Form Haji Tahap I 2018

DAFTAR HADIR PEMERIKSAAN LABORATORIUM
CALON HAJI TAHAP I KOTAWARINGIN BARAT

KAMIS, 10 Januari 2019
NO NAMA UMUR ALAMAT TANDA TANGAN
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
NO NAMA UMUR ALAMAT TANDA TANGAN
25
26
27
28
29
30
31
32
Pangkalan Bun, 10 Januari 2019

Petugas Pengambil Darah
Denny Rismawan, A.Md

HASIL PEMERIKSAAN URINALISA TAHAP I
CALON HAJI KOTAWARINGIN BARAT
MAKROSKOPIS MIKROSKOPIS
NO
SAMPEL
WARNA KEJERNIHAN UROBILINOGEN BILIRUBIN KETON KREATININ BLOOD PROTEIN MIKROALBUMIN NITRIT BJ PH EPITEL ERITROSIT LEKOSIT SILINDER KRISTAL BAKTERI LAIN-LAIN
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
NO
SAMPEL
WARNA KEJERNIHAN UROBILINOGEN BILIRUBIN KETON KREATININ BLOOD PROTEIN MIKROALBUMIN NITRIT BJ PH EPITEL ERITROSIT LEKOSIT SILINDER KRISTAL BAKTERI LAIN-LAIN
25
26
27
28
29
30
31
32

Petugas penguji,
Norzannah
NIP. 19761028 199702 2 002
HASIL PEMERIKSAAN HEMATOLOGI TAHAP I
DIFF COUNT (%)

NO GOL.
LEKOSIT HEMOGLOBIN ERITROSIT
SAMPEL DARAH
BASO EOS NEUTROFIL
10
11
12
13
14
15
16
17
18
19
DIFF COUNT (%)
NO GOL.
LEKOSIT HEMOGLOBIN ERITROSIT
SAMPEL DARAH
BASO EOS NEUTROFIL
20
21
22
23
24
25
26
27
28
29
30
31
32
Pangkalan Bun, 10 J
OGI TAHAP I
N BARAT
9
FF COUNT (%)
TROMBOSIT
LIMFO MONO
FF COUNT (%)
TROMBOSIT
LIMFO MONO

Petugas penguji,
Doia Septinah,A.Md
HASIL PEMERIKSAAN KIMIA DARAH
NO
GLUKOSA KOLESTEROL ASAM URAT SGOT SGPT KREATININ
SAMPEL
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
NO
GLUKOSA KOLESTEROL ASAM URAT SGOT SGPT KREATININ
SAMPEL
25
26
27
28
29
30
31
32

Petugas penguji,
Isromiarti. A.Md
NIP. 19900223 201505 2 002
HASIL PEMERIKSAAN HEMATOLOGI
KAMIS, 27 DESEMBER 2018
DIFF COUNT (%)

NO GOL. LEKOSIT HEMOGLOBIN ERITROSIT (per
NAMA PASIEN UMUR ALAMAT
SAMPEL DARAH (per mm 3) (g/dl) mm 3)
BASO EOS NEUTR
1 MARLINA 36 Jl.Belimbing Manis O+ 4,490 12.9 4,330,000 0.7 2.2 58.6
2 SEDERHANA 68 Jl. P. Antasari O+ 7,580 12.2 4,280,000 0.5 0.5 61.8
3 DINI INDRIANI 25 Jl. A. Yani B+ 7,810 13.8 5,170,000 0.5 1.5 58.4
4 HAMSINATI 49 Jl. A. Yani AB+ 7,140 12.2 4,290,000 0.6 1.8 57.0
5 RUSMADI 53 Beringin Rindang O+ 12,320 14.8 5,170,000 0.5 19.7 48.2
6 SAMIRAH 58 Jl. Ratu Radah B+ 5,620 12.3 4,410,000 0.4 1.1 65.6
7 MARSITI 42 Pangkalan Bun B+ 7,920 13.4 4,390,000 0.4 2.5 61.4
8 SUYANTO 65 Pangkalan Bun A+ 6,790 14.2 5,350,000 0.9 2.5 71.9
9 WENA 48 Jl. Pasanah B+ 6,400 14.5 4,990,000 0.6 6.7 51.0
10 M. SLAMET 49 Jl. Moesta'lim O+ 7,070 15.0 5,760,000 1.0 2.5 62.4
11 KHOIRIYAH 37 Jl. Moesta'lim B+ 6,760 12.6 4,440,000 0.3 1.0 64.2
12 KASPIAN 39 Jl. Abdul Ancis O+ 6,280 16.8 6,050,000 0.5 2.9 66.3
13 SUNARSIH 40 Jl. Abdul Ancis B+ 8,510 12.9 4,780,000 0.5 2.2 70.6
14 ROHADI SAMINGUN 60 Jl. Pemuda A+ 8,340 16.4 5,700,000 0.6 2.0 70.0
15 JAHRIANA 58 Jl. Pra Kusumayuda O+ 4,950 14.2 4,830,000 0.4 0.0 67.1
16 LATIP 55 Jl. Merpati B+ 8,420 14.2 5,280,000 0.4 0.4 69.4
17 WIDARTI 56 Jl. Pemuda O+ 6,610 12.5 4,610,000 0.6 2.0 67.9
18 NUR 55 Ds. P. Lada O+ 6,770 14.7 4,980,000 0.4 2.5 62.4

