No.

Rekam Medik : 12913848

RJ2402161273
NURIYATAS SYIFAAL AINI
Jl. Mayjen Prof. Dr. Moestopo No.6-8, Airlangga, Kecamatan 11-01-2002 (22 Tahun, 1 Bulan dan 6 Hari) /PEREMPUAN
Gubeng, Kota Surabaya, Jawa Timur 60286 No. NIK/KK : 3525091101020003
GG MELON NO 10 BUNDERAN , RT. 1/ RW. 1

HASIL PEMERIKSAAN LABORATORIUM PATOLOGI KLINIK

Pemeriksaan Laboratorium

Dokter Perujuk : ARINDI SITI CHOIRYAH

Ruang Rawat : Onkologi
Instalasi : Instalasi Rawat Jalan
Tanggal Order : 2024-02-16 11:12:13
Sample ID : 2402161398
Dokter Verifikator : , Munawaroh Fitriyah, dr.Sp.PK, Dr. Yetti Hernaningsih, dr., Sp.PK(K)

Hasil Pemeriksaan

Tindakan Hasil Satuan Nilai Rujukan Status Authorization Name

SGOT 51 U/L 0 - 37 Tinggi Camila Mutiara Safitri

SGPT 9 U/L 0 - 55 Camila Mutiara Safitri
Kreatinin 0.7 mg/dL 0.5 - 1.2 Camila Mutiara Safitri
BUN 8.0 mg/dL 7 - 20 Camila Mutiara Safitri
Kalsium 8.9 mg/dL 8.5 - 10.5 Camila Mutiara Safitri
Natrium (Na) 134 mmol / l 135 - 145 Rendah Camila Mutiara Safitri
Kalium (K) 4.70 mmol / l 3.5 - 5.0 Camila Mutiara Safitri
Klorida (Cl) 103.0 mmol / l 98 - 107 Camila Mutiara Safitri
Albumin - Serum 3.53 g/dL 3.4 - 5.0 Camila Mutiara Safitri
Glukosa Darah Acak 90 mg/dL < 200 Camila Mutiara Safitri
HBsAg Non Reactive S/CO < 1.00 Non Dyah Ganis
0.16 Reactive = 1.00 Kusumawardhani
Reactive
Hemoglobin 10.8 g/dL 11.0 - 14.7 Rendah Ricky Rinaldy
Hematokrit 34.0 % 35.2 - 46.7 Rendah Ricky Rinaldy
Lekosit 11.76 10³/µL 3.37 - 10.0 Tinggi Ricky Rinaldy
Trombosit 438 10³/µL 150 - 450 Ricky Rinaldy
MCV 85.4 fL 86.7 - 102.3 Rendah Ricky Rinaldy
MCH 27.1 pg 27.1 - 32.4 Ricky Rinaldy
MCHC 31.8 g/dL 29.7 - 33.1 Ricky Rinaldy
Eritrosit 3.98 106/µL 3.69 - 5.46 Ricky Rinaldy
Basofil 0.5 % 0.3 - 1.4 Ricky Rinaldy
Eosinofil 1.2 % 0.6 - 5.4 Ricky Rinaldy
Neutrofil 77.8 % 39.8 - 70.5 Tinggi Ricky Rinaldy
Limfosit 13.4 % 23.1 - 49.9 Rendah Ricky Rinaldy
Monosit 7.1 % 4.3 - 10.0 Ricky Rinaldy
Basofil Absolut 0.06 10³/µL 0 - 0.15 Ricky Rinaldy
Eosinofil Absolut 0.14 10³/µL 0.0 - 0.5 Ricky Rinaldy
Neutrofil Absolut 9.14 10³/µL 1.26 - 7.3 Tinggi Ricky Rinaldy

No. Rekam Medik : 12913848 Page 1

RJ2402161273
Limfosit Absolut 1.58 10³/µL 0.8 - 4.0 Ricky Rinaldy
Monosit Absolut 0.84 10³/µL 0.1 - 0.8 Tinggi Ricky Rinaldy
MPV 7.9 fL 9.2 - 12.0 Ricky Rinaldy
NRBC % Ricky Rinaldy
NRBC Absolut 0.00 10³/µL Ricky Rinaldy
P-LCR 8.4 % 19.7 - 42.4 Ricky Rinaldy
PDW 7.3 fL 9.6 - 15.2 Ricky Rinaldy
RDW-CV 16.5 % 12.2 - 14.8 Ricky Rinaldy
RDW-SD 51.9 fL 41.2 - 53.6 Ricky Rinaldy
IG 0.5 % Ricky Rinaldy
IG Absolut 0.06 10³/µL Ricky Rinaldy
P-PCT 0.35 % 0.19 - 0.39 Ricky Rinaldy
Tinggi Badan (CCT) 153 cm Sriwiwara rawilase
Volume Urine 24 Jam (CCT) 1800 ml / 24 jam Sriwiwara rawilase
Luas Permukaan (CCT) 1.28 Sriwiwara rawilase
Klirens Kreatinin 104.09 mg/24 jam Normal / Stage 1 : Sriwiwara rawilase
>= 90 Stage 2 :
45 - 89 Stage 3 :
10 - 41 Stage 4 :
15 - 29 Stage 5 :
< 15

Kesimpulan / Saran

Tanggal 16 Februari 2024, 15:54

Nama dan Tanda Tangan DPJP

Munawaroh Fitriyah, dr.Sp.PK, Dr. Yetti

Hernaningsih, dr., Sp.PK(K)

No. Rekam Medik : 12913848 Page 2

RJ2402161273