 0 0
75 KUSMIATUN 05/03/1967 P NORMAL 0.6 0.4 153 73.8 31.5 157/87 110 R/ HT 2018,R/ OP PAYUDARA KANAN SCALING, CABUT GIGI, BUAT GIGI PALSU 40 35 35 30 30 35 25 25 25 30 NORMAL SINUS RHYTHM NORMAL
76 YOBI ABRAHAM VIOLA 24/07/1967 L NORMAL 0.3 0.3 0.6 0.8 172 68.4 23.1 127/63 81 SCALING, CABUT GIGI, BUAT GIGI PALSU 25 20 20 25 20 30 25 25 30 25 NORMAL SINUS RHYTHM NORMAL
77 EKO SULARSO 0 0
78 MASKORI 14/10/1969 L NORMAL 0.16 0.2 169 77.0 27.0 104/67 83 SCALING, BUAT GIGI PALSU 30 20 25 20 15 25 20 20 15 20 NORMAL SINUS RHYTHM NORMAL
79 SUPARDI 0 0
80 ADY SURYONO, SE. 0 0
81 MULJONO 18/09/1967 L NORMAL 0.4 0.8 159 57.1 22.9 117/78 89 R/ COVID SCALING, CABUT GIGI, BUAT GIGI PALSU 20 20 20 25 25 25 25 30 30 25 NORMAL SINUS RHYTHM NORMAL

Sugestif TB paru bilateral lama aktif

disertai multiple tuberkuloma dan
82 MAHMUD 14/06/1970 L PARTIAL ~ ~ 0.6 0.6 151 62.8 27.5 172/79
R/ HT90
TAK TERKONTROL 2020, R/ SKOLIOSIS, R/ TB 2009, R/ DM 2022 MARET SCALING, CABUT GIGI, BUAT GIGI PALSU 60 60 40 45 40 50 45 40 40 50 NORMAL SINUS RHYTHM fibrosis.
Elongatio aorta.
Tidak tampak kardiomegali

83 CECEP SOPYAN, SE. 18/03/1972 L NORMAL 0.6 0.6 167 65.5 23.5 132/89 83 SCALING, CABUT GIGI, BUAT GIGI PALSU 35 30 25 30 35 40 35 40 35 40 NORMAL SINUS RHYTHM NORMAL
84 HAERUL SALIM 20/07/1971 L NORMAL 1.0 0.8 163 68.9 25.9 140/88 116 SCALING, CABUT GIGI, BUAT GIGI PALSU 25 25 25 30 25 20 20 25 30 30 SINUS TACHYCARDIA NORMAL
85 SOLIKIN 11/3/1969 NORMAL 6/6 6/7,5 173 82 27,4 Overweight 160/90 123 SCALING, CABUT GIGI 27.5 25 25 25 20 20 40 25 20 20 25 35COMPLETE RBBB, MARKED RISULT AXIS DEVIA, NORMAL SINUS RHYTHM NORMAL
86 II RIVAI 0 0
87 SUPARDJA 10/09/1965 L NORMAL 1.0 0.6 173 76 25.4 120/76 61 R/ BAK SEDIKIT (BPH), R/ OP SCALING, CABUT GIGI, BUAT GIGI PALSU 20 20 20 20 15 30 30 25 25 15 NORMAL SINUS RHYTHM NORMAL
88 KUSDIJANTA, SE. 9/29/1969 NORMAL 1.0 1.0 161 80.7 31.1 125/80 80 SCALING, CABUT GIGI, BUAT GIGI PALSU 35 30 30 35 30 25 20 25 25 30 NORMAL SINUS RHYTHM NORMAL
89 REDJO SUARDI 20/11/1969 L NORMAL 0.3 0.4 165 77.2 28.4 120/60 83 R/ OP SINUS SCALING 35 30 30 35 50 40 35 50 65 50 NORMAL SINUS RHYTHM NORMAL

Atherosklerosis aorta.
Pulmo saat ini tidak tampak
kelainan, tidak tampak
90 SAHLAN BAIDILAH 6/23/1970 NORMAL 6/9 6/12 159 76 30,1 Obesitas 170/80 92 SCALING, CABUT GIGI, BUAT GIGI PALSU 25 56.25 35 20 20 20 25 50 60 50 55 65 NORMAL SINUS RHYTHM bronkopneumonia/pneumonia/ TB
paru aktif.
Tidak tampak kardiomegali.

91 SUPRIYANTO 24/06/1975 L NORMAL 0.6 0.8 164 75.5 28.1 114/54 88 SCALING, CABUT GIGI 25 25 20 20 20 25 25 20 25 20 NORMAL SINUS RHYTHM COMPLETE RIGHT RBB NORMAL

Aorta tampak elongatio.

Pulmo saat ini tidak tampak
kelainan, tidak tampak
92 EMBON 03/08/1966 L NORMAL 0.6 0.4 173 72.6 24.3 110/78 81 R/ LIPOMA, R/ DISLIPIDEMIA 2018, R/COVID 2020 SCALING, BUAT GIGI PALSU 30 30 25 30 25 25 25 20 25 30 NORMAL SINUS RHYTHM bronkopneumonia/pneumonia/ TB
paru aktif. Tidak tampak
kardiomegali.