DIFF COUNT (%)
BASO EOS NEUTR
19 BINTI MUNAWAROH 46 Ds. P. Dewa O+ 7,110 14.0 5,090,000 0.1 1.7 62.5
20 SAYUTI 55 BTN Beringin Rindang A+ 10,620 15.5 5,790,000 0.7 5.0 60.6
21 MUNI SURIANSYAH 52 Jl. P. Utar A+ 8,180 15.3 5,240,000 0.6 1.7 66.1
22 MUJAYAROH 56 Jl. A. Yani RT. 18 B+ 7,470 14.6 5,230,000 0.5 0.9 54.7
23 ROHANSYAH 50 BTN Beringin Rindang B+ 6,320 13.2 4,740,000 0.6 1.9 63.9
24 JAYEM 60 Karang Mulya A+ 6,820 11.2 3,760,000 0.3 0.0 68.8
25 SAKAT 58 Jl. Jend. Sudirman B+ 13,070 15.5 5,180,000 0.3 2.4 73.6
26 ISNAWATI 35 Jl. Ampi RT. 5 O+ 6,850 13.8 4,810,000 0.4 0.4 66.1
27 SURADI 52 Jl. Natai Arahan O+ 8,050 16.1 5,750,000 0.4 4.0 60.6
28 ROSEKAWATI 36 Pangkut RT. 4 B+ 8,970 13.2 6,690,000 0.6 4.5 48.0
29 YUHANI 44 Jl. A. Yani RT. 5 O+ 5,820 14.6 4,820,000 0.3 0.5 56.7
30 AHMAD FAUZI 38 Pangkut O+ 8,590 15.6 5,740,000 0.2 4.3 40.6
31 ASTUTIK 39 Jl. P. Antasari O+ 6,490 12.4 4,410,000 0.5 1.2 54.4
32 SARWANI 49 Jl. A. Yani RT 5 O+ 5,850 13.6 4,410,000 0.3 1.5 53.1
33 DARMAWI 63 Jl. P. Antasari B+ 7,950 14.6 7,260,000 0.8 3.5 68.9
34 SITI MARDIANA 36 BTN Kumai Permai O+ 9,160 13.8 4,650,000 0.4 0.5 65.6
35 CHOLIL ANWAR 41 Jl. P. Antasari RT. 02 O+ 10,110 15.0 4,960,000 0.3 0.2 81.2
36 YURLIANTI 51 Jl. Reformasi O+ 11,630 14.7 5,130,000 0.3 0.2 81.7
37 SAKI 43 BTN Kumai Damai B+ 7,500 16.1 5,790,000 0.4 6.1 49.5
38 SHOLEKAH 59 BTN Beringin Rindang A+ 8,860 14.2 5,090,000 0.2 1.0 72.6
39 ASNAWIAH 47 Jl. Lintas Kabupaten A+ 10,160 14.5 5,170,000 0.5 3.0 60.0
DIFF COUNT (%)
BASO EOS NEUTR
40 SITI RUMLAH 70 Jl. Sukma Ariyaningrat B+ 12,520 10.4 4,020,000 0.2 1.0 71.6
41 GOZALI RAHMAN 51 Jl. Lintas Kabupaten O+ 6,560 13.9 4,870,000 0.5 5.0 48.5
42 SUMARSIH 48 JL. Pelabuhan O+ 9,320 13.5 4,780,000 0.6 0.9 59.0
43 RINA 55 Jl. Padat Karya O+ 6,860 14.4 4,670,000 0.7 1.7 60.2
44 SAMALI 59 Jl. Padat Karya B+ 4,110 14.9 4,900,000 0.5 1.5 43.8
45 BAHAGIA 47 Jl. P. Muntai RT. 5 O+ 8,930 13.1 5,550,000 0.8 6.6 42.4
46 MUHAMAD HASANUR 47 Jl. Hasanudin AB+ 8,370 15.6 5,700,000 0.8 5.7 60.5
47 SANIAH 48 Jl. Hasanudin O+ 9,100 12.8 4,640,000 0.1 4.1 60.4
48 MARIYATI 43 Sungai Rangit O+ 9,220 13.0 4,690,000 0.3 2.2 56.0
49 SUKAMTO 49 Sungai Rangit B+ 12,730 16.8 5,480,000 0.2 0.2 72.4
50 ARBAIN 48 Ds. Rangda A+ 6,310 14.0 5,080,000 0.5 1.1 55.3
51 RODLIYATI 44 Ds. Rangda O+ 8,370 13.0 4,560,000 0.2 1.6 64.8
52 TUKIYEM 48 Jl. Jend. Sudirman B+ 7,570 12.7 4,800,000 0.4 13.9 53.3
53 HAIRANI 52 Jl. Beringin RT 3 A+ 10,130 13.5 5,270,000 0.4 0.5 58.0
54 M. AKYAR 52 Jl. P. Muntai A+ 8,300 13.6 5,070,000 0.3 0.9 68.9
55 MULIASARI 36 Jl. P. Antasari O+ 8,190 11.2 4,420,000 0.5 1.7 62.5
56 HAIRUN ASPAH 51 Jl. A. Yani Rt. 29 AB+ 9,000 14.4 4,930,000 0.3 2.9 54.9
57 SITI BULQIS 60 Beringin Rindang B+ 10,280 12.7 4,890,000 0.3 0.3 82.7
58 ABDUL MURSALIN 37 Jl. Sudirman, SH A+ 5,020 14.3 5,040,000 0.4 4.4 51.3
59 MASRANI GARSON 53 Jl. Makjambek B+ 5,990 14.9 5,370,000 0.3 3.5 58.7
60 SUBLI 56 Jl. Pasanah Rt. 12 O+ 5,460 15.1 5,260,000 0.4 2.4 51.6
DIFF COUNT (%)
BASO EOS NEUTR
61 M. NAPRO HAFIZADI 36 Jl. Ampi Rt 5 B+ 8,130 13.6 4,700,000 0.6 3.0 70.5
62 MARIANA 51 Jl. P. Utar O+ 5,930 12.8 4,570,000 0.3 4.6 44.7
63 SENIMAH SELAMIN 53 Jl. Bina Jadi A+ 9,570 13.1 5,390,000 0.4 2.0 54.1
64 MUHLIZA 59 Jl. Utama A+ 8,010 13.6 4,340,000 0.5 5.9 50.4
65 SUWARNI 66 Ds. Karang Mulya O+ 6,940 13.0 4,340,000 0.6 1.9 61.4
66 SUYADI 60 Jl. A. Yani A+ 9,160 13.8 5,380,000 0.5 1.4 64.9
67 SITI R. 54 Jl. Jend. Sudirman O+ 8,050 12.5 4,550,000 0.6 4.0 55.5
68 HAMSIYAH 64 Sei Tendang O+ 6,630 12.2 4,120,000 0.6 2.9 53.4
69 HASAN 45 Jl. HM. Rafi'i B+ 7,760 15.2 5,680,000 0.1 2.2 65.4
70 ELVRIDA 43 Jl. HM. Rafi'i A+ 6,710 10.2 5,210,000 0.7 1.5 65.9
71 JUAIRIYAH 62 Jl. P. Antasari O+ 6,370 12.3 4,200,000 0.5 3.6 52.2
72 NOOR INAYAH 46 Jl. HM. Rafi'i A+ 9,590 12.0 4,290,000 0.2 1.7 60.6
73 SHOLEH 38 Jl. Iskandar O+ 9,270 15.5 5,830,000 0.4 2.5 54.6
74 MUKAMALAH 37 Jl. Iskandar A+ 9,860 13.0 4,460,000 0.2 1.3 55.8
75 IRFAN 43 Jl. Kawitan B+ 5,110 14.4 5,150,000 0.2 1.2 46.5
76 ROFIAH 37 Jl. Kawitan O+ 7,890 13.0 4,630,000 0.4 2.7 58.7
77 ZUBAIDAH 59 Jl. Jend. Sudirman O+ 6,410 13.2 4,330,000 0.2 0.6 63.6
78 MUKMIN 60 Jl. Jend. Sudirman B+ 6,970 15.0 5,090,000 0.4 2.4 69.2
79 MALIKAH 33 Jl. Pra Kusumayuda O+ 7,900 13.3 4,860,000 0.3 1.6 71.6
80 SUJARWATI 50 Jl. Natai Arahan O+ 6,530 13.3 4,720,000 1.2 6.0 58.0
81 MISRAN 42 Jl. Pra Kusumayuda O+ 10,180 16.5 6,110,000 0.2 0.7 59.8
DIFF COUNT (%)
BASO EOS NEUTR
82 HAMIDAH 33 Jl. Lubut RT. 19 A+ 11,710 13.7 5,160,000 0.4 1.5 72.6
83 RAHMAD DANI 37 Jl. Lubut RT. 19 B+ 8,900 16.1 5,530,000 0.6 4.0 58.0
84 SAMIAH 68 Jl. Brunei RT. 04 O+ 11,600 11.4 4,750,000 0.4 1.6 72.8
85 ZAHRATUL 40 Jl. Padat Karya O+ 12,510 11.9 4,490,000 0.3 2.2 64.2
86 NAINUDIN 51 Jl. Jend. Sudirman A+ 7,200 16.7 5,910,000 0.7 4.7 43.3
87 MASUWAI 55 Jl. Sukma Ariyaningrat B+ 6,940 14.6 5,160,000 0.6 5.8 60.2
88 ALI ISWANDI 42 Jl. Padat Karya O+ 9,960 15.8 5,900,000 0.7 5.1 53.6
89 EMI DARIASI 37 Jl. H. Abdul Aziz B+ 7,240 13.2 4,550,000 0.6 2.5 54.8
90 M. SHOLEH RASID 44 Jl. H. Abdul Aziz B+ 7,510 15.6 5,460,000 0.3 4.4 49.1
91 SUTI 47 Jl. Cakra Negara B+ 8,350 12.9 4,690,000 0.4 2.4 64.9
92 SYARIFAH 56 Jl. P. Antasari O+ 8,820 13.0 4,840,000 0.2 1.6 63.2
93 LANGGAWATI 48 Jl. Ahmad Wongso B+ 7,740 9.0 3,970,000 0.4 1.4 60.5
94 SUWAJI 55 Jl. Cakra Negara A+ 7,740 13.6 4,880,000 0.4 2.8 55.3
95 KHOIRUL MARSUDI 45 Jl. Pakunegara B+ 10,360 15.3 6,180,000 0.3 1.1 60.7
Mengetahui, Pangkalan Bun, 27 Desember 2018

Kepala Laboratorium Kesehatan Daerah Petugas penguji,
SUPARNO, S.Si DOIA SEPTINAH,A.Md

