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Rs Wijaya Kusuma Lumajang: Detail Pemeriksaan Laborat

The document appears to be a list of medical test results for various patients on different dates. It includes patient names, test codes, doctors, medical staff, and dates. There are over 30 entries listing details of tests, exams, and procedures performed.

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aqil alasgaf
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56 views

Rs Wijaya Kusuma Lumajang: Detail Pemeriksaan Laborat

The document appears to be a list of medical test results for various patients on different dates. It includes patient names, test codes, doctors, medical staff, and dates. There are over 30 entries listing details of tests, exams, and procedures performed.

Uploaded by

aqil alasgaf
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
You are on page 1/ 6

RS WIJAYA KUSUMA

(0334) 89132

Detail Pemeriksaan

1 2021/08/02/0000 145658 AGUS SUSILO CAHYONO, TN J000034 GULA DARAH (GDA) DR00023 dr. Sophia Y. S., Sp.PK KR00144 Wiwik Mujiyati
23
2 2021/08/02/0000 145658 AGUS SUSILO CAHYONO, TN J000146 Bhp 20 DR00023 dr. Sophia Y. S., Sp.PK KR00144 Wiwik Mujiyati
23
3 2021/08/02/0000 133588 RETNO FATMAWATI, NY J000094 ECG DR00023 dr. Sophia Y. S., Sp.PK KR00104 Ressa Orysa Rosalina
20
4 2021/08/02/0000 133588 RETNO FATMAWATI, NY J000144 Bhp B DR00023 dr. Sophia Y. S., Sp.PK KR00104 Ressa Orysa Rosalina
20
5 2021/08/02/0000 145658 AGUS SUSILO CAHYONO, TN J000094 ECG DR00023 dr. Sophia Y. S., Sp.PK KR00104 Ressa Orysa Rosalina
23
6 2021/08/02/0000 145658 AGUS SUSILO CAHYONO, TN J000001 Darah Lengkap (DL1) DR00023 dr. Sophia Y. S., Sp.PK KR00144 Wiwik Mujiyati
23
7 2021/08/02/0000 145658 AGUS SUSILO CAHYONO, TN J000144 Bhp B DR00023 dr. Sophia Y. S., Sp.PK KR00104 Ressa Orysa Rosalina
23
8 2021/08/02/0000 145658 AGUS SUSILO CAHYONO, TN J000012 FAAL HATI (LFT) DR00023 dr. Sophia Y. S., Sp.PK KR00144 Wiwik Mujiyati
23
9 2021/08/02/0000 145658 AGUS SUSILO CAHYONO, TN J000030 FAAL GINJAL (RFT) DR00023 dr. Sophia Y. S., Sp.PK KR00144 Wiwik Mujiyati
23
10 2021/08/06/0000 144915 NICKY BAYU CASANDRA, TN J000095 ANTIGEN SARS - COV - 2 DR00023 dr. Sophia Y. S., Sp.PK KR00144 Wiwik Mujiyati
71
11 2021/08/13/0001 133337 SRI UNTARI U, NY J000034 GULA DARAH (GDA) DR00023 dr. Sophia Y. S., Sp.PK KR00248 Vina Ayu Lestari
54
12 2021/08/13/0001 133337 SRI UNTARI U, NY J000143 Bhp A DR00023 dr. Sophia Y. S., Sp.PK KR00248 Vina Ayu Lestari
54
13 2021/08/16/0002 133337 SRI UNTARI U, NY J000012 FAAL HATI (LFT) DR00023 dr. Sophia Y. S., Sp.PK KR00104 Ressa Orysa Rosalina
29
14 2021/08/16/0002 133337 SRI UNTARI U, NY J000021 FAAL HATI (LFT) DR00023 dr. Sophia Y. S., Sp.PK KR00104 Ressa Orysa Rosalina
29
15 2021/08/16/0002 133337 SRI UNTARI U, NY J000025 PROFIL LIPID (LIPID) DR00023 dr. Sophia Y. S., Sp.PK KR00104 Ressa Orysa Rosalina
29
16 2021/08/16/0002 133337 SRI UNTARI U, NY J000040 ELEKTR0LIT DR00023 dr. Sophia Y. S., Sp.PK KR00104 Ressa Orysa Rosalina
29
17 2021/08/16/0002 133337 SRI UNTARI U, NY J000029 FAAL GINJAL (RFT) DR00023 dr. Sophia Y. S., Sp.PK KR00104 Ressa Orysa Rosalina
29
18 2021/08/16/0002 133337 SRI UNTARI U, NY J000146 Bhp 20 DR00023 dr. Sophia Y. S., Sp.PK KR00104 Ressa Orysa Rosalina
29
19 2021/08/16/0002 133337 SRI UNTARI U, NY J000034 GULA DARAH (GDA) DR00023 dr. Sophia Y. S., Sp.PK KR00104 Ressa Orysa Rosalina
29
20 2021/08/16/0002 133337 SRI UNTARI U, NY J000094 ECG DR00023 dr. Sophia Y. S., Sp.PK KR00104 Ressa Orysa Rosalina
29
21 2021/08/16/0002 133337 SRI UNTARI U, NY J001106 D-DIMER DR00023 dr. Sophia Y. S., Sp.PK KR00104 Ressa Orysa Rosalina
29
22 2021/08/16/0002 133337 SRI UNTARI U, NY J000095 ANTIGEN SARS - COV - 2 DR00023 dr. Sophia Y. S., Sp.PK KR00104 Ressa Orysa Rosalina
29
23 2021/08/16/0002 133337 SRI UNTARI U, NY J000001 Darah Lengkap (DL1) DR00023 dr. Sophia Y. S., Sp.PK KR00104 Ressa Orysa Rosalina
29
24 2021/08/16/0002 133337 SRI UNTARI U, NY J000145 Bhp C DR00023 dr. Sophia Y. S., Sp.PK KR00144 Wiwik Mujiyati
29
25 2021/08/16/0002 133337 SRI UNTARI U, NY J000044 HBA1c (HBA1c) DR00023 dr. Sophia Y. S., Sp.PK KR00144 Wiwik Mujiyati
29
26 2021/08/16/0002 133337 SRI UNTARI U, NY J000036 GULA DARAH (GDA) DR00023 dr. Sophia Y. S., Sp.PK KR00248 Vina Ayu Lestari
29
27 2021/08/16/0002 133337 SRI UNTARI U, NY J000143 Bhp A DR00023 dr. Sophia Y. S., Sp.PK KR00248 Vina Ayu Lestari
29

