LAPORAN PELAKSANAAN PEMERIKSAAN LABORATORIUM KLINIKBULAN : :JULI 2015 TANGGALNO JENIS PEMERIKSAAN 1 `2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

1 Hemoglobin 14 14 17 18 22 30 22 19 17 21 22 14 16 11 16 10 9 12 10 18 11 9 11 132 Hematokrit 14 14 17 18 22 30 22 19 17 21 22 14 16 11 16 10 9 12 10 18 11 9 11 133 Trombosit 15 11 16 17 20 25 18 12 15 20 21 10 15 10 14 9 9 11 10 16 10 7 10 114 Leukosit 15 11 16 17 20 25 18 12 15 20 21 10 15 10 14 9 9 11 10 16 10 7 10 115 LED 0 1 0 1 4 1 0 0 0 0 1 1 0 0 0 2 0 0 2 2 0 0 0 06 Gula Darah 14 11 6 20 9 12 3 18 3 5 38 4 17 7 6 13 7 4 15 13 11 10 16 97 SGOT 4 3 3 4 4 1 0 2 2 2 2 1 1 2 3 2 4 2 3 4 4 2 6 28 SGPT 4 3 3 4 4 1 2 2 2 2 4 1 1 2 3 2 4 2 3 4 4 2 6 29 Ureum 5 1 1 3 6 5 2 5 5 5 9 1 8 3 3 2 3 3 3 14 6 5 5 3

10 Creatinin 5 1 1 3 6 5 4 5 5 5 9 1 8 3 3 2 3 3 3 14 6 5 5 311 Widal 3 1 3 3 4 4 4 1 2 1 4 2 0 0 0 3 2 2 3 2 0 0 1 212 Hitung Jenis 0 1 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 013 Cholestrol 0 0 0 0 0 3 1 2 2 1 2 0 0 2 2 1 1 1 1 1 1 3 3 214 HDL Cholestrol 0 0 0 0 0 3 1 2 1 1 2 0 0 0 1 1 0 0 0 0 0 2 0 115 LDL Cholestrol 0 0 0 0 0 3 1 2 1 1 2 0 0 0 1 1 0 0 0 0 0 2 0 116 Trigliserida 0 0 0 0 0 3 1 2 1 1 2 0 0 1 2 1 1 1 1 1 1 3 2 217 Asam Urat 1 0 0 0 1 4 0 5 2 1 7 0 3 2 1 0 2 2 1 2 3 3 3 318 Urin Lengkap 2 1 0 0 1 2 1 4 0 8 0 0 0 2 0 0 0 0 0 1 2 0 1 319 HCG Urine 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 020 HbsAg 1 3 2 2 2 0 0 0 0 1 3 0 1 1 0 1 0 0 0 0 0 0 0 221 Anti HAV IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 022 Anti HAV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 023 Anti HCV IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 024 Anti HCV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 025 Masa Protombin (PT) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 026 Masa Trombin (TT) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 027 APTT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 028 Elektrolit 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0

29 HIV I/II 1 0 3 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 130 Troponin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 031 CPK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 032 CKMB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 033 Kultur Sputum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 034 Sputum 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 035 ASTO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 036 RF 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 037 PSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 038 Protein Total 0 0 0 1 0 0 0 0 0 1 0 0 1 1 1 0 1 1 1 1 1 1 1 139 Albumin 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1 2 1 1 1 140 Golongan Darah 1 2 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 041 Bilirubin 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 042 Masa Pendarahan 5 5 11 4 5 13 7 5 4 13 5 5 3 6 8 1 1 0 0 2 2 3 4 843 Masa Pembekuan 5 5 11 4 5 13 7 5 4 13 5 5 3 6 8 1 1 0 0 2 2 3 4 844 Analisa Gas Darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 045 Alkali Pospatase 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 046 Dengue IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 047 T3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 048 T4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 049 FT4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 050 TSH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 051 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 052 NS 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 053 IgM (Tubex) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 054 Fibrinogen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 055 SI(Serum Iron) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 056 TIBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 057 Toxo IgG / IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 058 Rubella IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 059 CMV IgG /IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 060 HSV I IgG /IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

61 HSV II IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 062 Anti HBs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 063 CRP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 064 PROTEIN URIN 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 065 NARKOBA URIN 3 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 066 GAMMA GT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 067 FAECES RUTIN 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0

25 26 27 28 29 30 31 JUMLAH11 18 23 18 13 18 8 48511 18 23 18 13 18 8 48510 15 22 17 10 13 7 42610 15 22 17 10 13 7 426

0 4 5 0 0 1 1 266 10 3 21 10 5 5 3312 1 2 8 2 3 6 872 1 2 8 2 3 6 873 2 6 9 3 4 6 1393 2 6 9 3 4 0 1352 2 4 1 2 1 1 600 0 0 0 0 0 1 52 1 2 2 3 1 2 421 0 1 1 2 0 1 211 0 1 1 2 0 1 212 1 2 2 3 1 2 392 1 1 5 3 2 2 621 4 0 3 4 1 0 410 0 0 0 0 0 2 31 0 0 2 0 1 0 230 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 1

1 0 0 1 0 0 0 100 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 30 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 01 1 1 1 0 1 0 181 1 1 2 0 1 1 200 0 1 0 0 1 2 80 0 0 1 0 0 0 38 5 4 7 8 11 5 1688 5 4 7 8 11 5 1680 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 0

0 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 40 0 1 0 0 0 0 70 0 0 0 0 0 0 00 0 0 0 0 0 0 4

LAPORAN PELAKSANAAN PEMERIKSAAN LABORATORIUM KLINIKBULAN ::AGUSTUS 2015 TANGGALNO JENIS PEMERIKSAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

1 Hemoglobin 13 11 19 14 14 10 18 14 10 20 19 6 15 28 12 25 24 11 16 16 18 12 14 172 Hematokrit 13 11 19 14 14 10 18 14 10 20 19 19 6 15 28 12 25 24 11 16 16 18 12 14 173 Trombosit 13 10 17 13 13 8 17 12 8 15 19 19 6 15 26 12 25 24 10 15 16 16 10 13 164 Leukosit 13 10 17 13 13 8 17 12 8 15 19 19 6 15 26 12 25 24 10 15 16 16 10 13 165 LED 0 0 2 0 0 0 0 0 1 3 0 5 0 1 0 1 4 1 0 2 5 1 0 0 06 Gula Darah 5 2 21 18 23 31 4 4 8 23 24 7 22 3 22 2 5 18 0 31 13 17 2 13 187 SGOT 2 2 5 2 3 2 1 3 1 2 2 1 4 4 9 3 7 4 1 3 1 3 5 2 18 SGPT 2 2 5 2 3 2 1 3 1 2 2 1 4 4 9 3 7 4 1 3 1 3 5 2 19 Ureum 2 2 5 2 2 3 1 3 2 2 3 2 6 5 15 3 12 6 1 6 2 3 4 2 3

