1

NO

JENIS PEMERIKSAAN
1 Hemolobin
2 Leukosit
3 Eritrosit
4 Trombosit
5 Hematokrit
6 Hitung Jenis Leukosit :
- Basofil
- Eosinofil
- Stab
- Segmen
- Limfosit
- Monosit
7 Golongan Darah
8 LED
9 Widal
10 GDP
11 GD2JPP
12 GDS
13 Cholesterol
14 HDL-C
15 LDL - C
16 Triglyserida
17 Asam Urat
18 Reduksi
19 Albumin
20 Urine Lengkap
21 Tes Kehamilan
22 Malaria
23 Sputum BTA

2
P

L
2
2
2
2

3
P
1

4
P

5
P
8

1
1

2
3
2

1
1
1

4
4
1

6
P

7
P

8
P

9
P

10
P

11
P

12
P

13
L

14
P

15
P

TANGGAL
16
L
P

17
L

18
P

19
P

20
P

20

21
P

22
P

23
P

24
P

25
P

26
P

27
P

28
L

29
P

30
P

Total

31
P

L
2
2
2
3
1
0
0
0
0
0
0
0
1
0
2
0
0
2
0
0
0
0
1
0
0
0
0
0
0

P
9
0
0
0
0
0
0
0
0
0
0
0
3
0
0
3
0
0
0
0
0
0
0
5
5
0
1
0
0

Total
Pemeriksa
an
11
2
2
3
1
0
0
0
0
0
0
0
4
0
2
3
0
2
0
0
0
0
1
5
5
0
1
0
0