10/31/21, 5:37 PM Page 1 of 2

28 2021/08/16/0002 133337 SRI UNTARI U, NY J000036 GULA DARAH (GDA) DR00023 dr. Sophia Y. S., Sp.PK KR00248 Vina Ayu Lestari
29
29 2021/08/16/0002 133337 SRI UNTARI U, NY J000143 Bhp A DR00023 dr. Sophia Y. S., Sp.PK KR00248 Vina Ayu Lestari
29
30 2021/08/19/0001 138631 AYSKA ZUNAIRA, AN J000042 WIDAL (WIDAL) DR00023 dr. Sophia Y. S., Sp.PK KR00159 Yoqi Stiven
90
31 2021/08/19/0001 138631 AYSKA ZUNAIRA, AN J000145 Bhp C DR00023 dr. Sophia Y. S., Sp.PK KR00159 Yoqi Stiven
90
32 2021/08/16/0002 133337 SRI UNTARI U, NY J000036 GULA DARAH (GDA) DR00023 dr. Sophia Y. S., Sp.PK KR00212 Arief Agung Prabowo
29
33 2021/08/16/0002 133337 SRI UNTARI U, NY J000143 Bhp A DR00023 dr. Sophia Y. S., Sp.PK KR00212 Arief Agung Prabowo
29
34 2021/08/19/0001 138631 AYSKA ZUNAIRA, AN J000009 URINE LENGKAP (UL) DR00023 dr. Sophia Y. S., Sp.PK KR00159 Yoqi Stiven
90
35 2021/08/16/0002 133337 SRI UNTARI U, NY J000036 GULA DARAH (GDA) DR00023 dr. Sophia Y. S., Sp.PK KR00212 Arief Agung Prabowo
29
36 2021/08/16/0002 133337 SRI UNTARI U, NY J000143 Bhp A DR00023 dr. Sophia Y. S., Sp.PK KR00212 Arief Agung Prabowo
29
37 2021/08/16/0002 133337 SRI UNTARI U, NY J000036 GULA DARAH (GDA) DR00023 dr. Sophia Y. S., Sp.PK KR00200 Danang Hanafi
29
38 2021/08/16/0002 133337 SRI UNTARI U, NY J000143 Bhp A DR00023 dr. Sophia Y. S., Sp.PK KR00200 Danang Hanafi
29
10/31/21, 5:37 PM Page 2 of 2
A LUMAJANG
325