10 Creatinin 2 2 5 2 2 3 1 3 2 2 3 2 6 5 15 3 12 6 1 6 2 3 4 2 311 Widal 1 0 2 3 0 1 2 4 1 3 2 1 1 2 3 3 0 5 3 0 3 2 2 6 312 Hitung Jenis 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 1 0 0 0 1 0 0 0 0 013 Cholestrol 1 0 1 1 2 5 3 2 0 2 2 2 4 2 2 0 0 1 0 5 1 1 1 3 014 HDL Cholestrol 1 0 0 1 2 3 3 1 0 2 1 2 2 1 1 0 0 0 0 4 0 1 0 2 015 LDL Cholestrol 1 0 0 1 2 3 3 1 0 2 1 2 2 1 1 0 0 0 0 4 0 1 0 2 016 Trigliserida 1 0 1 1 2 4 3 2 0 2 2 2 3 1 2 0 0 1 0 4 1 1 0 3 017 Asam Urat 2 1 1 0 1 3 3 4 1 1 2 2 4 3 12 3 9 5 0 5 1 2 1 1 018 Urin Lengkap 1 0 1 1 4 1 0 1 0 1 0 5 0 1 3 0 0 1 0 2 0 1 1 1 019 HCG Urine 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0 0 020 HbsAg 1 1 0 2 1 0 0 0 0 1 1 1 0 0 1 0 0 0 0 1 0 0 1 0 121 Anti HAV IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 022 Anti HAV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 023 Anti HCV IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 024 Anti HCV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 025 Masa Protombin (PT) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 026 Masa Trombin (TT) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 027 APTT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 028 Elektrolit 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0

29 HIV I/II 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 030 Troponin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 031 CPK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 032 CKMB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 033 Kultur Sputum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 034 Sputum 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 035 ASTO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 036 RF 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 037 PSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 038 Protein Total 0 1 1 0 0 0 0 0 1 0 0 0 0 0 2 0 0 0 0 0 0 0 1 1 139 Albumin 0 1 1 0 0 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 1 0 1 1 140 Golongan Darah 0 0 0 0 0 0 0 1 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 041 Bilirubin 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 042 Masa Pendarahan 5 6 5 3 7 3 10 5 4 10 10 9 3 4 11 2 10 6 5 4 7 11 4 5 743 Masa Pembekuan 5 6 5 3 7 3 10 5 4 10 10 9 3 4 11 2 10 6 5 4 7 11 4 5 744 Analisa Gas Darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 045 Alkali Pospatase 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 046 Dengue IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 047 T3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 048 T4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 049 FT4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 050 TSH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 051 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 052 NS 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 053 IgM (Tubex) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 054 Fibrinogen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 055 SI(Serum Iron) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 056 TIBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 057 Toxo IgG / IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 058 Rubella IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 059 CMV IgG /IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 060 HSV I IgG /IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

61 HSV II IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 062 Anti HBs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 063 CRP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 064 PROTEIN URIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 065 NARKOBA URIN 0 0 1 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 1 0 0 0 0 066 GAMMA GT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 067 FAECES RUTIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

26 27 28 29 30 31 JUMLAH10 17 16 7 4 1510 17 16 7 4 1510 17 12 6 4 1310 17 12 6 4 13

0 0 0 0 0 02 22 2 8 0 61 4 1 1 0 31 4 1 1 0 31 4 1 2 0 51 4 1 2 0 53 2 1 3 1 10 0 0 0 0 01 2 1 2 0 31 1 1 1 0 21 1 1 1 0 21 2 1 1 0 32 1 0 2 0 41 2 1 0 1 10 0 0 0 0 00 0 0 0 0 10 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 0

0 0 1 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 1 0 0 0 00 1 0 0 0 00 0 0 0 0 00 1 0 0 0 02 10 10 3 2 52 10 10 3 2 50 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 0 0 0 0

0 0 0 0 0 00 0 0 0 0 00 0 0 0 0 00 0 1 1 1 11 0 0 0 0 00 0 0 0 0 00 0 0 0 0 0

LAPORAN PELAKSANAAN PEMERIKSAAN LABORATORIUM KLINIKBULAN : Sep-15 TANGGAL

NO JENIS PEMERIKSAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 141 Hemoglobin 19 16 16 13 21 11 21 22 15 11 24 28 18 332 Hematokrit 19 16 16 13 21 11 21 22 15 11 24 28 18 333 Trombosit 18 13 15 11 19 10 19 21 8 9 23 23 16 314 Leukosit 18 13 15 11 19 10 19 21 8 9 23 23 16 315 LED 1 0 0 0 0 0 1 0 0 1 0 1 0 16 Gula Darah 11 6 1 26 1 13 32 8 15 49 4 11 10 247 SGOT 2 1 3 3 3 1 2 1 4 4 3 6 3 118 SGPT 2 1 3 3 3 1 2 1 4 4 3 6 3 119 Ureum 3 2 5 2 5 2 1 2 5 3 3 12 4 17

10 Creatinin 3 2 5 2 5 2 1 2 5 3 3 12 4 1711 WIDAL 3 2 2 3 2 1 3 1 1 1 5 4 0 412 Hitung Jenis 0 0 0 0 0 0 1 0 1 1 1 1 0 013 Cholestrol 1 1 2 0 1 1 3 0 1 1 2 3 0 214 HDL Cholestrol 0 1 0 0 1 0 3 0 1 0 2 2 0 115 LDL Cholestrol 0 1 0 0 1 0 3 0 1 0 2 2 0 116 Trigliserida 0 1 1 0 1 1 3 0 1 1 2 2 0 217 Asam Urat 0 1 1 1 0 2 1 1 3 3 1 9 3 1218 Urin Lengkap 1 0 2 2 0 1 0 2 0 2 4 4 1 419 HCG Urine 0 0 0 0 1 0 2 1 1 0 0 1 1 120 HbsAg 1 0 1 1 0 1 0 2 1 0 2 1 0 021 Anti HAV IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 022 Anti HAV 0 0 0 0 0 0 0 0 0 0 0 0 0 023 Anti HCV IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 024 Anti HCV 0 0 0 0 0 0 0 0 0 0 0 0 0 025 Masa Protombin (PT) 0 0 0 0 0 0 0 0 0 0 0 0 0 026 Masa Trombin (TT) 0 0 0 0 0 0 0 0 0 0 0 0 0 027 APTT 0 0 0 0 0 0 0 0 0 0 0 0 0 028 Elektrolit 0 0 0 0 0 0 0 0 0 0 0 0 0 029 HIV I/II 1 0 0 0 1 0 0 0 0 0 0 0 0 030 Troponin 0 0 0 0 0 0 0 0 0 0 0 0 0 031 CPK 0 0 0 0 0 0 0 0 0 0 0 0 0 032 CKMB 0 0 0 0 0 0 0 0 0 0 0 0 0 033 Kultur Sputum 0 0 0 0 0 0 0 0 0 0 0 0 0 034 Sputum 0 0 0 0 0 0 0 0 0 0 0 0 0 035 ASTO 0 0 0 0 0 0 0 0 0 0 0 0 0 036 RF 0 0 0 0 0 0 0 0 0 0 0 0 0 037 PSA 0 0 0 0 0 0 0 0 0 0 0 0 0 038 Protein Total 0 0 0 0 0 0 0 0 1 1 0 1 0 139 Albumin 0 0 0 0 1 0 0 0 1 1 0 3 1 840 Golongan Darah 0 0 0 0 0 0 1 1 1 0 2 0 0 141 Bilirubin 0 0 0 0 0 0 1 0 0 0 1 0 0 642 Masa Pendarahan 9 10 11 4 6 4 8 8 9 6 11 10 2 9