Tb paru bilateral lama dengan

fibrosis disertai infiltrat tipis
(suspek aktif (mohon korelasi
93 GORDON SILAEN 12/07/1970 L NORMAL 0.5 ~ 169 76.4 26.7 148/95 88 SCALING, CABUT GIGI, BUAT GIGI PALSU 40 30 30 40 35 40 40 40 45 40 NORMAL SINUS RHYTHM klinis/ lab.).
Penebalan pleura kanan kiri atas
lateral. Tidak tampak kardiomegali

Sugestif tuberkuloma kecil di paru

94 KUSRIYADI 26/09/1972 L NORMAL 1.0 0.5 175 82.4 26.9 133/90
NYERI79
DIBAWAH ROTU (TULISAN TDK JELAS) DI SEBELAH KANAN (PENYELAM) SCALING, CABUT GIGI, BUAT GIGI PALSU 30 25 25 30 25 25 25 20 25 35 NORMAL SINUS RHYTHM kanan atas dengan fibrosis minimal.
Tidak tampak kardiomegali

95 SUGINO 4/15/1966 NORMAL 0.1 1.0 161 63.1 24.3 137/84 80 0 0 NORMAL SINUS RHYTHM NORMAL
96 NURCAHYO 14/05/1982 L NORMAL 1.0 1.0 183 79.8 23.8 109/70 83 SCALING 35 35 30 35 35 30 25 25 30 25 NORMAL SINUS RHYTHM NORMAL
97 ASRIADI 0 0
98 SAPTIYAN HARDI 19/04/1986 L NORMAL 0.125 0.2 161 80.7 31.1 138/77 92 SCALING, CABUT GIGI, BUAT GIGI PALSU 25 20 15 15 15 20 20 15 15 20 SINUS RHYTHM RIGHTWARD AXIS BODERLINE ECG
Tb paru bilateral aktif.
99 RIZKY ALTER VINOBAL DAUHAN 20/10/1991 L NORMAL ~ 0.1 0.5 0.5 174 65.5 21.6 122/80 79 CABUT GIGI 15 20 15 15 15 15 10 15 15 15 NORMAL SINUS RHYTHM Tidak tampak kardiomegali.
100 WHENDY DWI WIYONO 03 November 1984 L NORMAL 0.6 0.8 174 64.8 21.4 120/89 81 SCALING, CABUT GIGI, BUAT GIGI PALSU 25 25 20 20 20 15 15 20 20 20 NORMAL SINUS RHYTHM NORMAL
101 AGUS SEPTIAN 03/08/1991 L NORMAL 0.5 0.5 173 66.6 22.3 99/54 74 SCALING, TAMBAL GIGI 30 25 20 20 25 25 25 30 25 25 NORMAL SINUS RHYTHM NORMAL
102 ANDA TERESNO 20/12/1988 L NORMAL 0.6 0.6 172 86.2 29.1 122/71 72 SCALING 25 20 20 20 20 25 20 15 15 15 NORMAL SINUS RHYTHM NORMAL
SEKSI PENUNJANG KESELAMATAN DAN PENYIDIKAN 0 0
103 YUSRO, SE. 28/01/1968 L NORMAL 0.8 0.8 165 71.3 26.2 167/81 78 SCALING 25 30 30 25 25 25 30 25 25 30 NORMAL SINUS RHYTHM NORMAL

Atherosklerosis aorta.
Pulmo saat ini tidak tampak
kelainan, tidak tampak
104 IZRIANSYAH, S.T. M.Mar.E, MM. 07/07/1974 L NORMAL 1.0 0.6 162 69.8 26.6 161/68 69 R/ COVID, R/ HT TERKONTROL, R/ RHINILIS ALERGI SCALING, CABUT GIGI, BUAT GIGI PALSU 25 30 30 25 25 25 30 25 25 30 SINUS RHYTHM INFERIOR T WAVE ABNORMALITY. bronkopneumonia/pneumonia/ TB
paru aktif.
Tidak tampak kardiomegali.

105 YUNALDI, SE
106 SUBIYANTORO, S.Pel. 01/09/1981 L NORMAL 0.4 0.4 167 101.8 36.5 129/81 75 R/ COVID TAMBAL GIGI 25 20 20 20 15 20 15 15 20 15 NORMAL SINUS RHYTHM NORMAL
107 SHANDY MUHAMAD YUSUF, SE. 22/08/1983 L NORMAL 1.0 1.0 164 67.2 25.0 107/70 82 SCALING, TAMBAL GIGI 35 30 25 20 20 40 30 15 15 15 SINUS RHYTHM INFERIOR T WAVE ABNORMALITY NORMAL
108 DADANG SOLAHUDIN, SH, MH. 28/12/1982 L NORMAL 0.8 0.8 162 80.8 30.8 109/67 91 SCALING 30 25 20 25 25 30 25 25 30 35 NORMAL SINUS RHYTHM NORMAL
109 HARI UTOMO SETYO 01/01/1969 L NORMAL 1.0 1.0 174 55.5 18.3 121/60 81 SCALING, TAMBAL GIGI, BUAT GIGI PALSU 25 20 15 15 15 20 25 15 15 15 SINUS RHYTHM INCOMPLETE RBB NORMAL

Sugestif Tb paru aktif disertai cyst di

paru kiri tengah (dd/ cavitas).
110 WAHYU SUJATMIKO 06/03/1970 L NORMAL ~ 0.16 0.125 0.5 166 61.8 22.4 122/80 80 R/ ASMA UDARA DINGIN SCALING, CABUT GIGI, TAMBAL GIGI, BUAT GIGI PALSU 30 30 25 25 20 25 20 25 25 25 SINUS RHYTHM MARKED LEFT AXIS DEVIATION Tidak tampak kardiomegali.
Dextroskoliosis vertebra thorakalis

111 MOCH. BADJIDEH, SE 5/16/1970 PARSIAL 6/6 6/7,5 168 84 29,8 Obesitas 120/70 82 SCALING, CABUT GIGI, BUAT GIGI PALSU 21.25 16.25 25 25 15 20 20 20 15 15 20 15 NORMAL ECG NORMAL
112 SUPRIHATIN HENDRIANTORO, S.Sos. 21/05/1978 L NORMAL 0.8 0.6 177 92.2 29.4 161/90 113 R/ COVID 2021, R/ HEPATITIS 2003,R/ HT SCALING, BUAT GIGI PALSU 30 20 20 20 20 30 20 25 25 30 NORMAL SINUS RHYTHM NORMAL

Aorta tampak elongatio.