NIP. 19650513 198911 1 002
LOGI
N BARAT
8
DIFF COUNT (%)

TROMBOSIT
LIMFO MONO
30.5 8.0 268,000
31.7 5.5 268,000
34.2 5.4 265,000 1 ul 0,001 L 1 cm3
35.6 5.0 222,000 0,001 dm3 1000 mm3
24.5 7.1 481,000 1000 mm3
26.0 6.9 233,000
29.9 5.8 342,000 1000
17.8 6.9 268,000
34.7 7.0 313,000
25.9 8.2 309,000
29.9 4.6 200,000
25.2 5.1 294,000
21.6 5.1 404,000
19.2 8.2 290,000
28.1 4.4 261,000
20.4 9.4 310,000
24.2 5.3 285,000
28.8 5.9 263,000

DIFF COUNT (%)
TROMBOSIT
LIMFO MONO
30.4 5.3 287,000
27.1 6.6 275,000
22.4 9.2 254,000
40.2 3.7 377,000
27.7 5.9 380,000
23.3 7.6 328,000
18.7 5.0 326,000
29.5 3.6 297,000
26.6 8.4 232,000
38.8 8.1 336,000
37.3 5.2 228,000
46.8 8.1 306,000
39.6 4.3 295,000
39.5 5.6 104,000
20.6 6.2 212,000
26.0 7.5 252,000
13.5 4.8 252,000
12.0 5.8 392,000
37.5 6.5 252,000
20.9 5.3 347,000
29.3 7.2 414,000

DIFF COUNT (%)
TROMBOSIT
LIMFO MONO
18.3 8.9 378,000
38.1 7.9 323,000
35.5 4.0 236,000
30.8 6.6 271,000
38.9 15.3 148,000
41.2 9.0 410,000
25.0 8.0 306,000
27.0 8.4 312,000
35.2 6.3 287,000
15.8 11.4 297,000
35.2 7.9 295,000
28.7 4.7 318,000
25.8 6.6 314,000
34.9 6.2 315,000
21.3 8.6 136,000
29.9 5.4 344,000
34.6 7.3 265,000
13.6 3.1 274,000
34.7 9.2 267,000
25.5 12.0 235,000
36.8 8.8 294,000

DIFF COUNT (%)
TROMBOSIT
LIMFO MONO
20.4 5.5 209,000
46.2 4.2 242,000
37.4 6.1 358,000
35.8 7.4 343,000
29.0 7.1 272,000
26.2 7.0 297,000
31.8 8.1 260,000
36.3 6.8 351,000
26.0 6.3 208,000
24.9 7.0 339,000
35.2 8.5 281,000
33.0 4.5 371,000
36.9 5.6 283,000
36.3 6.4 314,000
43.1 9.0 338,000
31.6 6.6 303,000
28.4 7.2 213,000
22.1 5.9 271,000
19.0 7.5 280,000
27.1 7.7 414,000
33.9 5.4 223,000

DIFF COUNT (%)
TROMBOSIT
LIMFO MONO
20.6 4.9 267,000
27.2 10.2 189,000
18.1 7.1 501,000
28.5 4.8 498,000
42.8 8.5 245,000
26.2 7.2 289,000
33.4 7.2 341,000
31.9 10.2 225,000
37.9 8.3 368,000
27.2 5.1 278,000
27.1 7.9 249,000
30.7 7.0 434,000
30.1 11.4 313,000
30.7 7.2 180,000
Pangkalan Bun, 27 Desember 2018