43 Masa Pembekuan 9 10 11 4 6 4 8 8 9 6 11 10 2 944 Analisa Gas Darah 0 0 0 0 0 0 0 0 0 0 0 0 0 045 Alkali Pospatase 0 0 0 0 0 0 0 0 0 0 1 0 0 046 Dengue IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 047 T3 0 1 0 0 0 0 0 0 0 0 0 1 0 048 T4 0 1 0 0 0 0 0 0 0 0 0 1 0 049 FT4 0 0 0 0 0 0 0 0 1 0 0 0 0 050 TSH 0 0 0 0 0 0 0 0 1 0 0 1 0 051 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 052 NS 1 0 0 0 0 0 0 0 0 0 0 0 0 0 053 IgM (Tubex) 0 0 0 0 0 0 0 0 0 0 0 0 0 054 Fibrinogen 0 0 0 0 0 0 0 0 0 0 0 0 0 055 SI(Serum Iron) 0 0 0 0 0 0 0 0 0 0 0 0 0 056 TIBC 0 0 0 0 0 0 0 0 0 0 0 0 0 057 Toxo IgG / IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 058 Rubella IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 059 CMV IgG /IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 060 HSV I IgG /IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 061 HSV II IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 062 Anti HBs 0 0 0 0 0 0 0 0 0 0 0 0 0 063 CRP 0 0 0 0 0 0 0 0 0 0 0 0 0 064 PROTEIN URIN 0 0 0 0 0 0 1 0 0 0 0 0 0 065 NARKOBA URIN 0 0 0 0 0 0 0 1 0 0 0 0 0 066 GAMMA GT 0 0 0 0 0 0 0 0 0 0 0 0 0 067 FAECES RUTIN 0 0 0 0 0 0 0 0 0 0 0 0 0 068 HbA1c/Gliko Hb 0 0 0 0 0 0 0 0 1 0 0 0 0 0

69 Analisa sperma 0 0 0 0 0 0 0 0 0 0 0 0 0 0JUMLAH PASIEN 27 19 17 21 22 24 51 25 27 43 26 31 22 55

15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 JUMLAH21 20 18 15 18 12 21 21 14 7 13 13 7 21 23 12 52421 20 18 15 18 12 21 21 14 7 13 13 7 21 23 12 52419 16 14 10 12 10 20 20 14 7 11 13 7 21 23 12 46519 16 14 10 12 10 20 20 14 7 11 13 7 21 23 12 465

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 516 9 32 6 25 30 9 31 2 3 2 23 1 0 5 11 416

1 3 2 3 0 1 5 1 4 0 0 1 1 1 3 0 721 3 2 3 0 1 5 1 4 0 0 1 1 1 3 0 725 4 3 3 6 4 8 6 3 0 1 1 1 1 3 1 1165 4 3 3 6 4 8 6 3 0 1 1 1 1 3 1 1162 2 2 1 2 0 1 1 2 1 1 1 0 0 3 1 521 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 526 1 5 0 0 1 6 4 3 1 0 0 0 0 1 0 465 1 5 0 0 1 4 4 2 1 0 0 0 0 1 0 465 1 5 0 0 1 4 4 2 1 0 0 0 0 1 0 355 1 5 0 0 1 4 4 3 1 0 0 0 0 1 0 402 1 3 0 6 2 11 6 3 0 0 1 0 0 1 1 750 0 0 3 1 0 1 3 0 0 1 3 0 0 1 0 361 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 102 2 0 2 0 1 2 2 1 0 2 0 0 0 4 0 290 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 1 0 0 0 2 0 0 0 1 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 50 1 1 0 1 0 1 0 1 0 0 0 0 0 0 0 200 0 0 1 1 0 2 2 1 0 0 1 0 0 0 0 140 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 105 8 10 8 3 2 4 9 7 1 9 5 1 12 13 5 202

5 8 10 8 3 2 4 9 7 1 9 5 1 12 13 5 2020 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1

41 26 45 17 27 26 27 45 14 9 14 30 16 23 27 22 819

LAPORAN PELAKSANAAN PEMERIKSAAN LABORATORIUM KLINIKBULAN : Apr-15 TANGGAL

NO JENIS PEMERIKSAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 141 Hemoglobin 20 32 31 5 24 18 27 17 25 17 29 252 Hematokrit 20 32 31 5 24 18 27 17 25 17 29 253 Trombosit 17 30 29 5 22 15 23 17 21 17 29 194 Leukosit 17 30 29 5 22 15 23 17 21 17 29 195 LED 0 0 0 0 0 1 1 1 1 1 0 06 Gula Darah 18 24 34 10 24 13 20 13 28 1 34 67 SGOT 3 8 12 0 5 3 10 4 7 6 4 58 SGPT 3 8 11 0 5 3 10 4 7 6 4 59 Ureum 4 8 11 0 4 4 7 5 4 3 5 5

10 Creatinin 4 8 11 0 4 4 7 5 4 3 5 511 Widal 2 2 5 0 3 2 6 2 8 4 2 912 Hitung Jenis 0 1 0 0 0 0 0 0 0 0 0 013 Cholestrol 3 3 1 0 1 6 1 0 0 4 4 414 HDL Cholestrol 3 3 1 0 1 6 1 0 0 4 4 415 LDL Cholestrol 3 3 1 0 1 6 1 0 0 4 4 416 Trigliserida 3 3 1 0 1 6 1 0 0 4 4 417 Asam Urat 4 4 3 0 1 5 4 0 0 4 4 218 Urin Lengkap 2 4 0 0 1 0 1 1 0 6 1 119 HCG Urine 0 1 0 0 1 0 0 0 0 1 0 020 HbsAg 0 1 1 0 0 0 0 0 0 0 0 121 Anti HAV IgM 0 0 0 0 0 0 0 0 0 0 0 022 Anti HAV 0 0 0 0 0 0 0 0 0 0 0 023 Anti HCV IgM 0 0 0 0 0 0 0 0 0 0 0 024 Anti HCV 0 0 0 0 0 0 0 0 0 0 0 025 Masa Protombin (PT) 0 0 0 0 0 0 0 0 0 0 0 026 Masa Trombin (TT) 0 0 0 0 0 0 0 0 0 0 0 027 APTT 0 0 0 0 0 0 0 0 0 0 0 028 Elektrolit 0 1 0 0 1 0 0 1 0 0 0 029 HIV I/II 0 0 0 0 0 1 0 0 0 0 0 030 Troponin 0 0 0 0 0 0 0 0 0 0 0 031 CPK 0 0 0 0 0 0 0 0 0 0 0 032 CKMB 0 0 0 0 0 0 0 0 0 0 0 033 Kultur Sputum 0 0 0 0 0 0 0 0 0 0 0 034 Sputum 0 0 0 0 0 0 0 0 0 0 0 035 ASTO 0 0 0 0 0 0 0 0 0 0 0 036 RF 0 0 0 0 0 0 0 0 0 0 0 037 PSA 0 0 0 0 0 0 0 0 0 0 0 138 Protein Total 0 0 0 0 0 0 0 0 0 0 0 039 Albumin 1 1 2 0 0 0 0 0 0 0 0 040 Golongan Darah 1 4 1 0 0 0 1 1 0 0 0 041 Bilirubin 0 0 0 0 0 1 0 0 0 0 0 042 Masa Pendarahan 7 8 4 1 6 5 9 4 5 3 9 743 Masa Pembekuan 7 8 4 1 6 5 9 4 5 3 9 744 Analisa Gas Darah 0 0 0 0 0 0 0 0 0 0 0 045 Alkali Pospatase 0 0 0 0 0 0 0 0 0 0 0 0