Pulmo saat ini tidak tampak
kelainan, tidak tampak
113 TOHARUNA 5/28/1976 NORMAL 6/6 6/6 160 68 26,6 Overweight 190/110 97 SCALING, CABUT GIGI, BUAT GIGI PALSU 22.5 26.25 30 20 20 20 20 30 20 25 25 30 NORMALSINUS RHYTHM bronkopneumonia/pneumonia/ TB
paru aktif.
Tidak tampak kardiomegali.

114 YUDHA CHAIRUL 0 0

Fibrosis Minimal di paru kiri bawah.

115 IBNU REZA 05/10/1982 L NORMAL ~ 0.8 177 116.5 37.2 134/67 73
R/ PATAH AHANG ATAS KIRI 2017, R/ COVID 1x, SUSP KATARAK SCALING, CABUT GIGI, BUAT GIGI PALSU 30 25 20 20 20 30 25 20 15 15COMPLETE RIGHT RBB RIGHT AXIS DEVIATION NORMAL SINUS RHYTHMTidak tampak kardiomegal

116 JOKO PRIYAMBUDI

117 HENDRI RUSDIAN
118 EDMON HAN 07/10/1980 L NORMAL 0.5 ~ 173 114.6 38.3 117/74 91 R/ OP FISTULARI 2022 SCALING 25 20 15 15 15 30 20 15 15 20 SINUS TACHYCARDIA NORMAL ECG NORMAL
 KANTOR KESYAHBANDARAN UTAMA TANJUNG PRIOK
PEMERIKSAAN KESEHATAN PEGAWAI
11-13 OKTOBER 2022
LABORATORIUM
MASALAH KESEHATAN ADVICE DOKTER KESIMPULAN NAMA DOKTER PEMERIKSA
HEMATOLOGI KIMIA DARAH IMUNOLOGI URINALISA NARKOBA 5
Hb Leu LED Hct Trom GDP Ureum Cre UA AST ALT Chol Trig HbSAg BJ Urine PH Urine Glu Pro Bil Ket Uro Blood Leu PARAMETER

17.4 11,130 26 48.8 329 142 23 0.85 8.0 39 78 274 278 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

14.9 9,230 13 44.9 273 119 34 1.75 8.4 23 34 169 86 Non Reaktif 1,030 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI
10.4 4,950 27 33.4 294 131 15 0.70 3.1 16 22 155 49 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

16.1 4,900 10 46.5 313 146 32 1.18 5.8 19 34 280 144 Non Reaktif 1,015 6.0 +2 Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

16.2 8,980 16 47.3 262 124 22 0.86 6.1 17 29 200 81 Non Reaktif 1,010 7.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

14.6 8,457 15 44.1 384 224 28 1.01 5.1 19 40 248 497 Non Reaktif 1,030 6.0 +1 Neg Neg Neg Neg Neg Neg Neg DR. SOFIA

14.8 7,000 8 44.4 251 131 39 1.60 9.2 19 28 280 205 1,030 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR WAGNER

Non Reaktif
16.2 8,090 10 46.5 416 112 21 0.91 7.3 24 49 239 194 Non Reaktif 1,020 5.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

15.8 10,720 33 46.6 372 97 28 0.99 8.4 16 30 200 113 Non Reaktif 1,015 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

14.9 7,710 34 42.9 306 125 28 1.14 4.5 21 29 214 249 Non Reaktif 1,030 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

15 9,160 14 44.2 245 99 31 1.24 5.2 21 50 192 144 Non Reaktif 1,020 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

16.1 8,098 8 41.2 304 216 24 0.65 6.7 22 54 231 245 Non Reaktif 1,030 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. SOFIA

15.2 8,920 19 43.8 419 111 19 0.94 4.2 15 23 243 273 Non Reaktif 1,010 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA
14 9,950 26 50.3 283 212 19 1.02 7.1 45 107 314 645 Non Reaktif 1,025 7.5 +1 Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI
15.8 6,700 12 47.7 235 111 19 0.95 4.3 16 24 241 73 Non Reaktif 1,010 7.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

15.6 7,156 14 42.3 325 137 29 1.34 18 19 29 178 128 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. SOFIA

Non Reaktif

16.5 5,950 35 47.7 285 125 24 1.15 5.2 20 26 306 316 Non Reaktif 1,020 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

14.2 5,190 28 49.8 221 162 29 1.41 5.7 38 63 229 63 Reaktif 1,030 6.0 +2 Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

15.2 9,160 14 44.2 277 88 24 1.15 6.8 23 28 233 225 Non Reaktif 1,030 5.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

15.3 5,290 26 44.4 222 108 27 1.00 4.5 22 30 252 202 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

16 4,790 19 46 224 142 15 0.85 5.0 21 27 190 129 Non Reaktif 1,030 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

14.5 7,455 5 45.5 369 196 18 0.99 6.8 15 21 176 165 Reaktif 1,015 6.5 Neg Neg Neg Neg Neg Neg Neg Neg DR. SOFIA