Petugas penguji,
DOIA SEPTINAH,A.Md
HASIL PEMERIKSAAN URINALISA
NO SAMPEL
MIKROALBUMIN
UROBILINOGEN
KEJERNIHAN
ERITROSIT
KREATININ
BILIRUBIN
GLUKOSA
SILINDER
PROTEIN
BAKTERI
LEKOSIT
KRISTAL
WARNA
PP Test
EPITEL
BLOOD
KETON
NITRIT
PH
BJ
1
2 K J 0.2 Neg Neg 200 3+ Neg 150 Neg Neg 1.020 6.0 Neg
3 K J 0.2 Neg Neg 200 Neg Neg 39 Neg Neg 1.030 5.5 5-10 0,6-0,8 20-30 Neg Neg Neg Neg
4 K J 0.2 Neg Neg 100 Neg Neg 10 Neg Neg 1.015 7.5 Neg
5 K J 0.2 Neg Neg 300 Neg 13+ 150 Neg Neg 1.025 6.0 1-3 0-1 2-5 Granula (+) Neg Neg
6 KM J 0.2 Neg Neg 100 Neg Neg 10 Neg Neg 1.015 7.5 Neg
7 KM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.015 6.5 Neg 0-2 0-5 Neg Neg Neg Neg
Ca-Oksalat
8 KM J 0.2 Neg Neg 100 1+ Neg 10 Neg Neg 1.030 5.5 1-2 20-25 Neg
(+)
9 K J 0.2 Neg Neg 100 Neg Neg 10 Neg Neg 1.020 6.0 Neg 2-5 0-3 Neg Neg Neg Neg
10
11 K J 0.2 Neg Neg 300 Neg Neg 10 Neg Neg 1.025 5.5 Neg
12 K J 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.050 6.0
13 KM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.010 6.5 Neg
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
NO SAMPEL
K
WARNA
KM
J
J
KEJERNIHAN
UROBILINOGEN
0.2
0.2
BILIRUBIN
Neg
Neg
KETON
Neg
Neg
50
KREATININ
100
BLOOD
Neg
Neg
MAKROSKOPIS
PROTEIN
Neg
Neg
10
10
MIKROALBUMIN
GLUKOSA
Pos
Neg
NITRIT
Neg
Neg
BJ
1.015
1.015
PH
7.5
5.5
EPITEL
ERITROSIT
LEKOSIT
SILINDER
MIKROSKOPIS
KRISTAL
BAKTERI
PP Test
Neg
45
44
43
42
41
40
39
38
37
36
35
34
33
32
31
30
NO SAMPEL
WARNA
KEJERNIHAN
UROBILINOGEN
BILIRUBIN
KETON
KREATININ
BLOOD
MAKROSKOPIS
PROTEIN
MIKROALBUMIN
GLUKOSA
NITRIT
BJ
PH
EPITEL
ERITROSIT
LEKOSIT
SILINDER
MIKROSKOPIS
KRISTAL
BAKTERI
PP Test
NO SAMPEL
MIKROALBUMIN
UROBILINOGEN
KEJERNIHAN
ERITROSIT
KREATININ
BILIRUBIN
GLUKOSA
SILINDER
PROTEIN
BAKTERI
LEKOSIT
KRISTAL
WARNA
PP Test
EPITEL
BLOOD
KETON
NITRIT
PH
BJ
46
47
48
49
50
51
52
53
54
55
56 K J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.015 6.5 1-2 0-1 0-3 Neg Neg Neg
57 K J 0.2 Neg Neg 50 Neg 1+ 150 4+ Neg 1.015 6.0 1-2 0-1 2-5 Hialin (+) Neg Neg Neg
58 K J 0.2 Neg Neg 200 Neg Neg 150 Neg Neg 1.030 6.0 0-1 Neg Neg Neg Neg Neg
59 K J 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.010 7.5 Neg 1-2 Neg Neg Neg Neg
60 KM J 0.2 Neg Neg 100 Neg Neg 10 Neg Neg 1.015 6.0 0-3 0-4 1-2 Neg Neg Neg
61 KM J 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.015 6.0 Neg 0-1 0-1 Neg Neg Neg
NO SAMPEL
MIKROALBUMIN
UROBILINOGEN
KEJERNIHAN
ERITROSIT
KREATININ
BILIRUBIN
GLUKOSA
SILINDER
PROTEIN
BAKTERI
LEKOSIT
KRISTAL
WARNA
PP Test
EPITEL
BLOOD
KETON
NITRIT
PH
BJ
66 KM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.010 5.5 Neg Neg 2-3 Neg Neg Neg
Ca-Oksalat
67 KM J 0.2 Neg Neg 50 2+ 3+ 150 3+ Neg 1.025 5.5 10-12 50-60 10-20 Granula (+) Pos Neg
(+)
69 K J 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.030 5.5 0-1 0-2 Neg Neg Neg Neg
71 KM J 0.2 Neg Neg 200 Neg Neg 30 Neg Neg 1.020 6.0 1-2 0-1 5-10 Neg Neg Neg Neg
74 KM J 0.2 Neg Neg 10 Neg Neg 10 Neg Neg 1.005 6.5 0-2 Neg Neg Neg Neg Neg Neg
75 KM J 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.020 6.0 Neg Neg Neg Neg Neg Neg
76 KM J 0.2 Neg Neg 10 3+ Neg 10 Neg Neg 1.005 6.0 30-40 20-30 3-10 Neg Neg Neg Neg
77 KM J 0.2 Neg Neg 10 Neg Neg 10 Neg Neg 1.010 5.5 1-2 0-1 Neg Neg Neg Neg Neg
NO SAMPEL
MIKROALBUMIN
UROBILINOGEN
KEJERNIHAN
ERITROSIT
KREATININ
BILIRUBIN
GLUKOSA
SILINDER
PROTEIN
BAKTERI
LEKOSIT
KRISTAL
WARNA
PP Test
EPITEL
BLOOD
KETON
NITRIT
PH
BJ
79 KM J 0.2 Neg Neg 50 1+ Neg 10 Neg Neg 1.015 6.5 Neg 20-30 10-15 Neg Neg Neg Neg
80 KM J 0.2 Neg Neg 50 Neg Neg 10 1+ Neg 1.015 6.0 30-40 0-3 0-2 Neg Neg Neg Neg
81 KM J 0.2 Neg 5 50 Neg Neg 10 4+ Neg 1.015 6.5
82 KM J 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.015 7.5 Neg Neg Neg Neg Neg Neg Neg
84 K J 0.2 Neg Neg 100 Neg Neg 30 Neg Neg 1.030 5.5 0-1 0-2 0-3 Neg Neg Neg Neg
85
86
87
88
89
90
91
92
93
99
98
97
96
95
94
NO SAMPEL
109
108
107
106
105
104
103
102
101
100
WARNA
KEJERNIHAN
UROBILINOGEN
BILIRUBIN
KETON
KREATININ
BLOOD
MAKROSKOPIS
PROTEIN
MIKROALBUMIN
GLUKOSA
NITRIT
BJ
PH
EPITEL
ERITROSIT
LEKOSIT
SILINDER
MIKROSKOPIS
KRISTAL
BAKTERI
PP Test
NO SAMPEL
111
119
118
117
116
115
114
113
112
110
125
124
123
122
121
120
WARNA
KEJERNIHAN
UROBILINOGEN
BILIRUBIN
KETON
KREATININ
BLOOD
MAKROSKOPIS
PROTEIN
MIKROALBUMIN
GLUKOSA
NITRIT
BJ
PH
EPITEL
ERITROSIT
LEKOSIT
SILINDER
MIKROSKOPIS
KRISTAL
BAKTERI
PP Test
NO SAMPEL
WARNA
KEJERNIHAN
UROBILINOGEN
BILIRUBIN
KETON
KREATININ
BLOOD
MAKROSKOPIS
PROTEIN
MIKROALBUMIN
GLUKOSA
NITRIT
BJ
PH
EPITEL
ERITROSIT
LEKOSIT
SILINDER
MIKROSKOPIS
KRISTAL
Petugas penguji,
BAKTERI
NORZANNAH
NIP. 19761028 199702 2 002
PP Test
HASIL PEMERIKSAAN KIMIA DARAH TAHAP I
No ASAM
GLUKOSA KOLESTEROL SGOT SGPT KREATIN
NAMA PASIEN UMUR ALAMAT URAT
Sampel (mg/dl) mg/dl) (U/I) U/I) (mg/dl)
(mg/dl)
1 MARLINA 36 Jl.Belimbing Manis 97 191 4.4 27 23 0.8
2 SEDERHANA 68 Jl. P. Antasari 125 196 4.0 27 16 0.9
3 DINI INDRIANI 25 Jl. A. Yani 100 184 4.7 29 19 0.9
4 HAMSINATI 49 Jl. A. Yani 100 210 4.8 30 14 0.8
5 RUSMADI 53 Beringin Rindang 214 190 6.5 39 23 1.6
6 SAMIRAH 58 Jl. Ratu Radah 144 217 2.9 33 17 1.0
7 MARSITI 42 Pangkalan Bun 107 199 6.0 30 20 0.8
8 SUYANTO 65 Pangkalan Bun 113 178 7.3 34 20 1.3
9 WENA 48 Jl. Pasanah 97 198 5.5 25 23 0.8
10 M. SLAMET 49 Jl. Moesta'lim 192 211 6.1 25 23 1.0
11 KHOIRIYAH 37 Jl. Moesta'lim 98 249 5.1 24 17 0.9
12 KASPIAN 39 Jl. Abdul Ancis 126 160 6.1 40 44 1.2
13 SUNARSIH 40 Jl. Abdul Ancis 95 179 4.9 32 13 1.0
14 ROHADI SAMINGUN 60 Jl. Pemuda 311 241 5.0 42 64 1.1
15 JAHRIANA 58 Jl. Pra Kusumayuda 176 259 8.6 36 24 0.8
16 LATIP 55 Jl. Merpati 145 183 7.4 30 31 1.2
17 WIDARTI 56 Jl. Pemuda 140 212 2.7 43 38 0.8
18 NUR 55 Ds. P. Lada 115 248 3.6 43 30 0.9
19 BINTI MUNAWAROH 46 Ds. P. Dewa 87 174 5.2 28 47 0.9
20 SAYUTI 55 BTN Beringin Rindang 152 215 7.6 37 22 1.5
21 MUNI SURIANSYAH 52 Jl. P. Utar 196 188 6.1 21 44 0.9
22 MUJAYAROH 56 Jl. A. Yani RT. 18 153 209 6.7 27 18 0.7
23 ROHANSYAH 50 BTN Beringin Rindang 421 276 5.5 22 26 0.9

No ASAM
(mg/dl)
24 JAYEM 60 Karang Mulya 108 231 7.0 12 18 1.0
25 SAKAT 58 Jl. Jend. Sudirman 144 184 4.3 26 22 1.1
26 ISNAWATI 35 Jl. Ampi RT. 5 177 233 5.3 42 31 0.8
27 SURADI 52 Jl. Natai Arahan 86 221 9.0 27 42 1.7
28 ROSEKAWATI 36 Pangkut RT. 4 84 228 9.6 71 133 0.8
29 YUHANI 44 Jl. A. Yani RT. 5 100 189 5.6 24 31 0.8
30 AHMAD FAUZI 38 Pangkut 75 225 6.9 28 43 1.0
31 ASTUTIK 39 Jl. P. Antasari 76 190 4.7 17 21 0.8
32 SARWANI 49 Jl. A. Yani RT 5 93 148 6.4 26 36 0.9
33 DARMAWI 63 Jl. P. Antasari 87 236 7.2 22 26 0.8
34 SITI MARDIANA 36 BTN Kumai Permai 75 158 5.6 24 20 0.8
35 CHOLIL ANWAR 41 Jl. P. Antasari RT. 02 91 189 5.3 39 35 1.0
36 YURLIANTI 51 Jl. Reformasi 144 162 6.3 25 54 1.0
37 SAKI 43 BTN Kumai Damai 74 177 7.1 29 38 1.2
38 SHOLEKAH 59 BTN Beringin Rindang 169 247 5.8 74 199 0.7
39 ASNAWIAH 47 Jl. Lintas Kabupaten 77 189 5.7 21 29 0.9
40 SITI RUMLAH 70 Jl. Sukma Ariyaningrat 78 188 5.9 26 29 2.0
41 GOZALI RAHMAN 51 Jl. Lintas Kabupaten 77 237 6.4 27 43 1.0
42 SUMARSIH 48 JL. Pelabuhan 116 165 5.8 27 20 0.8
43 RINA 55 Jl. Padat Karya 106 182 6.3 26 35 0.8
44 SAMALI 59 Jl. Padat Karya 210 163 5.0 23 26 0.8
45 BAHAGIA 47 Jl. P. Muntai RT. 5 100 281 5.8 23 31 0.8
46 MUHAMAD HASANUR 47 Jl. Hasanudin 74 214 7.3 22 47 1.0
47 SANIAH 48 Jl. Hasanudin 75 169 6.7 26 28 1.0
48 MARIYATI 43 Sungai Rangit 97 206 5.5 27 25 0.9
49 SUKAMTO 49 Sungai Rangit 103 242 6.4 33 29 1.1
50 ARBAIN 48 Ds. Rangda 102 217 6.5 31 10 0.9