46 Dengue IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 047 T3 0 0 0 0 0 0 0 0 0 0 1 048 T4 0 0 0 0 0 0 0 0 0 0 1 049 FT4 0 0 0 0 0 0 0 0 0 0 1 050 TSH 0 0 0 0 0 0 0 0 0 0 0 051 Malaria 0 0 0 0 0 0 0 0 0 0 1 052 NS 1 0 0 0 0 0 0 0 0 0 0 0 053 IgM (Tubex) 0 0 0 0 0 0 0 0 0 0 0 054 Fibrinogen 0 0 0 0 0 0 0 0 0 0 0 055 SI(Serum Iron) 0 0 0 0 0 0 0 0 0 0 0 056 TIBC 0 0 0 0 0 0 0 0 0 0 0 057 Toxo IgG / IgM 0 0 0 0 0 0 0 0 0 0 0 058 Rubella IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 059 CMV IgG /IgM 0 0 0 0 0 0 0 0 0 0 0 060 HSV I IgG /IgM 0 0 0 0 0 0 0 0 0 0 0 061 HSV II IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 062 Anti HBs 0 0 0 0 0 0 0 0 0 0 0 063 CRP 0 0 0 0 0 0 0 0 0 0 0 064 PROTEIN URIN 1 0 0 0 0 1 0 0 0 0 0 065 NARKOBA URIN 1 0 0 0 0 0 0 0 0 0 0 066 GAMMA GT 0 0 0 0 0 0 0 0 0 0 0 067 FAECES RUTIN 0 0 0 0 0 0 0 0 0 0 2 168 ANALISA SPERMA 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH PASIEN 32 40 59 12 35 33 33 25 44 23 54 35

15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 JUMLAH22 22 19 33 7 50 28 17 23 28 19 27 20 22 24 63122 22 19 33 7 50 28 17 23 28 19 27 20 22 24 63122 21 18 33 7 50 23 17 22 28 17 25 19 20 22 58822 21 18 33 7 50 23 17 22 28 17 25 19 20 22 588

0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 812 3 17 7 24 19 20 23 16 7 6 31 12 11 17 450

5 4 4 9 0 19 10 5 9 7 7 9 5 7 3 1705 4 4 9 0 19 10 6 9 7 7 9 5 7 3 1706 3 2 13 0 30 11 8 4 1 7 6 5 4 2 1626 3 2 13 0 30 11 8 4 1 7 6 5 4 2 1625 6 2 3 0 4 7 4 4 7 5 4 2 6 5 1091 0 0 0 0 1 0 0 1 0 0 0 0 0 0 40 1 3 2 0 10 6 3 1 3 3 2 4 2 2 690 1 2 2 0 9 6 3 1 3 3 2 4 2 2 670 1 2 2 0 9 6 3 1 3 3 2 4 2 2 670 1 2 2 0 9 6 3 1 3 3 2 4 2 2 671 0 4 7 0 22 4 4 2 2 4 2 5 2 1 913 1 3 0 0 2 2 2 0 1 2 2 0 0 1 360 0 0 0 0 0 0 0 0 0 0 0 0 1 0 40 0 0 1 0 0 2 0 1 1 1 1 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 1 0 0 0 0 1 0 0 0 0 50 0 0 0 0 0 0 1 0 0 0 1 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 1 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 1 0 0 0 0 0 10 0 0 1 0 1 0 0 0 1 0 0 0 0 0 71 0 0 1 0 0 0 0 1 0 0 0 0 0 0 111 0 0 0 0 0 1 0 0 1 1 0 0 0 0 59 5 4 0 0 4 8 2 4 7 4 5 0 7 0 1279 5 4 0 0 4 8 2 4 7 4 5 0 7 0 1270 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 1 0 0 0 20 0 0 0 0 0 0 0 0 0 0 1 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 1 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 1 2 0 0 0 0 50 0 0 0 0 0 0 0 1 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 1 0 1 0 1 0 0 1 0 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

31 25 35 35 20 54 43 36 36 43 30 40 32 31 35 951

LAPORAN PELAKSANAAN PEMERIKSAAN LABORATORIUM KLINIKBULAN : Januari 2015

NO JENIS PEMERIKSAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 171 Hemoglobin 7 2 4 0 14 17 20 19 21 21 16 10 10 11 13 262 Hematokrit 7 12 4 0 14 17 20 19 21 21 16 10 10 11 13 263 Trombosit 7 13 9 0 15 18 15 11 19 19 12 10 8 8 11 224 Leukosit 7 13 9 0 15 18 15 11 19 19 12 10 8 8 11 225 LED 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 26 Gula Darah 0 20 4 0 29 24 7 15 22 27 11 20 2 20 10 267 SGOT 0 6 0 0 3 8 6 2 8 5 2 2 3 4 2 78 SGPT 0 6 0 0 3 8 6 2 8 5 2 2 3 4 2 79 Ureum 0 4 0 0 5 8 8 2 9 8 6 4 3 4 3 17

10 Creatinin 0 4 0 0 5 8 8 2 9 8 6 4 3 4 3 1711 Widal 0 1 0 0 3 4 2 2 5 5 4 1 3 2 2 612 Hitung Jenis 0 1 0 0 0 0 3 1 1 0 1 0 0 0 1 113 Cholesterol 0 1 0 0 0 4 2 0 2 3 1 4 0 3 0 614 HDL-Chplesterol 0 1 0 0 0 4 2 0 1 2 1 4 0 3 0 415 LDL Cholestrol 0 1 0 0 0 4 2 0 1 2 1 4 0 3 0 416 Trigliserida 0 1 0 0 0 4 2 0 1 2 1 4 0 3 0 417 Asam Urat 1 5 0 0 0 6 3 2 3 3 3 4 0 3 3 1418 Urin Lengkap 0 0 0 0 0 4 1 3 2 2 2 3 0 1 1 519 HCG Urine 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 020 HbsAg 1 1 0 0 0 1 1 0 1 0 0 1 0 0 0 221 BETA HCG 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 022 Anti HAV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 023 Anti HCV IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 024 Anti HCV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 025 Masa Protombin (PT) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 026 Masa Trombin (TT) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 027 APTT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 028 Elektrolit 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 029 HIV I/II 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 030 Troponin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 031 CPK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 032 CKMB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 033 Kultur Sputum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 034 Sputum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 035 ASTO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 036 RF 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 037 PSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 038 Protein Total 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 039 Albumin 0 0 0 0 0 0 1 0 1 2 1 0 0 0 1 240 Golongan Darah 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 041 Bilirubin 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 142 Masa Pendarahan 3 4 3 0 5 9 5 2 5 5 6 3 3 4 3 4

43 Masa Pembekuan 3 4 3 0 5 9 5 2 5 5 6 3 3 4 3 444 Analisa Gas Darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 045 Alkali Pospatase 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 046 Dengue IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 047 T3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 048 T4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 049 FT4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 050 TSH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 051 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 052 NS 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 053 IgM (Tubex) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 054 Fibrinogen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 055 SI(Serum Iron) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 056 TIBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 057 Toxo IgG / IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 058 Rubella IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 059 CMV IgG /IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 060 HSV I IgG /IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 061 HSV II IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 062 Anti HBs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 063 CRP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 064 PROTEIN URIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 065 NARKOBA URIN 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 066 GAMMA GT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 067 FAECES RUTIN 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 0