16.2 8,154 15 41.2 389 278 19 0.78 3.0 19 33 265 404 1,020 7.0 +1 Neg Neg Neg Neg Neg Neg Neg DR. SOFIA
Non Reaktif
15.1 5,690 13 50.1 211 123 14 1.00 5.4 21 33 187 119 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

14.2 6,498 26 56.1 239 200 20 1.41 5.0 19 35 176 168 Non Reaktif 1,025 6.0 Neg Neg Neg Neg Neg Neg Neg Neg

15.3 7,330 14 43.2 260 129 24 0.69 5.4 17 32 178 152 Non Reaktif 1,025 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

12.6 7,180 16 36.6 283 109 19 0.65 4.1 19 21 200 35 Non Reaktif 1,025 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

12.5 8,641 15 31.5 325 109 19 0.96 4.7 23 40 180 118 Non Reaktif 1,020 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

15 6,970 9 44.3 274 138 17 0.95 5.8 20 26 190 63 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

15.6 6,820 11 47.9 283 140 20 0.61 2.2 45 135 201 135 Non Reaktif 1,015 6.5 +2 Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA
15.2 9,300 5 45.6 344 108 22 0.91 6.4 18 32 238 255 Non Reaktif 1,010 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR WAGNER

16.4 5,310 19 47 245 152 28 0.88 5.8 28 80 231 93 Non Reaktif 1,025 6.0 Neg Neg Neg Neg Neg Neg Neg
Positif (MET , AMP) dr. RAHAYU EVIRIYANTI

14.3 7,430 10 50.8 393 98 21 0.97 5.4 19 38 161 193 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

15.9 7,564 23 46.9 377 112 27 0.83 4.4 18 22 230 116 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

13.1 9,440 29 47.4 332 135 14 0.66 4.3 19 31 151 79 Non Reaktif 1,015 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

15.5 8.75 14 46.5 261 428 32 1.02 5.5 18 37 187 289 1,020 6.0 +2 Neg Neg Neg Neg Neg Neg Neg DR. MUGI

Non Reaktif

dr. RAHAYU EVIRIYANTI

15.5 9,270 12 46.4 257 120 30 0.98 6.6 37 66 229 426 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

15.8 7,000 27 45 185 194 29 0.96 6.5 17 23 198 148 Non Reaktif 1,020 6.0 +2 Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

14.3 8,620 6 39.3 218 130 30 0.97 5.9 22 41 177 102 Non Reaktif 1,010 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

15.5 8,560 25 48.5 387 348 55 1.13 3.8 12 19 233 85 Non Reaktif 1,030 7.0 +2 Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

14.2 6,134 15 41.2 264 103 68 1.15 4.5 13 25 199 145 Non Reaktif 1,030 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

13.2 7,460 17 45.1 321 86 77 2.66 11.7 19 24 226 146 Non Reaktif 1,020 5.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

13.5 12,900 29 40.1 337 498 33 1.14 5.0 15 14 259 137 Non Reaktif 1,025 6.0 +2 Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

15.4 8,210 36 47.4 200 242 32 0.81 5.8 33 62 280 135 Reaktif 1,020 7.5 +2 Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

15.1 7,820 10 48.3 243 123 18 1.18 6.9 31 70 223 115 Non Reaktif 1,030 7.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

14.7 5,800 17 42.4 404 112 20 0.84 4.9 22 29 264 189 Non Reaktif 1,020 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

15,7 9,150 36 45.3 324 132 25 1.05 7.0 22 35 220 324 Non Reaktif 1,030 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

14.3 9,310 17 49.7 279 125 22 0.76 4.2 23 42 165 178 Non Reaktif 1,020 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

15.7 9,640 16 46.5 357 88 23 1.04 6.3 26 51 237 83 Non Reaktif 1,025 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

17.1 9,120 31 55.5 184 156 31 0.72 4.6 35 73 278 191 Non Reaktif 1,035 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA
15.4 9,330 33 43.8 313 104 23 0.95 4.7 32 57 118 162 Non Reaktif 1,025 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

15.2 8,560 15 48.5 387 101 20 0.90 4.9 18 35 234 78 Non Reaktif 1,030 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

15.1 7,200 13 44.4 256 87 21 1.22 5.9 19 35 159 83 Non Reaktif 1,010 6.0 Neg Neg Neg +1 Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

14.7 9,100 16 50.1 210 164 20 0.86 5.1 13 26 182 134 Non Reaktif 1,030 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

16 7,900 16 48.7 227 92 20 1.12 5.5 19 32 175 216 Non Reaktif 1,020 7.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA
15 7,560 37 45.6 233 119 22 0.87 5.6 17 35 228 98 Non Reaktif 1,015 5.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI
14.1 10,020 20 42 282 129 22 1.13 7.2 27 53 239 327 Non Reaktif 1,010 5.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. WAGNER

15.4 11,651 35 46 247 117 30 0.95 6.2 22 53 196 162 Non Reaktif 1,030 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI
15.7 8,454 10 41 298 199 41 1.80 6.1 32 90 171 209 Non Reaktif 1,012 5.5 +1 Neg Neg Neg Neg Neg Neg Neg DR. ALFIAN
14.6 8,190 21 45.5 280 115 65 2.62 9.1 18 34 235 202 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

16.6 11,220 35 50 359 97 36 1.30 7.2 22 32 263 115 1,030 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. WAGNER

Non Reaktif
15.3 6,551 8 42.8 255 131 23 1.20 6.3 20 39 219 400 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

14.3 9,890 18 48.6 289 245 36 1.06 5.0 15 28 234 279 Non Reaktif 1,030 6.0 +1 Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