No ASAM
(mg/dl)
51 RODLIYATI 44 Ds. Rangda 82 211 5.4 25 42 0.8
52 TUKIYEM 48 Jl. Jend. Sudirman 74 281 6.4 28 26 0.9
53 HAIRANI 52 Jl. Beringin RT 3 79 185 6.8 34 42 1.0
54 M. AKYAR 52 Jl. P. Muntai 86 153 6.9 70 65 1.3
55 MULIASARI 36 Jl. P. Antasari 120 186 4.8 26 23 0.7
56 HAIRUN ASPAH 51 Jl. A. Yani Rt. 29 101 261 5.0 35 25 1.1
57 SITI BULQIS 60 Beringin Rindang 427 204 6.0 30 29 2.1
58 ABDUL MURSALIN 37 Jl. Sudirman, SH 118 193 7.6 35 23 1.1
59 MASRANI GARSON 53 Jl. Makjambek 141 230 6.1 43 55 0.8
60 SUBLI 56 Jl. Pasanah Rt. 12 96 230 6.3 38 34 1.1
61 M. NAPRO HAFIZADI 36 Jl. Ampi Rt 5 96 120 6.2 25 32 0.9
62 MARIANA 51 Jl. P. Utar 99 199 6.2 33 25 0.7
63 SENIMAH SELAMIN 53 Jl. Bina Jadi 151 247 5.9 37 29 0.8
64 MUHLIZA 59 Jl. Utama 96 206 5.3 20 41 0.6
65 SUWARNI 66 Ds. Karang Mulya 211 173 6.5 23 21 1.0
66 SUYADI 60 Jl. A. Yani 106 239 6.6 25 33 1.0
67 SITI R. 54 Jl. Jend. Sudirman 473 217 8.2 20 25 1.1
68 HAMSIYAH 64 Sei Tendang 117 186 6.2 37 24 1.0
69 HASAN 45 Jl. HM. Rafi'i 122 250 7.7 27 29 1.1
70 ELVRIDA 43 Jl. HM. Rafi'i 121 149 4.3 22 48 0.7
71 JUAIRIYAH 62 Jl. P. Antasari 96 240 5.2 24 21 0.9
72 NOOR INAYAH 46 Jl. HM. Rafi'i 171 164 5.9 27 30 0.8
73 SHOLEH 38 Jl. Iskandar 76 228 7.7 26 34 1.2
74 MUKAMALAH 37 Jl. Iskandar 86 220 7.0 21 32 0.8
75 IRFAN 43 Jl. Kawitan 71 233 5.7 27 28 1.0
76 ROFIAH 37 Jl. Kawitan 77 212 4.8 22 18 0.8
77 ZUBAIDAH 59 Jl. Jend. Sudirman 150 208 4.9 32 26 0.8

No ASAM
(mg/dl)
78 MUKMIN 60 Jl. Jend. Sudirman 93 166 5.4 39 30 1.1
79 MALIKAH 33 Jl. Pra Kusumayuda 103 188 5.1 27 27 0.8
80 SUJARWATI 50 Jl. Natai Arahan 202 202 5.1 30 26 0.7
81 MISRAN 42 Jl. Pra Kusumayuda 345 157 5.7 40 58 0.5
82 HAMIDAH 33 Jl. Lubut RT. 19 68 144 4.5 28 15 0.8
83 RAHMAD DANI 37 Jl. Lubut RT. 19 62 176 8.2 28 32 1.1
84 SAMIAH 68 Jl. Brunei RT. 04 127 200 4.0 47 29 0.8
85 ZAHRATUL 40 Jl. Padat Karya 54 155 4.7 26 15 0.8
86 NAINUDIN 51 Jl. Jend. Sudirman 57 215 6.7 49 67 1.2
87 MASUWAI 55 Jl. Sukma Ariyaningrat 95 147 6.0 38 31 1.0
88 ALI ISWANDI 42 Jl. Padat Karya 285 171 6.7 27 32 1.2
89 EMI DARIASI 37 Jl. H. Abdul Aziz 67 153 5.1 32 23 0.8
90 M. SHOLEH RASID 44 Jl. H. Abdul Aziz 77 128 5.2 31 34 1.0
91 SUTI 47 Jl. Cakra Negara 62 157 4.8 21 14 0.9
92 SYARIFAH 56 Jl. P. Antasari 361 177 4.6 33 32 0.8
93 LANGGAWATI 48 Jl. Ahmad Wongso 83 169 4.4 27 16 0.8
94 SUWAJI 55 Jl. Cakra Negara 76 132 6.3 29 21 1.2
95 KHOIRUL MARSUDI 45 Jl. Pakunegara 67 136 6.5 51 40 1.1
Mengetahui, Pangkalan Bun, 27 Desember 2018

Kepala Laboratorium Kesehatan Daerah Petugas penguji,
Kabupaten Kotawaringin Barat
SUPARNO, S.Si ISROMIARTI, A.Md