ANALISA SPERMA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH PASIEN 8 36 11 0 31 31 35 31 34 26 23 14 30 21 45

18 19 20 21 22 23 24 25 26 27 28 29 30 31 JUMLAH41 17 16 13 12 13 21 11 12 15 19 9 41041 16 16 13 12 13 21 11 12 15 19 9 41940 16 16 10 11 10 20 9 12 11 16 9 37740 16 16 10 11 10 20 9 12 11 16 9 377

0 1 0 0 0 0 0 0 0 1 0 0 640 20 18 11 10 19 12 15 14 11 14 18 43913 6 4 1 6 2 6 4 1 6 8 4 11913 6 4 1 6 2 6 4 1 6 8 4 11933 5 3 3 7 4 4 2 2 4 7 3 15833 5 3 3 7 4 4 2 2 4 7 3 158

0 3 3 3 6 7 6 4 5 3 5 6 910 0 0 0 0 0 0 0 0 1 0 0 106 2 1 4 5 3 2 2 0 1 1 2 555 2 1 4 5 3 2 2 0 1 0 2 495 2 1 4 5 3 2 2 0 1 0 2 495 2 1 4 5 3 2 2 0 1 0 2 49

25 3 1 4 5 3 2 3 1 4 0 3 10410 0 1 2 1 0 3 3 2 1 0 4 51

0 0 0 0 0 0 1 0 0 0 0 0 40 4 0 1 0 0 1 0 1 0 1 0 160 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 1 0 0 1 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 1 20 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 2 0 0 0 0 1 1 2 0 0 0 93 2 1 0 1 0 1 1 2 0 0 0 190 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 1 0 0 0 0 0 47 3 2 4 3 3 1 2 1 5 5 2 102

7 3 2 4 3 3 1 2 1 5 5 2 1020 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 1 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 02 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0

059 35 34 24 27 23 29 27 26 26 33 21 740

LAPORAN PELAKSANAAN PEMERIKSAAN LABORATORIUM KLINIKBULAN : Februari 2015 Tanggal

NO JENIS PEMERIKSAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 171 Hemoglobin 15 14 27 22 19 13 6 5 12 11 22 51 202 Hematokrit 15 13 27 22 19 13 6 5 12 11 22 51 203 Trombosit 12 13 25 22 19 13 6 5 12 5 22 47 194 Leukosit 12 13 25 22 19 13 6 5 12 5 22 47 195 LED 0 0 0 0 0 0 0 0 0 0 0 0 06 Gula Darah 19 10 18 10 11 17 5 3 6 18 12 31 97 SGOT 5 3 5 5 6 4 2 0 3 4 4 13 68 SGPT 5 3 5 5 6 4 2 0 3 4 4 13 69 Ureum 6 4 7 5 6 5 2 1 5 2 10 36 7

10 Creatinin 6 4 7 5 6 5 2 1 5 2 10 36 711 Widal 3 2 13 8 6 0 2 3 1 1 2 8 112 Hitung Jenis 2 0 0 0 0 0 0 0 0 1 0 0 113 Cholestrol 2 2 0 0 1 5 2 1 3 3 4 1 314 HDL Cholestrol 2 2 0 0 1 5 2 1 3 3 4 1 315 LDL Cholestrol 2 2 0 0 1 5 2 1 3 3 4 1 316 Trigliserida 2 2 0 0 1 5 2 1 3 3 4 1 317 Asam Urat 4 3 1 1 3 4 2 1 2 2 8 10 318 Urin Lengkap 2 2 0 1 2 3 2 0 3 4 4 5 219 HCG Urine 1 0 0 0 1 1 0 0 0 0 0 0 020 HbsAg 0 0 0 3 0 1 0 0 1 0 1 5 021 Anti HAV IgM 0 0 0 0 0 0 0 0 0 0 0 0 022 Anti HAV 0 0 0 0 0 0 0 0 0 0 0 0 023 Anti HCV IgM 0 0 0 0 0 0 0 0 0 0 0 0 024 Anti HCV 0 0 0 0 0 0 0 0 0 0 0 0 025 Masa Protombin (PT) 0 0 0 0 0 0 0 0 0 0 0 0 026 Masa Trombin (TT) 0 0 0 0 0 0 0 0 0 0 0 0 027 APTT 0 0 0 0 0 0 0 0 0 0 0 0 028 Elektrolit 0 0 0 0 0 0 0 0 0 0 0 0 029 HIV I/II 0 0 0 0 0 0 0 0 0 0 0 0 030 Troponin 0 0 0 0 0 0 0 0 0 0 0 0 031 CPK 0 0 0 0 0 0 0 0 0 0 0 0 032 CKMB 0 0 0 0 0 0 0 0 0 0 0 0 033 Kultur Sputum 0 0 0 0 0 0 0 0 0 0 0 0 034 Sputum 1 1 1 0 0 0 0 0 0 0 0 0 135 ASTO 0 0 0 0 0 0 0 0 0 0 0 0 036 RF 0 0 0 0 0 0 0 0 0 0 0 0 037 PSA 0 0 0 0 0 0 0 0 0 0 0 0 038 Protein Total 0 0 0 0 0 1 0 0 0 1 2 1 039 Albumin 0 0 0 0 0 1 0 0 0 1 2 2 040 Golongan Darah 0 0 0 0 0 0 0 0 1 0 1 2 041 Bilirubin 0 1 1 0 0 0 0 0 0 1 0 0 042 Masa Pendarahan 0 1 3 4 5 2 0 2 2 3 5 9 3

43 Masa Pembekuan 0 1 3 4 5 2 0 2 2 3 5 9 344 Analisa Gas Darah 0 0 0 0 0 0 0 0 0 0 0 0 045 Alkali Pospatase 0 0 0 0 0 0 0 0 0 0 0 0 046 Dengue IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 047 T3 0 0 0 0 0 0 0 0 0 0 0 0 048 T4 0 0 0 0 0 0 0 0 0 0 0 0 049 FT4 0 0 0 0 0 0 0 0 0 0 0 0 050 TSH 0 0 0 0 0 0 0 0 0 0 1 0 051 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 052 NS 1 0 0 0 0 0 0 0 0 0 0 0 0 053 IgM (Tubex) 0 0 0 0 0 0 0 0 0 0 0 0 054 Fibrinogen 0 0 0 0 0 0 0 0 0 0 0 0 055 SI(Serum Iron) 0 0 0 0 0 0 0 0 0 0 0 0 056 TIBC 0 0 0 0 0 0 0 0 0 0 0 0 057 Toxo IgG / IgM 0 0 0 0 0 0 0 0 0 0 0 0 058 Rubella IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 059 CMV IgG /IgM 0 0 0 0 0 0 0 0 0 0 0 0 060 HSV I IgG /IgM 0 0 0 0 0 0 0 0 0 0 0 0 061 HSV II IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 062 Anti HBs 0 0 0 0 0 0 0 0 0 0 0 0 063 CRP 0 0 0 0 0 0 0 0 0 0 0 0 064 PROTEIN URIN 0 0 0 0 0 0 0 0 0 0 0 0 065 NARKOBA URIN 0 0 0 0 0 0 0 0 0 0 0 0 066 GAMMA GT 0 0 0 0 0 0 0 0 0 0 0 0 067 FAECES RUTIN 0 0 0 0 0 0 0 0 0 0 0 0 068 ANALISA SPERMA 0 0 0 0 0 0 0 0 0 0 0 0 0