15.1 9,670 15 47 359 120 32 1.17 7.3 16 31 240 144 Non Reaktif 1,030 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

14.8 9,800 15 45.4 272 92 29 1.07 6.5 20 36 222 208 Non Reaktif 1,025 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

16.1 7,496 11 43.1 345 92 23 1.06 6.5 23 45 199 149 Non Reaktif 1,020 5.5 Neg Neg Neg Neg Neg Neg Neg Neg DR. ALFIAN
16 6,790 12 48.1 278 112 18 0.98 5.3 12 22 197 219 Non Reaktif 1,020 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

15.6 6,468 14 44.4 216 380 23 1.20 6.4 23 69 325 332 Non Reaktif 1,020 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

15.3 6,871 16 42.8 255 122 19 1.13 5.8 27 52 200 74 Non Reaktif 1,025 7.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

16.3 9,830 8 48.6 289 117 19 0.98 4.8 16 27 175 107 Non Reaktif 1,025 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI
16.1 9,654 8 47.1 359 84 18 1.24 6.1 33 40 241 99 Non Reaktif 1,025 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI
14.8 9,880 9 45.4 272 113 28 0.93 5.7 51 88 167 170 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. sofia

16,0 6,791 7 48.8 278 163 17 1.00 4.8 17 33 228 63 Non Reaktif 1,020 6.0 +1 Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

15.6 6,464 5 44.4 216 103 25 0.99 5.6 12 36 214 180 Non Reaktif 1,020 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

16,0 9,654 10 46.3 313 105 20 0.86 7.9 45 146 266 154 Non Reaktif 1,015 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA
15.7 6,160 32 45 197 101 28 0.94 5.3 14 16 292 83 Non Reaktif 1,010 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI
16.5 9,590 12 48.7 203 137 25 1.10 6.4 26 59 203 152 Non Reaktif 1,020 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA
15.1 8,235 15 44.1 244 89 29 1.21 5.0 18 23 191 69 Non Reaktif 1,010 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI

16.2 5,160 10 45.3 181 117 19 0.88 4.9 14 24 227 66 Non Reaktif 1,025 7.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

13.9 7,010 15 42 206 126 23 1.10 5.4 37 52 216 202 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. WAGNER
15.1 8,156 42 41.1 297 112 29 1.19 8.2 17 35 222 223 Non Reaktif 1,010 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

16.1 12,750 21 48 240 114 18 1.20 7.7 22 28 276 175 1,030 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. WAGNER

Non Reaktif

15.9 6,450 36 44.6 237 123 14 0.83 6.4 16 32 199 95 Non Reaktif 1,025 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. MEILLYSSA CHANDRA

16.1 6,874 32 46.2 198 117 25 0.99 8.1 31 73 221 72 Non Reaktif 1,025 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. RAHAYU EVIRIYANTI
 KANTOR KESYAHBANDARAN UTAMA TANJUNG
PEMERIKSAAN KESEHATAN PEGAWAI
11-13 OKTOBER 2022
MATA PEMERIKSAAN FISIK
VISUS
No. NAMA TGL LAHIR JK BUTA Riwayat Kesehatan/Penyakit
TANPA KACAMATA DENGAN KACAMATA TB BB BMI STATUS BMI TD N
WARNA
KANAN KIRI KANAN KIRI
CPNS
1 WIBOWO LAKSONO WIDODO, S.Tr.Pel 3/1/1999 NORMAL 6/6 6/6 171 72 24,6 Normal 120/85 99
2 DHIMAS CHANDRA NUGROHO, S.Tr.Pel 5/9/1999 NORMAL 6/6 6/6 160 62 24,2 Normal 120/77 67

3 FAISAL YOGI SETYAWAN, S.Tr.Pel 11/24/1999 NORMAL 6/6 6/6 170 69 23,9 Normal 123/72 74

4 DYLA TANNIA, S.Tr.Pel 3/23/2000 NORMAL 6/6 6/6 163 55 21,0 Normal 120/70 91

5 MUHAMAD RAIHAN PATRADENIS, S.Tr.Pel 5/11/2000 NORMAL 6/6 6/6 176 84 27,1 Overweight 100/60 72

6 CONITIA ERLINA MUFTIATI AHMAD, S.Tr.Pel 9/1/2000 NORMAL 6/12 6/12 161 55 21,2 Normal 120/75 89
7 SYAIFULLAH HUSAINI, S.Tr.Pel 10/8/2000 NORMAL 6/6 6/6 166 68 24,7 Normal 130/60 83
NJUNG PRIOK
AWAI

AMBANG DENGAR AUDIOMETRI

Catatan Dokter Umum Catatan Dokter Gigi
KANAN KIRI
KANAN KIRI
500 1k 2k 3k 4K 500 1K 2K 3K 4k

SCALING, TAMBAL GIGI, CABUT GIGI, BUAT GIGI PALSU 45 38.75 30 50 55 40 45 25 45 50 35 35

SCALING 17.5 20 20 20 15 15 15 20 20 20 20 20

SCALING 17.5 16.25 25 15 15 15 15 20 15 15 15 15

SCALING 18.75 22.5 30 15 15 15 15 25 25 20 20 20

SCALING 12.5 11.25 15 15 15 10 5 20 10 10 5 5

SCALING, TAMBAL GIGI 36.25 32.5 45 30 35 35 35 40 30 30 30 30

SCALING, BUAT GIGI PALSU 10 11.25 15 10 5 10 10 10 20 5 5 10
 KANTOR KESYAHBANDARAN UTAMA TAN
PEMERIKSAAN KESEHATAN PEGA
11-13 OKTOBER 2022

EKG RADIOLOGI

NORMAL ECG NORMAL

NORMAL ECG NORMAL

Vertebra thorakalis tampak sedikit lateralisasi

ke kanan suspek ec/ posisi.
Pulmo saat ini tidak tampak kelainan, tidak
NORMAL ECG
tampak bronkopneumonia/pneumonia/ TB paru
aktif.
Tidak tampak kardiomegali.