NIP. 19650513 198911 1 002 NIP. 19900223 201505 2 002
HASIL PEMERIKSAAN URINALISA
MAKROSKOPIS KIMIA URINE

NO SAMPEL
UROBILINOGEN
MIKROALBUMIN
(mg/dL)
KEJERNIHAN
KREATININ
BILIRUBIN
GLUKOSA
PROTEIN
WARNA
(mg/dL)
(mg/dL)
EPITEL
BLOOD
KETON
NITRIT
BAU
PH
BJ
1 MARLINA 36 Jl.Belimbing Manis K TM J 0.2 Neg Neg 100 Neg Neg 10 Neg N 1.030 6.0 10 - 15
2 SEDERHANA 68 Jl. P. Antasari K TM J 0.2 Neg Neg 200 3(+) Neg 150 Neg Neg 1.020 6.0 1-2
3 DINI INDRIANI 25 Jl. A. Yani K TM J 0.2 Neg Neg 200 Neg Neg 39 Neg Neg 1.030 5.5 5-10
4 HAMSINATI 49 Jl. A. Yani K TM J 0.2 Neg Neg 100 Neg Neg 10 Neg Neg 1.015 6.5 Neg
5 RUSMADI 53 Beringin Rindang K TM J 0.2 Neg Neg 300 Neg 3+ 150 Neg Neg 1.025 6.0 1-3
6 SAMIRAH 58 Jl. Ratu Radah KM TM J 0.2 Neg Neg 100 Neg Neg 10 Neg Neg 1.015 7.5 Neg
7 MARSITI 42 Pangkalan Bun KM TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.015 6.5 Neg
8 SUYANTO 65 Pangkalan Bun KM TM J 0.2 Neg Neg 100 1(+) Neg 10 Neg Neg 1.030 5.5 1-2
9 WENA 48 Jl. Pasanah K TM J 0.2 Neg Neg 100 Neg Neg 10 Neg Neg 1.020 6.0 Neg
10 M. SLAMET 49 Jl. Moesta'lim KM TM J 0.2 Neg Neg 10 Neg Neg 10 2+ Neg 1.005 6.0 0-1
11 KHOIRIYAH 37 Jl. Moesta'lim K TM J 0.2 Neg Neg 300 Neg Neg 10 Neg Neg 1.025 5.5 Neg
12 KASPIAN 39 Jl. Abdul Ancis K TM J 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.025 6.0 1-2
13 SUNARSIH 40 Jl. Abdul Ancis KM TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.010 6.5 Neg
14 ROHADI SAMINGUN 60 Jl. Pemuda K TM J 0.2 Neg Neg 100 Neg Neg 10 3+ Neg 1.015 5.5 1-2
15 JAHRIANA 58 Jl. Pra Kusumayuda KM TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.015 7.5 Neg
16 LATIP 55 Jl. Merpati KM TM J 0.2 Neg Neg 100 Neg Neg 150 Neg Neg 1.020 5.5 Neg
NO SAMPEL
UROBILINOGEN
MIKROALBUMIN
(mg/dL)
KEJERNIHAN
KREATININ
BILIRUBIN
GLUKOSA
PROTEIN
WARNA
(mg/dL)
(mg/dL)
EPITEL
BLOOD
KETON
NITRIT
BAU
PH
BJ
17 WIDARTI 56 Jl. Pemuda KM TM J 0.2 Neg Neg 10 Neg Neg 10 Neg Neg 1.005 6.0 Neg
18 NUR 55 Ds. P. Lada KM TM J 0.2 Neg Neg 10 Neg Neg 10 Neg Neg 1.015 6.0 Neg
19 BINTI MUNAWAROH 46 Ds. P. Dewa K TM J 0.2 Neg Neg 50 3(+) Neg 150 Neg Neg 1.020 6.0 13 - 18
20 SAYUTI 55 BTN Beringin Rindang KM TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.015 6.0 Neg
21 MUNI SURIANSYAH 52 Jl. P. Utar KM TM J 0.2 Neg Neg 200 Neg Neg 150 1+ Neg 1.015 6.5 1-2
22 MUJAYAROH 56 Jl. A. Yani RT. 18 K TM AK 0.2 Neg Neg 300 Neg Neg 10 Neg Neg 1.030 5.5 0-2
23 ROHANSYAH 50 BTN Beringin Rindang KM TM J 0.2 Neg Neg 100 Neg Neg 10 4+ Neg 1.015 5.0 10 - 15
24 JAYEM 60 Karang Mulya KM TM J 0.2 Neg Neg 10 Neg Neg 10 1+ Neg 1.030 6.0 0-1
25 SAKAT 58 Jl. Jend. Sudirman KM TM J 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.015 6.5 0-1
26 ISNAWATI 35 Jl. Ampi RT. 5 KM TM J 0.2 Neg Neg 100 Neg Neg 10 Neg Neg 1.015 6.5 Neg
27 SURADI 52 Jl. Natai Arahan K TM AK 0.2 Neg Neg 100 2(+) 1(+) 150 Neg Neg 1.025 5.5 1-5
28 ROSEKAWATI 36 Pangkut RT. 4 K TM J 0.2 Neg Neg 200 Neg Neg 150 Neg Neg 1.020 6.0 2-3
29 YUHANI 44 Jl. A. Yani RT. 5 KM TM J 0.2 Neg Neg 50 1+ Neg 150 Neg Neg 1.015 7.5 Neg
30 AHMAD FAUZI 38 Pangkut KM TM J 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.020 6.0 Neg
31 ASTUTIK 39 Jl. P. Antasari KM TM J 0.2 Neg Neg 10 Neg Neg 10 Neg Neg 1.010 6.5 3-5
32 SARWANI 49 Jl. A. Yani RT 5 KM TM J 0.2 Neg Neg 10 Neg Neg 10 Neg Neg 1.015 6.0 1-3
33 DARMAWI 63 Jl. P. Antasari KM TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.010 5.5 Neg
34 SITI MARDIANA 36 BTN Kumai Permai KM TM J 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.015 6.5 1-2
35 CHOLIL ANWAR 41 Jl. P. Antasari RT. 02 KM TM J 0.2 Neg Neg 10 Neg Neg 10 Neg Neg 1.010 6.0 2-4
NO SAMPEL
UROBILINOGEN
MIKROALBUMIN
(mg/dL)
KEJERNIHAN
KREATININ
BILIRUBIN
GLUKOSA
PROTEIN
WARNA
(mg/dL)
(mg/dL)
EPITEL
BLOOD
KETON
NITRIT
BAU
PH
BJ
36 YURLIANTI 51 Jl. Reformasi K TM J 0.2 Neg Neg 200 Neg Neg 150 Neg Neg 1.025 6.0 0-2
37 SAKI 43 BTN Kumai Damai KM TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.015 6.0 Neg
38 SHOLEKAH 59 BTN Beringin Rindang KM TM J 0.2 Neg Neg 10 Neg Neg 10 Neg Neg 1.005 5.5 Neg
39 ASNAWIAH 47 Jl. Lintas Kabupaten K TM J 0.2 Neg Neg 200 Neg Neg 30 Neg Neg 1.025 6.0 Neg
40 SITI RUMLAH 70 Jl. Sukma Ariyaningrat TB TM J 0.2 Neg Neg 10 Neg Neg 10 Neg Neg 1.005 5.5 Neg
41 GOZALI RAHMAN 51 Jl. Lintas Kabupaten KM TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.010 6.5 3-5
42 SUMARSIH 48 JL. Pelabuhan K TM J 0.2 Neg Neg 100 Neg Neg 10 Neg Neg 1.015 6.5 Neg
43 RINA 55 Jl. Padat Karya KM TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.015 6.5 1-3
44 SAMALI 59 Jl. Padat Karya KM TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.015 6.0 3-5
45 BAHAGIA 47 Jl. P. Muntai RT. 5 KM TM J 0.2 Neg Neg 100 Neg 1(+) 150 2(+) Neg 1.015 6.0 5 - 10
46 MUHAMAD HASANUR 47 Jl. Hasanudin K TM J 0.2 Neg Neg 200 Neg Neg 30 Neg Neg 1.030 5.5 1-2
47 SANIAH 48 Jl. Hasanudin K TM J 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.020 6.0 10 - 15
48 MARIYATI 43 Sungai Rangit K TM J 0.2 Neg Neg 100 Neg Neg 10 Neg Neg 1.015 6.5 Neg
49 SUKAMTO 49 Sungai Rangit KM TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.005 6.0 2-3
50 ARBAIN 48 Ds. Rangda KM TM J 0.2 Neg Neg 10 Neg Neg 10 Neg Neg 1.010 7.5 1-3
51 RODLIYATI 44 Ds. Rangda K TM J 1 Neg Neg 300 Neg Neg 30 Neg Neg 1.025 6.5 10 - 15