n Laborat

DR00013 dr. Dwi Yuliati, Sp.P 02/08/2021 14:47:0 BNI LIFE POLI PARU 26,000 0 0 0 0 0 0 26,000
0 Admedika
DR00013 dr. Dwi Yuliati, Sp.P 02/08/2021 14:47:0 BNI LIFE POLI PARU 25,000 0 0 0 0 0 0 25,000
0 Admedika
DR00042 dr. Hendrawati, Sp.JP 02/08/2021 19:30:1 BNI LIFE POLI PARU 65,000 0 0 0 0 0 0 65,000
6 Admedika
DR00042 dr. Hendrawati, Sp.JP 02/08/2021 19:30:1 BNI LIFE POLI PARU 10,000 0 0 0 0 0 0 10,000
6 Admedika
DR00042 dr. Hendrawati, Sp.JP 02/08/2021 18:14:5 BNI LIFE POLI PARU 65,000 0 0 0 0 0 0 65,000
8 Admedika
DR00013 dr. Dwi Yuliati, Sp.P 02/08/2021 14:47:0 BNI LIFE POLI PARU 60,500 0 0 0 0 0 0 60,500
0 Admedika
DR00042 dr. Hendrawati, Sp.JP 02/08/2021 18:14:5 BNI LIFE POLI PARU 10,000 0 0 0 0 0 0 10,000
8 Admedika
DR00013 dr. Dwi Yuliati, Sp.P 02/08/2021 14:47:0 BNI LIFE POLI PARU 66,000 0 0 0 0 0 0 66,000
0 Admedika
DR00013 dr. Dwi Yuliati, Sp.P 02/08/2021 14:47:0 BNI LIFE POLI PARU 72,000 0 0 0 0 0 0 72,000
0 Admedika
DR00002 dr. Ika Sari Rahmatina, 06/08/2021 10:29:4 BNI LIFE IGD 150,000 0 0 0 0 0 0 150,000
M.Kes 2 Admedika
DR00033 dr. Slamet Ariyanto 13/08/2021 16:52:3 BNI LIFE IGD 26,000 0 0 0 0 0 0 26,000
7 Admedika
DR00033 dr. Slamet Ariyanto 13/08/2021 16:52:3 BNI LIFE IGD 3,000 0 0 0 0 0 0 3,000
7 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 16/08/2021 16:01:2 BNI LIFE NUSA INDAH 66,000 0 0 0 0 0 0 66,000
6 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 16/08/2021 16:01:2 BNI LIFE NUSA INDAH 33,000 0 0 0 0 0 0 33,000
6 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 16/08/2021 16:01:2 BNI LIFE NUSA INDAH 181,000 0 0 0 0 0 0 181,000
6 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 16/08/2021 16:01:2 BNI LIFE NUSA INDAH 315,000 0 0 0 0 0 0 315,000
6 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 16/08/2021 16:01:2 BNI LIFE NUSA INDAH 114,000 0 0 0 0 0 0 114,000
6 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 16/08/2021 16:01:2 BNI LIFE NUSA INDAH 25,000 0 0 0 0 0 0 25,000
6 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 16/08/2021 16:01:2 BNI LIFE NUSA INDAH 26,000 0 0 0 0 0 0 26,000
6 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 16/08/2021 16:01:2 BNI LIFE NUSA INDAH 65,000 0 0 0 0 0 0 65,000
6 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 16/08/2021 16:01:2 BNI LIFE NUSA INDAH 400,000 0 0 0 0 0 0 400,000
6 Admedika
- - 16/08/2021 15:52:2 BNI LIFE NUSA INDAH 150,000 0 0 0 0 0 0 150,000
5 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 16/08/2021 16:01:2 BNI LIFE NUSA INDAH 60,500 0 0 0 0 0 0 60,500
6 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 17/08/2021 08:57:4 BNI LIFE NUSA INDAH 15,000 0 0 0 0 0 0 15,000
5 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 17/08/2021 08:57:4 BNI LIFE NUSA INDAH 252,000 0 0 0 0 0 0 252,000
5 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 17/08/2021 04:51:1 BNI LIFE NUSA INDAH 26,000 0 0 0 0 0 0 26,000
8 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 17/08/2021 04:51:1 BNI LIFE NUSA INDAH 3,000 0 0 0 0 0 0 3,000
8 Admedika

DR00007 dr. Asri Nugraheni, Sp.PD 18/08/2021 04:57:1 BNI LIFE NUSA INDAH 26,000 0 0 0 0 0 0 26,000
9 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 18/08/2021 04:57:1 BNI LIFE NUSA INDAH 3,000 0 0 0 0 0 0 3,000
9 Admedika
DR00003 dr. Nurul Yudhi Prihastuti, 19/08/2021 19:30:5 BNI LIFE POLI ANAK 38,500 0 0 0 0 0 0 38,500
Sp.A 9 Admedika
DR00003 dr. Nurul Yudhi Prihastuti, 19/08/2021 19:30:5 BNI LIFE POLI ANAK 15,000 0 0 0 0 0 0 15,000
Sp.A 9 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 19/08/2021 00:47:3 BNI LIFE NUSA INDAH 26,000 0 0 0 0 0 0 26,000
3 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 19/08/2021 00:47:3 BNI LIFE NUSA INDAH 3,000 0 0 0 0 0 0 3,000
3 Admedika
DR00003 dr. Nurul Yudhi Prihastuti, 19/08/2021 19:30:5 BNI LIFE POLI ANAK 36,000 0 0 0 0 0 0 36,000
Sp.A 9 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 20/08/2021 04:33:0 BNI LIFE NUSA INDAH 26,000 0 0 0 0 0 0 26,000
5 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 20/08/2021 04:33:0 BNI LIFE NUSA INDAH 3,000 0 0 0 0 0 0 3,000
5 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 21/08/2021 00:06:4 BNI LIFE NUSA INDAH 26,000 0 0 0 0 0 0 26,000
4 Admedika
DR00007 dr. Asri Nugraheni, Sp.PD 21/08/2021 00:06:4 BNI LIFE NUSA INDAH 3,000 0 0 0 0 0 0 3,000
4 Admedika
Jumlah Total : 2,515,500 0 0 0 0 0 0 2,515,500

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