NORMAL ECG NORMAL

Tb paru kiri aktif.

NORMAL ECG Sugestif disertai enebalan pleura kiri atas lateral.
Tidak tampak kardiomegali.

NUS RHYTYM, DEMAN PACIS INFERIAL IWA ABNORMALITY IS RM SPESISIFIC NORMAL

NORMAL SINUS RHYTHM NORMAL
 KANTOR KESYAHBANDARAN UTAMA TANJUNG PRIOK
PEMERIKSAAN KESEHATAN PEGAWAI
11-13 OKTOBER 2022
LABORATORIUM
MASALAH KESEHATAN ADVICE DOKTER
HEMATOLOGI KIMIA DARAH IMUNOLOGI URINALISA NARKOBA 5
Hb Leu LED Hct Trom GDP Ureum Cre UA AST ALT Chol Trig HbSAg BJ Urine PH Urine Glu Pro Bil Ket Uro Blood Leu PARAMETER

15 7.32 5 45 339 128 27 1.04 6.4 21 27 175 76 Non Reaktif 1.015 5.0 Neg Neg Neg Neg Neg Neg Neg Neg
14.8 8.26 5 44.4 330 104 21 1.08 6.1 23 46 161 54 Non Reaktif 1,030 5.0 Neg Neg Neg Neg Neg Neg Neg Neg

15.5 8.74 3 46.5 275 114 22 1.00 6.4 13 20 151 54 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg

Non Reaktif
13.7 6.91 3 41.1 402 110 20 0.63 4.4 15 20 214 92 Non Reaktif 1,030 6.0 Neg Neg Neg Neg Neg Neg Neg Neg

14.3 5.87 7 42.9 255 100 22 1.13 6.5 22 38 126 233 1,015 5.0 Neg Neg Neg Neg Neg Neg Neg Neg

Non Reaktif
12.6 9.04 23 37.8 345 164 15 0.71 4.2 23 27 149 46 Non Reaktif 1,015 6.0 +1 Neg Neg Neg Neg Neg Neg Neg
16 7,790 7 48 262 124 22 0.86 5.2 27 56 144 74 Non Reaktif 1,020 6.5 Neg Neg Neg Neg Neg Neg Neg Neg
KESIMPULAN NAMA DOKTER PEMERIKSA

DR. WAGNER
DR. WAGNER

DR. MUGI

DR. WAGNER

DR. WAGNER

DR. WAGNER
DR. WAGNER
 KANTOR KESYAHBANDARAN UTAMA TANJUNG PRIOK
PEMERIKSAAN KESEHATAN PEGAWAI
11-13 OKTOBER 2022
MATA PEMERIKSAAN FISIK
AMBANG DENGAR AUDIOMETRI
VISUS
No. NAMA TGL LAHIR JK Riwayat Kesehatan/Penyakit Catatan Dokter Umum Catatan Dokter Gigi
BUTA WARNA TANPA KACAMATA DENGAN KACAMATA TB BB BMI STATUS BMI TD N KANAN KIRI
KANAN KIRI
KANAN KIRI KANAN KIRI 500 1k 2k 3k 4K 500 1K 2K 3K 4k
HONORER
1 ADE SURYANA 11/25/1987 NORMAL 0.6 1.0 170 97.3 33.7 143/80 72 SCALING, CABUT GIGI 30 25 20 20 25 20 20 20 25 30
2 MUSTOMI 2/10/1981 NORMAL 0.6 0.8 161 58.7 22.6 120/65 70 SCALING, BUAT GIGI PALSU 30 25 25 25 30 35 30 30 30 30
3 SUKIRNO NORMAL 1,0 0,8 SCALING, CABUT GIGI 30 35 25 25 20 25 25 30 25 25
4 SAFARUDIN NORMAL 0,6 0,6 SCALING 30 25 20 20 30 30 25 25 30 30
5 YULISWANTO

6 AGUS SUPARDI 8/21/1987 NORMAL 0.8 0.5 159 68.1 26.9 124/92 90 SCALING, TAMBAL GIGI 35 30 30 25 20 30 25 25 35 45

7 GHOFAR ARIFIN 6/22/1984 NORMAL 1.0 1.0 168 89.1 31.6 150/85 80 SCALING 25 20 15 15 15 25 20 15 15 15
8 MARVIN IHUT OCTAVIANUS 10/27/1991 NORMAL 0.16 0.5 177 92.1 29.4 122/73 90 SCALING, CABUT GIGI 25 15 15 20 20 20 15 15 15 20
9 IRMA AHLAQIYAH 7/27/1997 NORMAL 0.16 0.1 0.8 0.4 151 42.2 18.5 128/65 92 TIDAK ADA KENDALA 30 30 25 25 20 30 25 20 20 20