6970 JUMLAH PASIEN 0 31 22 38 31 32 36 13 8 23 33 34 65 29

18 19 20 21 22 23 24 25 26 27 28 29 30 31 JUMLAH22 1 16 18 15 29 16 17 16 22 40922 1 16 18 15 29 16 17 16 22 40813 1 16 15 14 23 12 16 16 15 36113 1 16 15 14 23 12 16 16 15 361

0 0 0 0 0 0 0 0 0 0 021 14 16 11 12 10 20 6 22 4 305

7 0 7 4 6 10 4 6 11 6 1217 0 7 4 6 10 4 6 11 6 1218 0 7 5 7 8 2 4 6 9 1528 0 7 5 7 8 2 4 6 9 1523 0 3 7 6 10 4 7 5 11 1060 0 0 1 0 0 0 0 0 0 53 0 1 4 3 4 1 3 6 1 532 0 1 4 3 4 1 3 6 1 522 0 1 4 3 4 1 3 6 1 522 0 1 4 3 4 1 3 6 1 524 0 1 2 4 4 2 5 6 3 752 0 0 3 1 0 2 1 0 1 400 0 0 0 0 0 0 0 0 0 30 0 0 1 1 0 0 1 0 0 140 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 1 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 02 0 0 0 0 0 1 1 0 0 80 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 2 0 0 0 1 0 81 0 0 0 2 0 0 0 1 0 100 0 0 0 0 1 0 0 0 0 50 0 0 0 0 0 0 0 0 0 30 0 1 1 4 6 8 4 2 6 71

0 0 1 1 4 6 8 4 2 6 710 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 1 0 10 0 0 0 0 0 0 0 1 0 10 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 1 0 20 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 1 0 0 0 10 0 0 0 0 0 0 0 0 0 0

35 15 32 37 36 48 35 28 36 29 726

LAPORAN PELAKSANAAN PEMERIKSAAN LABORATORIUM KLINIKBULAN : Maret 2015

NO JENIS PEMERIKSAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 141 Hemoglobin 30 12 21 22 22 16 2 17 25 12 24 23 252 Hematokrit 30 12 21 22 22 16 2 17 25 12 24 23 253 Trombosit 26 11 19 19 14 11 1 17 23 8 22 21 244 Leukosit 26 11 19 19 14 11 1 17 23 8 22 21 245 LED 2 0 1 1 0 0 0 2 0 0 0 0 26 Gula Darah 24 15 17 9 17 23 12 14 8 30 18 26 177 SGOT 9 2 4 8 7 5 0 11 11 3 4 10 88 SGPT 9 2 4 8 7 5 0 11 11 3 4 10 89 Ureum 10 2 3 9 5 4 0 9 8 2 6 10 17

10 Creatinin 10 2 3 9 5 4 0 9 8 2 6 10 1711 Widal 6 0 2 1 3 2 0 7 8 2 6 5 412 Hitung Jenis 3 0 0 1 0 0 0 0 0 1 0 0 013 Cholesterol 3 1 0 1 2 1 0 4 3 0 3 0 314 HDL-Chplesterol 3 1 0 1 2 1 0 4 3 0 3 0 315 LDL Cholestrol 3 1 0 1 2 1 0 4 3 0 3 0 316 Trigliserida 3 1 0 1 2 1 0 4 3 0 3 0 317 Asam Urat 2 2 2 3 1 2 0 3 3 1 3 3 718 Urin Lengkap 5 3 1 3 4 0 0 3 3 1 3 1 019 HCG Urine 0 1 0 0 0 1 0 0 0 0 0 1 020 HbsAg 0 0 0 1 2 0 0 1 1 0 1 1 121 BETA HCG 0 1 0 0 0 0 0 0 0 0 0 0 022 Anti HAV 0 0 0 0 0 0 0 0 0 0 0 0 023 Anti HCV IgM 0 0 0 0 0 0 0 0 0 0 0 0 024 Anti HCV 0 0 0 0 0 0 0 0 0 0 0 0 025 Masa Protombin (PT) 0 0 0 0 0 0 0 0 0 0 0 0 026 Masa Trombin (TT) 0 0 0 0 0 0 0 0 0 0 0 0 027 APTT 0 0 0 0 0 0 0 0 0 0 0 0 028 Elektrolit 0 0 0 0 0 0 0 0 0 0 0 0 029 HIV I/II 0 0 0 0 0 0 0 0 1 0 0 0 030 Troponin 0 0 0 0 0 0 0 0 0 0 0 0 031 CPK 0 0 0 0 0 0 0 0 0 0 0 0 032 CKMB 0 0 0 0 0 0 0 0 0 0 0 0 033 Kultur Sputum 0 0 0 0 1 0 0 0 0 0 0 0 034 Sputum 0 0 0 0 0 0 0 0 0 0 0 0 035 ASTO 0 0 0 0 0 0 0 0 0 0 0 0 036 RF 0 0 0 0 0 0 0 0 0 0 0 0 037 PSA 0 0 0 0 0 0 0 0 0 0 0 0 038 Protein Total 1 2 0 0 0 0 0 1 0 0 1 0 039 Albumin 1 2 0 0 0 0 0 1 1 0 1 0 040 Golongan Darah 0 0 0 0 0 0 0 0 2 0 0 1 141 Bilirubin 0 0 0 0 0 0 0 1 3 0 0 0 042 Masa Pendarahan 7 3 7 4 8 5 0 3 5 5 5 5 243 Masa Pembekuan 7 3 7 4 8 5 0 3 5 5 5 5 244 Analisa Gas Darah 0 0 0 0 0 0 0 0 0 0 0 0 045 Alkali Pospatase 0 0 0 0 0 0 0 0 0 0 0 0 0

46 Dengue IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 047 T3 0 0 0 0 1 0 0 0 0 0 0 0 048 T4 0 0 0 0 1 0 0 0 0 0 0 0 049 FT4 0 0 0 0 0 0 0 0 0 0 0 0 050 TSH 0 0 0 0 0 0 0 0 0 0 0 0 051 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 052 NS 1 0 0 0 0 0 0 0 0 0 0 0 0 053 IgM (Tubex) 0 0 0 0 0 0 0 0 0 0 0 0 054 Fibrinogen 0 0 0 0 0 0 0 0 0 0 0 0 055 SI(Serum Iron) 0 0 0 0 0 0 0 0 0 0 0 0 056 TIBC 0 0 0 0 0 0 0 0 0 0 0 0 057 Toxo IgG / IgM 0 0 0 0 0 0 0 0 0 0 0 0 058 Rubella IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 059 CMV IgG /IgM 0 0 0 0 0 0 0 0 0 0 0 0 060 HSV I IgG /IgM 0 0 0 0 0 0 0 0 0 0 0 0 061 HSV II IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 062 Anti HBs 0 0 0 0 0 0 0 0 0 0 0 0 063 CRP 0 0 0 0 0 0 0 0 0 0 0 0 064 PROTEIN URIN 0 0 0 0 0 0 0 0 0 0 0 1 065 NARKOBA URIN 0 0 0 0 0 0 0 0 0 0 0 0 066 GAMMA GT 0 0 0 0 0 0 0 0 0 0 0 0 067 FAECES RUTIN 0 0 0 0 0 1 0 0 0 0 0 0 168 ANALISA SPERMA 0 0 0 0 0 1 0 0 0 0 0 0 069

