Hasil Pemeriksaan Rujukan

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INSTALASI LABORATORIUM SENTRAL

HASIL PEMERIKSAAN LABORATORIUM


Laboratory Examination Results

NAMA PASIEN : By. Adiba Afshin Meysa (p) NAMA DOKTER : dr.Ekasari Meynar K.S
Patient's Name Doctor Name

NIK : - TGL. ORDER : 15-05-2023 11:10:06


ID Number Order Date

TANGGAL LAHIR : 24-05-2023 (00 Tahun) TGL. SAMPEL DITERIMA : 24-05-2023 09:01:33


Date of Birth Sample Date Received

ALAMAT : Dsn.Beweh 07/04 Ds.Ngogri DPJTM : Dr. HARTONO, dr., Sp.PK.,


Address Kec.Megaluh DPJTM MQIH.
NO. TELEPON : 85645131619 TGL. VALIDASI : 24-05-2023 13:22:03
Phone Number Validation Date

SID : PK20230524037
a

  JENIS   NILAI  
NO. PEMERIKSAAN HASIL RUJUKAN KETERANGAN
Number Checking Type Result Reference Value Description

1 NEONATAL TSH 1,40 NEGATIF:<9, -


PROGRAM INDETERMINTE:
9-18, POSITIF:
>18 mikro
unit/mL

Diverifikasi oleh DPJTM : Dr. HARTONO, dr., Sp.PK.,


Verified by DPJTM   MQIH.

NIP : 195905311986111001
Employee Identification
Number  

a
Dokumen ini sah dan telah divalidasi secara sistem elektronik sesuai SK Direktur Utama No.
188.4/11483/301/2020
This document is valid and has been electronically validated in accordance with the President Director's Decree No.
188.4/11483/301/2020

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