10 RIZKA FEBRIANA RAHMAH NORMAL 1,0 1,0 SCALING, TAMBAL GIGI, CABUT GIGI 30 25 20 20 20 30 25 15 15 20

11 MUHAMMAD RIDHO ANDWI PUTRA 5/12/1996 NORMAL 1.0 1.0 168 61 33.7 120/65 105 SCALING, CABUT GIGI 20 25 20 15 15 20 20 15 15 15
12 SARIP HIDAYAT 1/22/2001 NORMAL 1.0 1.0 175 78.5 25.6 122/78 84 SCALING 25 20 20 15 20 20 20 15 15 20
13 AHMAD MADHORI 10/06/1986 L NORMAL 1.0 1.0 164 68.6 25.5 120/81 82 SCALING, TAMBAL GIGI, CABUT GIGI, BUAT GIGI PALSU 30 25 25 25 35 25 25 25 35 40
14 DIMAS SEPTIYANTO 20/09/1990 L NORMAL ~ ~ 0.6 ~ 161 68.5 26.4 105/69 67 R/ NYERI ULU HATI 2HR YG LALU SCALING, TAMBAL GIGI 20 25 15 15 15 25 15 15 15 15
15 FIKRI DIVAC PAUZIAN 12/5/2000 NORMAL 0.4 0.5 167 57.9 20.8 113/63 61 SCALING 30 25 20 20 20 25 20 25 20 20

16 DEWI FITRIYANA 3/7/1995 NORMAL 0.5 0.5 151 63 27.6 SCALING 30 25 20 20 20 30 25 25 20 20

17 REZKI PRATAMA DINATA BUTA WARNA 0,16 0,125 SCALING, CABUT GIGI 25 20 20 15 15 25 20 20 15 20
18 TOHONAN SILALAHI 01/10/1998 L NORMAL 0.8 0.8 164 64.2 23.9 103/54 92 SCALING, TAMBAL GIGI, CABUT GIGI, BUAT GIGI PALSU 30 20 20 15 15 25 20 20 15 15

19 ARIS KURNIAWAN 2/28/1984 NORMAL 0.16 0.16 164 67.7 25.2 146/92 101 SCALING, CABUT GIGI 30 25 25 20 20 30 30 30 25 30

20 BOANG 1/19/1987 NORMAL 1.0 0.6 163 72.4 27.2 142/83 82 SCALING 25 20 20 25 25 30 25 20 25 25
21 ASMAWI 4/10/1990 NORMAL 0.2 0.5 159 47.1 18.6 94/54 78 SCALING, CABUT GIGI 35 35 35 40 30 30 25 30 30 20

22 KUDING 4/1/1968 NORMAL 0.3 0.3 173 55.4 19.8 177/83 74 SCALING, CABUT GIGI, BUAT GIGI PALSU 30 25 25 25 25 35 40 30 25 30

23 HADI HARYADI 8/10/1993 NORMAL 0.6 0.8 161 83.6 32.3 147/95 94 SCALING, CABUT GIGI 30 30 25 20 20 25 20 15 20 15
24 DEDY SURYADI 7/1/1995 NORMAL 1.0 1.0 156 52.8 21.7 116/57 60 SCALING 30 25 20 25 25 35 30 30 25 25
25 JUHRI 4/14/1970 NORMAL 0.2 0.2 159 77 30.5 SCALING, CABUT GIGI 30 30 25 30 25 30 25 30 35 30
26 YUDI 8/20/1996 NORMAL 1.0 1.0 156 55.1 22.6 127/75 88 SCALING 35 30 35 30 35 35 30 35 30 35
27 JENANTO L NORMAL 1.0 1.0 164 53.5 19.9 108/66 95
28 PAJAR RAMADHAN 2/11/1994 NORMAL 1.0 1.0 156 56 23.0 131/68 81 SCALING, CABUT GIGI 25 20 20 20 15 25 20 20 15 15
29 AHMAD SOFYAN SYAHRIL 7/22/1995 NORMAL 0.6 0.5 179 92.7 28.9 129/86 93 SCALING 25 25 25 25 20 20 25 25 20 20
30 RAYVALDO ARDIENZA 5/7/2002 NORMAL 1.0 1.0 160 49.8 19.5 104/87 83 SCALING 30 30 25 20 20 25 20 20 20 20
31 ENDA NUGRAHA 3/16/1996 NORMAL 1.0 0.8 155 60.7 25.3 139/87 99 SCVALING, CABUT GIGI 25 25 20 25 25 30 25 20 25 25
 KANTOR KESYAHBANDARAN UTAMA TANJUNG PRIOK
PEMERIKSAAN KESEHATAN PEGAWAI
11-13 OKTOBER 2022

EKG RADIOLOGI

SINUS NORMAL
NORMAL SINUS RHYTHM NORMAL
NORMAL
NORMAL

SINUS TAKIKARDI Pneumonia kiri .

Tidak tampak kardiomegali.
NORMAL SINUS RHYTHM NORMAL
NORMAL SINUS RHYTHM NORMAL
NORMAL SINUS RHYTHM NORMAL

Pulmo bilateral saat ini tidak

tampak kelainan, tidak tampak
infiltrat.
Tidak tampak kardiomegali.
Vertebra thorakalis tampak
sedikit lateralisasi ke kanan