70 JUMLAH PASIEN 48 34 30 29 40 25 10 34 32 29 32 39 36

15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 JUMLAH42 19 17 25 22 11 33 21 19 18 26 16 12 17 54942 19 17 25 22 11 33 21 19 18 26 16 12 17 54938 16 14 25 22 11 32 19 15 18 23 14 11 14 48838 16 14 25 22 11 32 19 15 18 23 14 11 14 488

1 0 1 0 0 0 1 2 0 1 1 0 0 1 1643 12 11 21 4 29 22 22 21 31 7 27 6 34 52014 2 7 7 11 1 13 5 6 5 8 6 5 5 17714 2 7 7 11 1 13 5 6 5 8 6 5 5 17727 2 6 6 9 1 12 5 5 8 9 7 4 5 19127 2 6 6 9 1 12 5 5 8 9 7 4 5 191

4 4 4 2 12 2 5 5 2 3 6 0 3 2 1001 1 0 0 0 0 1 0 0 0 0 0 0 0 84 4 1 3 1 0 3 4 1 1 0 1 2 0 464 4 1 3 1 0 3 4 1 1 0 1 2 0 464 4 1 3 1 0 3 4 1 1 0 1 2 0 464 4 1 3 1 0 3 4 1 1 0 1 2 0 46

17 3 2 4 2 0 5 3 1 0 1 2 1 5 783 1 1 1 1 0 3 4 3 1 2 2 1 1 510 1 0 0 0 0 0 0 0 0 0 0 0 0 40 0 2 0 1 0 2 1 3 1 1 0 0 1 200 1 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 01 1 0 0 0 0 0 0 0 1 0 1 0 1 50 0 1 0 0 0 2 1 2 0 0 0 1 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 1 1 0 0 1 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 1 0 0 0 0 1 0 0 72 0 0 0 0 0 1 0 0 0 1 0 0 0 103 2 1 0 0 0 1 1 0 1 1 2 0 2 180 2 0 0 0 0 0 0 1 0 0 0 0 1 84 3 3 10 4 1 3 4 6 1 5 6 2 3 1144 3 3 10 4 1 3 4 6 1 5 6 2 3 1140 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 1 0 0 0 0 0 0 0 1

0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 01 0 0 0 1 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 1 0 0 0 0 0 0 0 0 0 2

60 36 24 39 28 23 46 42 30 30 30 32 15 35 888

LAPORAN PELAKSANAAN PEMERIKSAAN LABORATORIUM KLINIKBULAN : Mey 2015 TANGGAL

NO JENIS PEMERIKSAAN 1 2 3 4 5 6 7 8 9 10 11 12 131 Hemoglobin 31 3 27 24 17 17 20 21 4 27 14 192 Hematokrit 31 3 27 24 17 17 20 21 4 27 14 193 Trombosit 29 2 23 23 15 14 17 20 3 18 9 164 Leukosit 29 2 23 23 15 14 17 20 3 18 9 165 LED 0 0 0 0 0 1 0 0 0 1 0 06 Gula Darah 6 0 17 11 2 15 12 6 12 9 10 147 SGOT 7 0 12 8 3 7 6 5 2 6 3 48 SGPT 7 0 12 8 3 7 6 5 2 6 3 49 Ureum 7 0 9 9 4 6 4 4 2 11 4 4

10 Creatinin 7 0 9 9 4 6 4 4 2 11 4 411 Widal 4 0 3 5 1 2 4 2 1 1 3 312 Hitung Jenis 0 0 0 0 0 1 0 0 0 1 1 113 Cholestrol 2 0 3 7 3 7 1 4 1 4 0 114 HDL Cholestrol 2 0 3 6 3 7 1 4 1 4 0 115 LDL Cholestrol 2 0 3 6 3 7 1 4 1 4 0 116 Trigliserida 2 0 3 7 3 7 1 4 1 4 0 117 Asam Urat 2 0 7 8 2 8 2 5 1 5 0 118 Urin Lengkap 2 0 3 0 0 1 0 3 0 3 0 219 HCG Urine 0 0 0 0 0 0 0 0 0 0 1 020 HbsAg 1 0 1 1 1 0 0 0 0 1 1 021 Anti HAV IgM 0 0 0 0 0 0 0 0 0 0 0 022 Anti HAV 0 0 0 0 0 0 0 0 0 0 0 023 Anti HCV IgM 0 0 0 0 0 0 0 0 0 0 0 024 Anti HCV 0 0 0 0 0 0 0 0 0 0 0 025 Masa Protombin (PT) 0 0 0 0 0 0 1 0 0 1 0 026 Masa Trombin (TT) 0 0 0 0 0 0 0 0 0 1 0 027 APTT 0 0 0 0 0 0 1 0 0 0 0 028 Elektrolit 0 0 1 1 0 1 0 0 0 0 0 029 HIV I/II 0 0 0 0 0 0 0 0 0 0 0 030 Troponin 0 0 0 0 0 0 0 0 0 0 0 031 CPK 0 0 0 0 0 0 0 0 0 0 0 032 CKMB 0 0 0 0 0 0 0 0 0 0 0 033 Kultur Sputum 0 0 0 0 0 0 0 0 0 0 0 034 Sputum 0 0 0 0 0 0 0 0 0 0 0 035 ASTO 0 0 0 0 0 0 0 0 0 0 0 036 RF 0 0 0 0 0 0 0 0 0 0 0 037 PSA 0 0 0 0 0 0 0 0 0 0 0 038 Protein Total 0 0 0 0 0 0 0 0 0 0 0 039 Albumin 0 0 0 0 0 0 0 0 0 0 0 040 Golongan Darah 0 0 0 0 0 0 0 2 0 0 2 141 Bilirubin 1 0 0 0 2 0 0 0 0 0 042 Masa Pendarahan 5 1 4 0 7 3 0 4 1 4 3 043 Masa Pembekuan 5 1 4 0 7 3 0 4 1 4 3 044 Analisa Gas Darah 0 0 0 0 0 0 0 1 0 0 0 045 Alkali Pospatase 0 0 0 0 0 1 0 0 0 0 0 0

46 Dengue IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 047 T3 0 0 0 0 0 0 0 0 0 0 0 048 T4 0 0 0 0 0 0 0 0 0 0 0 049 FT4 0 0 0 0 0 0 0 0 0 0 0 050 TSH 0 0 0 0 0 0 0 0 0 0 0 051 Malaria 0 0 0 0 0 0 0 0 0 0 0 052 NS 1 0 0 0 0 0 0 0 0 0 0 0 053 IgM (Tubex) 0 0 0 0 0 0 0 0 0 0 0 054 Fibrinogen 0 0 0 0 0 0 0 0 0 0 0 055 SI(Serum Iron) 0 0 0 0 0 0 0 0 0 0 0 056 TIBC 0 0 0 0 0 0 0 0 0 0 0 057 Toxo IgG / IgM 0 0 0 0 0 0 0 0 0 0 0 058 Rubella IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 059 CMV IgG /IgM 0 0 0 0 0 0 0 0 0 0 0 060 HSV I IgG /IgM 0 0 0 0 0 0 0 0 0 0 0 061 HSV II IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 062 Anti HBs 0 0 0 0 0 0 0 0 0 0 0 063 CRP 0 0 0 0 0 0 0 0 0 0 0 064 PROTEIN URIN 1 0 0 0 0 0 0 0 0 0 0 065 NARKOBA URIN 0 0 0 0 0 0 0 0 0 0 0 066 GAMMA GT 0 0 0 0 0 0 0 0 0 0 0 067 FAECES RUTIN 0 0 0 1 0 0 0 0 0 0 0 068 ANALISA SPERMA 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH PASIEN 33 3 36 35 20 29 27 30 12 38 22 29