52 TUKIYEM 48 Jl. Jend. Sudirman K TM J 0.2 Neg Neg 50 1(+) Neg 10 Neg Neg 1.020 5.5 3-5
53 HAIRANI 52 Jl. Beringin RT 3 K TM J 0.2 Neg Neg 300 Neg Neg 150 Neg Neg 1.030 6.0 10 - 20
54 M. AKYAR 52 Jl. P. Muntai KM TM J 0.2 Neg Neg 100 Neg Neg 10 Neg Neg 1.010 6.0 5 - 10
NO SAMPEL
UROBILINOGEN
MIKROALBUMIN
(mg/dL)
KEJERNIHAN
KREATININ
BILIRUBIN
GLUKOSA
PROTEIN
WARNA
(mg/dL)
(mg/dL)
EPITEL
BLOOD
KETON
NITRIT
BAU
PH
BJ
55 MULIASARI 36 Jl. P. Antasari K TM J 0.2 Neg Neg 10 Neg Neg 10 Neg Neg 1.015 7.5 Neg
56 HAIRUN ASPAH 51 Jl. A. Yani Rt. 29 K TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.015 6.5 1-2
57 SITI BULQIS 60 Beringin Rindang K TM J 0.2 Neg Neg 50 Neg 1(+) 150 4(+) Neg 1.015 6.0 1-2
58 ABDUL MURSALIN 37 Jl. Sudirman, SH K TM J 0.2 Neg Neg 200 Neg Neg 150 Neg Neg 1.030 6.0 0-1
59 MASRANI GARSON 53 Jl. Makjambek K TM J 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.010 7.5 Neg
60 SUBLI 56 Jl. Pasanah Rt. 12 KM TM J 0.2 Neg Neg 100 Neg Neg 10 Neg Neg 1.015 6.0 0-3
61 M. NAPRO HAFIZADI 36 Jl. Ampi Rt 5 KM TM J 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.015 6.0 Neg
62 MARIANA 51 Jl. P. Utar K TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.015 5.5 Neg
63 SENIMAH SELAMIN 53 Jl. Bina Jadi KM TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.025 5.5 Neg
64 MUHLIZA 59 Jl. Utama K TM J 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.020 6.0 Neg
65 SUWARNI 66 Ds. Karang Mulya KM TM J 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.020 5.5 0-1
66 SUYADI 60 Jl. A. Yani KM TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.010 5.5 Neg
67 SITI R. 54 Jl. Jend. Sudirman KM TM J 0.2 Neg Neg 50 2(+) 3(+) 150 4+ Neg 1.025 5.5 10-12
68 HAMSIYAH 64 Sei Tendang KM TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.015 5.5 Neg
69 HASAN 45 Jl. HM. Rafi'i K TM J 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.030 5.5 0-1
70 ELVRIDA 43 Jl. HM. Rafi'i KM TM J 0.2 Neg Neg 10 Neg Neg 10 Neg Neg 1.010 6.5 Neg
71 JUAIRIYAH 62 Jl. P. Antasari KM TM J 0.2 Neg Neg 200 Neg Neg 30 Neg Neg 1.020 6.0 1-2
72 NOOR INAYAH 46 Jl. HM. Rafi'i K TM J 0.2 Neg Neg 100 Neg Neg 10 Neg Neg 1.030 5.5 Neg
73 SHOLEH 38 Jl. Iskandar KM TM J 0.2 Neg Neg 10 Neg Neg 10 Neg Neg 1.005 6.5 Neg
NO SAMPEL
UROBILINOGEN
MIKROALBUMIN
(mg/dL)
KEJERNIHAN
KREATININ
BILIRUBIN
GLUKOSA
PROTEIN
WARNA
(mg/dL)
(mg/dL)
EPITEL
BLOOD
KETON
NITRIT
BAU
PH
BJ
74 MUKAMALAH 37 Jl. Iskandar KM TM J 0.2 Neg Neg 10 Neg Neg 10 Neg Neg 1.005 6.5 0-2
75 IRFAN 43 Jl. Kawitan KM TM J 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.020 6.0 Neg
76 ROFIAH 37 Jl. Kawitan KM TM J 0.2 Neg Neg 10 3(+) Neg 10 Neg Neg 1.005 6.0 30-40
77 ZUBAIDAH 59 Jl. Jend. Sudirman KM TM J 0.2 Neg Neg 10 Neg Neg 10 Neg Neg 1.010 5.5 1-2
78 MUKMIN 60 Jl. Jend. Sudirman KM TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.010 6.0 0-2
79 MALIKAH 33 Jl. Pra Kusumayuda KM TM J 0.2 Neg Neg 50 1(+) Neg 10 Neg Neg 1.015 6.5 Neg
80 SUJARWATI 50 Jl. Natai Arahan KM TM J 0.2 Neg Neg 50 Neg Neg 10 1(+) Neg 1.015 6.0 30-40
81 MISRAN 42 Jl. Pra Kusumayuda KM TM J 0.2 Neg Neg 50 Neg Neg 10 4+ Neg 1.015 6.5 1-3
82 HAMIDAH 33 Jl. Lubut RT. 19 KM TM J 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.015 7.5 Neg
83 RAHMAD DANI 37 Jl. Lubut RT. 19 KM TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.010 6.5 Neg
84 SAMIAH 68 Jl. Brunei RT. 04 K TM J 0.2 Neg Neg 100 Neg Neg 30 Neg Neg 1.030 5.5 0-1
85 ZAHRATUL 40 Jl. Padat Karya K TM J 0.2 Neg Neg 100 Neg Neg 10 Neg Neg 1.015 6.5 1-2
86 NAINUDIN 51 Jl. Jend. Sudirman K TM J 0.2 Neg Neg 200 Neg (+) 150 Neg Neg 1.030 5.5 5 - 10
87 MASUWAI 55 Jl. Sukma Ariyaningrat K TM J 0.2 Neg Neg 100 Neg Neg 10 4(+) Neg 1.025 5.5 3-5
88 ALI ISWANDI 42 Jl. Padat Karya KM TM AK 0.2 Neg Neg 200 Neg Neg 10 Neg Neg 1.020 6.5 Neg
89 EMI DARIASI 37 Jl. H. Abdul Aziz K TM AK 0.2 Neg Neg 200 1(+) Neg 30 Neg Neg 1.030 6.0 >50
90 M. SHOLEH RASID 44 Jl. H. Abdul Aziz KM TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.015 6.0 2-3
91 SUTI 47 Jl. Cakra Negara K TM J 0.2 Neg Neg 50 Neg Neg 30 4(+) Neg 1.015 6.0 >50
92 SYARIFAH 56 Jl. P. Antasari K TM J 0.2 Neg Neg 300 Neg Neg 30 4(+) Neg 1.030 6.0 3-5
NO SAMPEL
UROBILINOGEN
MIKROALBUMIN
(mg/dL)
KEJERNIHAN
KREATININ
BILIRUBIN
GLUKOSA
PROTEIN
WARNA
(mg/dL)
(mg/dL)
EPITEL
BLOOD
KETON
NITRIT
BAU
PH
BJ
93 LANGGAWATI 48 Jl. Ahmad Wongso KM TM J 0.2 Neg Neg 300 Neg Neg 30 Neg Neg 1.030 5.5 5 - 10
94 SUWAJI 55 Jl. Cakra Negara KM TM J 0.2 Neg Neg 50 Neg Neg 10 Neg Neg 1.010 6.0 5 - 10
95 KHOIRUL MARSUDI 45 Jl. Pakunegara KM TM J 0.2 Neg Neg 10 Neg Neg 10 Neg Neg 1.010 7.0 >50
Keterangan :
K : Kuning AK : Agak Keruh
KM : Kuning Muda TM : Tidak Menyengat
J : Jernih TB : Tidak Berwarna
Mengetahui,
Kepala Laboratorium Kesehatan Daerah
Kabupaten Kotawaringin Barat
SUPARNO, S.Si
NIP. 19650513 198911 1 002
RIKSAAN URINALISA
P I KOTAWARINGIN BARAT
7 DESEMBER 2018
SEDIMEN
Test Kehamilan
ERITROSIT
SILINDER
BAKTERI
LEKOSIT
KRISTAL
0-1 0-2 Neg Neg Neg Neg
50 - 70 5 - 10 Neg Neg Neg Neg
Neg 0-2 Neg Neg Neg Neg
0-1 2-5 Granula (+) Neg Neg
Ca-Oksalat
20-25 1-4 Neg Neg
(+)
0-2 0-3 Neg Neg Neg
Neg 0-2 Neg Neg Neg
0-2 5 - 10 Neg Neg Neg
Neg Neg Neg Neg Neg Neg
0-1 0-2 Neg Neg Neg