SINUS ARHYTMIA NORMAL

NORMAL SINUS RHYTHM NORMAL
NORMAL SINUS RHYTHM NORMAL
NORMAL SINUS RHYTHM NORMAL
ARHYTMIA NORMAL
Perlu dipertimbangkan
NORMAL SINUS RHYTHM pneumonia kanan (mohon
korelasi klinis/ lab.).
Tidak tampak kardiomegali.
NORMAL
NORMAL SINUS RHYTHM NORMAL
Perlu dipertimbangkan TB paru
SINUS TAKIKARDI lama kiri aktif .
Tidak tampak kardiomegal
NORMAL SINUS RHYTHM NORMAL
NORMAL SINUS RHYTHM NORMAL
Kardiomegali (CTR 51,5%) tanpa
NORMAL SINUS RHYTHM bendungan paru.
Aorta tampak elongatio.
Pneumonia kanan minimal.
NORMAL SINUS RHYTHM NORMAL
NORMAL SINUS RHYTHM NORMAL
NORMAL SINUS RHYTHM NORMAL
NORMAL SINUS RHYTHM NORMAL
NORMAL
NORMAL SINUS RHYTHM NORMAL
NORMAL SINUS RHYTHM NORMAL
NORMAL SINUS RHYTHM NORMAL
NORMAL SINUS RHYTHM NORMAL
 KANTOR KESYAHBANDARAN UTAMA TANJUNG PRIOK
PEMERIKSAAN KESEHATAN PEGAWAI
11-13 OKTOBER 2022
LABORATORIUM
MASALAH KESEHATAN ADVICE DOKTER KESIMPULAN NAMA DOKTER PEMERIKSA
HEMATOLOGI KIMIA DARAH IMUNOLOGI URINALISA NARKOBA 5
Hb Leu LED Hct Trom GDP Ureum Cre UA AST ALT Chol Trig HbSAg BJ Urine PH Urine Glu Pro Bil Ket Uro Blood Leu PARAMETER

16.2 12,465 10 41.5 356 122 15 1.10 6.2 22 24 272 489 Non Reaktif 1,020 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
15.1 8,981 2 42.5 345 112 16 1.06 4.9 16 30 200 228 Non Reaktif 1,015 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
16 9,456 17 47.3 371 135 25 1.37 8.9 32 82 222 518 Non Reaktif 1,020 5.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. MEI
14.2 7,456 26 41.5 254 103 23 0.89 6.6 23 48 363 750 Non Reaktif 1,025 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. ALFIAN

16.2 6,456 40 39.1 345 115 24 0.87 5.6 47 112 244 174 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN

15.1 7,791 5 42.6 356 111 23 1.03 6.3 21 48 263 136 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
14.2 6,124 9 51.2 265 239 27 0.76 4.2 98 218 151 113 Non Reaktif 1,010 6.0 +1 Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
16.2 8,165 13 41.2 345 106 18 0.53 3.9 20 20 166 51 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN

16.5 7,154 14 47.1 344 92 18 0.63 3.8 53 24 200 71 Non Reaktif 1,020 6.5 Neg Neg Neg Neg Neg Neg Neg Neg DR. SOFIA

14.2 6,784 16 49.1 356 121 22 0.94 5.9 11 46 249 88 Non Reaktif 1,015 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
16.2 4,987 13 51.2 246 106 20 0.98 5.6 26 61 165 94 Non Reaktif 1,025 7.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
15.4 9,950 9 46.2 263 130 20 1.00 4.9 15 22 185 252 Non Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. RAHAYU EVI
15.1 8,840 11 50.2 245 129 33 1.16 6.4 31 85 253 193 Non Reaktif 1,030 6.5 Neg Neg Neg Neg Neg Neg Neg Neg DR. RAHAYU EVI
15.1 10,451 3 51.2 297 107 31 0.87 4.5 28 31 111 46 Non Reaktif 1,030 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN

15.2 5,464 30 47.2 264 96 22 0.68 5.6 19 19 189 62 Non Reaktif 1,020 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN

14.2 6,464 35 51.2 234 107 13 1.06 5.8 22 45 131 50 Non Reaktif 1,015 6.5 Neg Neg Neg Neg Neg Neg Neg Neg DR. SOFIA
12.7 8,060 9 36.9 368 112 27 0.91 4.5 19 31 102 48 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. MEI

13.7 8,454 32 41.5 211 122 12 0.97 5.3 20 40 232 303 Non Reaktif 1,015 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN

15.1 7,145 12 51.6 267 100 20 0.90 6.1 21 38 253 181 Non Reaktif 1,020 7.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
13.1 7,547 7 42.4 234 117 16 0.77 3.7 18 29 136 131 Non Reaktif 1,015 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN

13.6 8,454 16 49.2 211 122 27 1.26 10.6 20 28 230 94 Reaktif 1,020 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN

13.8 9,498 13 46.1 264 107 20 0.73 4.7 34 62 240 143 Non Reaktif 1,025 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
14.1 7,455 20 42.3 212 107 20 1.05 4.5 23 27 254 125 Non Reaktif 1,030 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
16.1 6,454 30 45.1 197 97 26 1.05 7.1 25 40 195 136 Non Reaktif 1,025 6.0 Neg +1 Neg Neg Neg Neg Neg Neg dr. ALFIAN
14.9 8,154 13 42.3 154 117 23 0.97 5.2 19 26 193 72 Non Reaktif 1,020 6.5 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
15.8 7,154 12 45.1 167 117 27 1.04 5.9 18 26 156 129 Non Reaktif 1,020 7.0 Neg Neg Neg Neg Neg Neg Neg Neg DR. SOFIA
14.7 8,254 15 46.1 264 112 23 1.07 4.8 22 45 126 178 Non Reaktif 1,030 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
13.9 9,344 5 47.1 279 123 25 1.02 6.4 21 35 224 142 Non Reaktif 1,025 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
14.2 7,485 7 42.2 198 84 25 1.03 3.8 27 38 141 85 Non Reaktif 1,025 6.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN
16.3 7,795 9 43.1 314 136 20 1.27 7.3 19 50 233 392 Non Reaktif 1,030 7.0 Neg Neg Neg Neg Neg Neg Neg Neg dr. ALFIAN