14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 JUMLAH8 25 3 54 23 18 14 13 17 4 29 20 27 24 18 26 5478 25 3 54 23 18 14 13 17 4 29 20 27 24 18 26 5478 24 3 54 22 17 13 12 11 2 28 18 21 22 15 24 4838 24 3 54 22 17 13 12 11 2 28 18 21 22 15 24 4830 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 5

18 7 24 46 16 13 8 2 18 12 13 2 3 29 18 28 3713 7 0 31 7 3 4 7 4 0 10 1 5 8 8 3 1643 7 0 31 7 3 4 7 4 0 10 1 5 8 8 3 1643 10 0 30 9 4 6 5 3 0 8 1 5 4 5 3 1603 10 0 30 9 4 6 5 3 0 8 1 5 4 5 3 1602 1 1 5 3 2 4 4 1 0 7 1 2 5 3 8 780 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 5 0 3 3 3 2 1 1 0 1 6 3 1 4 2 680 5 0 3 3 3 2 1 1 0 1 6 3 1 4 2 670 5 0 3 3 3 2 1 1 0 1 6 3 1 4 2 670 5 0 3 3 3 2 1 1 0 1 6 3 1 4 2 680 1 0 18 3 4 0 2 1 0 2 6 4 2 4 3 910 1 0 1 1 2 0 1 0 0 0 1 1 0 3 0 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 20 0 2 1 0 0 0 1 0 1 1 1 0 0 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 1 0 1 1 0 0 1 2 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 10 1 0 2 0 0 0 0 1 0 1 0 0 0 1 0 60 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 60 0 0 1 1 0 0 0 1 0 0 0 1 1 0 0 80 3 0 6 3 8 2 3 6 0 3 3 3 6 5 4 870 3 0 6 3 8 2 3 6 0 3 3 3 6 5 4 870 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 2 0 1 0 0 0 0 0 0 0 0 1 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

15 28 11 64 35 28 21 19 29 10 37 30 33 53 35 41 803

LAPORAN PELAKSANAAN PEMERIKSAAN LABORATORIUM KLINIKBULAN Juni 2015 TANGGAL

NO JENIS PEMERIKSAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 161 Hemoglobin 31 11 20 19 16 21 17 20 19 17 21 14 27 11 37 172 Hematokrit 31 11 20 19 16 21 17 20 19 17 21 14 27 11 37 173 Trombosit 27 11 17 18 15 13 15 14 13 14 15 12 25 10 31 124 Leukosit 27 11 17 18 15 13 15 14 13 14 15 12 25 10 31 125 LED 2 0 0 1 0 1 3 3 0 4 0 1 0 0 2 26 Gula Darah 17 1 38 26 16 18 8 28 9 21 17 22 14 5 36 177 SGOT 8 8 8 8 5 4 1 3 5 9 10 2 10 1 10 98 SGPT 8 8 8 8 5 4 1 3 5 9 10 2 10 1 10 99 Ureum 13 9 9 10 4 10 2 9 5 6 10 7 14 2 26 9

10 Creatinin 13 9 9 10 4 10 2 9 5 6 10 7 14 2 26 911 Widal 3 1 6 2 3 1 2 2 1 2 1 2 4 3 2 212 Hitung Jenis 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 113 Cholestrol 5 0 7 7 5 6 1 8 7 2 7 1 5 0 6 414 HDL Cholestrol 5 0 7 7 5 6 1 8 7 2 7 1 5 0 5 415 LDL Cholestrol 5 0 7 7 5 6 1 8 7 2 7 1 5 0 5 416 Trigliserida 5 0 7 7 6 6 1 8 7 2 7 1 5 0 6 417 Asam Urat 9 2 6 10 6 7 0 8 7 4 8 6 9 0 25 818 Urin Lengkap 2 4 6 3 2 2 2 2 1 0 3 4 0 0 1 519 HCG Urine 0 0 1 0 0 0 0 1 0 2 0 0 0 0 0 020 HbsAg 2 0 1 0 1 1 0 1 0 3 0 0 2 0 0 021 BETA HCG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 022 Anti HAV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 023 Anti HCV IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 024 Anti HCV 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 025 Masa Protombin (PT) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 026 Masa Trombin (TT) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 027 APTT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 028 Elektrolit 3 1 1 0 0 0 0 0 0 0 0 0 0 0 0 029 HIV I/II 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 030 Troponin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 031 CPK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 032 CKMB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 033 Kultur Sputum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 034 Sputum 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 035 ASTO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 036 RF 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 037 PSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 038 Protein Total 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 039 Albumin 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 040 Golongan Darah 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 041 Bilirubin 0 1 0 1 1 2 0 0 3 0 1 1 0 1 1 142 Masa Pendarahan 5 1 6 7 7 7 4 6 13 7 5 6 8 3 7 443 Masa Pembekuan 5 1 6 7 7 7 4 6 13 7 5 6 8 3 7 444 Analisa Gas Darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 045 Alkali Pospatase 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

46 Dengue IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 047 T3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 048 T4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 049 FT4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 050 TSH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 051 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 052 NS 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 053 IgM (Tubex) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 054 Fibrinogen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 055 SI(Serum Iron) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 056 TIBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 057 Toxo IgG / IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 058 Rubella IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 059 CMV IgG /IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 060 HSV I IgG /IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 061 HSV II IgG/IgM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 062 Anti HBs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 063 CRP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 064 PROTEIN URIN 0 0 1 0 0 2 0 0 0 0 2 1 1 0 1 165 NARKOBA URIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 066 GAMMA GT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 067 FAECES RUTIN 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 268 ANALISA SPERMA 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH PASIEN 52 16 50 38 29 37 24 43 32 42 45 31 35 14 61 32

17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 JUMLAH12 12 11 16 11 16 20 16 1312 12 11 16 11 16 20 16 1310 10 9 11 10 14 18 13 1310 10 9 11 10 14 18 13 13

0 1 0 0 0 0 0 030 28 23 14 5 5 17 1

5 6 2 2 4 3 2 35 6 2 1 4 3 2 34 9 3 1 2 3 6 24 9 3 1 2 3 6 21 2 2 4 2 2 2 00 0 0 0 0 0 0 02 9 0 0 0 0 2 12 9 0 0 0 0 2 12 9 0 0 0 0 2 12 9 0 0 0 0 2 13 9 1 1 0 1 2 11 5 2 0 1 1 4 20 0 0 0 0 0 1 10 1 0 0 1 2 0 10 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 10 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 1 1 1 14 7 5 9 2 8 6 44 7 5 9 2 8 6 40 0 0 0 0 0 0 00 0 0 0 0 0 0 0

0 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 0 0 0 0 0 0 00 7 1 0 0 0 0 00 0 0 0 0 2 0 00 0 0 0 0 0 0 00 0 1 0 0 0 0 00 0 0 0 0 0 0 0

40 50 27 33 16 24 30 20