SEDIMEN
Test Kehamilan
ERITROSIT
SILINDER
BAKTERI
LEKOSIT
KRISTAL
0-1 0-3 0-4 Neg Neg
20 - 50 5-6 Neg Neg Neg Neg
0-2 0-3 Neg Neg Neg
2-5 10 - 15 Neg Neg Neg
0-2 Neg Neg Neg Neg Neg
Neg 1-2 Neg Neg Neg
0-1 0-1 0-4 Neg Neg Neg
> 20 1-5 Neg AU (+) Neg Neg
1-2 0-2 Neg Neg Neg
Neg 0-2 Neg Neg Neg
1-2 0-2 Neg Neg Neg
Neg 0-1 Neg Neg Neg

SEDIMEN
Test Kehamilan
ERITROSIT
SILINDER
BAKTERI
LEKOSIT
KRISTAL
Neg 2-3 Neg Neg Neg
Neg 1-3 Neg Neg Neg
0-1 0-2 Neg Neg Neg
0-2 Neg Neg Neg Neg
1-2 0-1 Neg Neg Neg
Neg 0-2 Neg Neg Neg
3-5 0-3 Neg Ca-Oksalat (+) Neg
10 - 20 0-2 Neg Neg Neg Neg
Neg 0-1 Neg Neg Neg

SEDIMEN
Test Kehamilan
ERITROSIT
SILINDER
BAKTERI
LEKOSIT
KRISTAL
0-1 0-3 Neg Neg Neg
0-1 2-5 Hialin (+) Neg Neg Neg
Neg Neg Neg Neg Neg
1-2 Neg Neg Neg Neg
0-4 1-2 Neg Neg Neg
0-1 0-1 Neg Neg Neg
0-2 0-4 Neg Neg Neg
Neg 2-3 Neg Neg Neg
50-60 10-20 Granula (+) Ca-Oksalat (+) Pos Neg
0-2 Neg Neg Neg Neg
Neg 1-2 Neg Neg Neg

SEDIMEN
Test Kehamilan
ERITROSIT
SILINDER
BAKTERI
LEKOSIT
KRISTAL
Neg Neg Neg Neg Neg
1-2 0-1 Neg Neg Neg
Neg 0-3 Neg Neg Neg
Neg 2-3 Neg Neg Neg
1-2 0-3 Hialin (+) Ca-Oksalat (+) Pos
0-2 3-5 Neg Neg Pos Neg
0-1 2-3 Neg Neg Neg
25-40 20-40 Neg Neg Pos Neg
0-1 1-2 Neg Neg Neg

SEDIMEN
Test Kehamilan
ERITROSIT
SILINDER
BAKTERI
LEKOSIT
KRISTAL
0-1 0-5 Neg Neg Neg
0-2 3-5 Granula (+) Neg Neg

Petugas penguji,
NORZANNAH
NIP. 19761028 199702 2 002

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DAFTAR HADIR PEMERIKSAAN LABORATORIUM

CALON HAJI TAHAP I KOTAWARINGIN BARAT

NO NAMA UMUR ALAMAT TANDA TANGAN

Pangkalan Bun, 10 Januari 2019

Denny Rismawan, A.Md

Pangkalan Bun, 10 Januari 2019

DIFF COUNT (%)

Pangkalan Bun, 10 Januari 2019

Pangkalan Bun, 10 Januari 2019

DIFF COUNT (%)

1 MARLINA 36 Jl.Belimbing Manis O+ 4,490 12.9 4,330,000 0.7 2.2 58.6

2 SEDERHANA 68 Jl. P. Antasari O+ 7,580 12.2 4,280,000 0.5 0.5 61.8

5 RUSMADI 53 Beringin Rindang O+ 12,320 14.8 5,170,000 0.5 19.7 48.2

7 MARSITI 42 Pangkalan Bun B+ 7,920 13.4 4,390,000 0.4 2.5 61.4

8 SUYANTO 65 Pangkalan Bun A+ 6,790 14.2 5,350,000 0.9 2.5 71.9

9 WENA 48 Jl. Pasanah B+ 6,400 14.5 4,990,000 0.6 6.7 51.0

10 M. SLAMET 49 Jl. Moesta'lim O+ 7,070 15.0 5,760,000 1.0 2.5 62.4

11 KHOIRIYAH 37 Jl. Moesta'lim B+ 6,760 12.6 4,440,000 0.3 1.0 64.2

16 LATIP 55 Jl. Merpati B+ 8,420 14.2 5,280,000 0.4 0.4 69.4

17 WIDARTI 56 Jl. Pemuda O+ 6,610 12.5 4,610,000 0.6 2.0 67.9

18 NUR 55 Ds. P. Lada O+ 6,770 14.7 4,980,000 0.4 2.5 62.4

24 JAYEM 60 Karang Mulya A+ 6,820 11.2 3,760,000 0.3 0.0 68.8

28 ROSEKAWATI 36 Pangkut RT. 4 B+ 8,970 13.2 6,690,000 0.6 4.5 48.0

30 AHMAD FAUZI 38 Pangkut O+ 8,590 15.6 5,740,000 0.2 4.3 40.6

31 ASTUTIK 39 Jl. P. Antasari O+ 6,490 12.4 4,410,000 0.5 1.2 54.4

32 SARWANI 49 Jl. A. Yani RT 5 O+ 5,850 13.6 4,410,000 0.3 1.5 53.1

33 DARMAWI 63 Jl. P. Antasari B+ 7,950 14.6 7,260,000 0.8 3.5 68.9

36 YURLIANTI 51 Jl. Reformasi O+ 11,630 14.7 5,130,000 0.3 0.2 81.7

42 SUMARSIH 48 JL. Pelabuhan O+ 9,320 13.5 4,780,000 0.6 0.9 59.0

47 SANIAH 48 Jl. Hasanudin O+ 9,100 12.8 4,640,000 0.1 4.1 60.4

48 MARIYATI 43 Sungai Rangit O+ 9,220 13.0 4,690,000 0.3 2.2 56.0

49 SUKAMTO 49 Sungai Rangit B+ 12,730 16.8 5,480,000 0.2 0.2 72.4

50 ARBAIN 48 Ds. Rangda A+ 6,310 14.0 5,080,000 0.5 1.1 55.3

51 RODLIYATI 44 Ds. Rangda O+ 8,370 13.0 4,560,000 0.2 1.6 64.8

53 HAIRANI 52 Jl. Beringin RT 3 A+ 10,130 13.5 5,270,000 0.4 0.5 58.0

54 M. AKYAR 52 Jl. P. Muntai A+ 8,300 13.6 5,070,000 0.3 0.9 68.9

55 MULIASARI 36 Jl. P. Antasari O+ 8,190 11.2 4,420,000 0.5 1.7 62.5

62 MARIANA 51 Jl. P. Utar O+ 5,930 12.8 4,570,000 0.3 4.6 44.7

64 MUHLIZA 59 Jl. Utama A+ 8,010 13.6 4,340,000 0.5 5.9 50.4

66 SUYADI 60 Jl. A. Yani A+ 9,160 13.8 5,380,000 0.5 1.4 64.9

68 HAMSIYAH 64 Sei Tendang O+ 6,630 12.2 4,120,000 0.6 2.9 53.4

71 JUAIRIYAH 62 Jl. P. Antasari O+ 6,370 12.3 4,200,000 0.5 3.6 52.2

73 SHOLEH 38 Jl. Iskandar O+ 9,270 15.5 5,830,000 0.4 2.5 54.6

74 MUKAMALAH 37 Jl. Iskandar A+ 9,860 13.0 4,460,000 0.2 1.3 55.8

75 IRFAN 43 Jl. Kawitan B+ 5,110 14.4 5,150,000 0.2 1.2 46.5

76 ROFIAH 37 Jl. Kawitan O+ 7,890 13.0 4,630,000 0.4 2.7 58.7

92 SYARIFAH 56 Jl. P. Antasari O+ 8,820 13.0 4,840,000 0.2 1.6 63.2

Mengetahui, Pangkalan Bun, 27 Desember 2018

SUPARNO, S.Si DOIA SEPTINAH,A.Md

DIFF COUNT (%)

30.5 8.0 268,000

31.7 5.5 268,000

34.2 5.4 265,000 1 ul 0,001 L 1 cm3

35.6 5.0 222,000 0,001 dm3 1000 mm3

24.5 7.1 481,000 1000 mm3

26.0 6.9 233,000

29.9 5.8 342,000 1000

17.8 6.9 268,000

34.7 7.0 313,000

25.9 8.2 309,000

29.9 4.6 200,000

25.2 5.1 294,000

21.6 5.1 404,000