JI. Ayahanda No. 68 A Medan 20118 Tip : (061) 888 13182 - 888 13183 (Hunting) . ro Fax : (061) 800 13181 Laboratorium Klinik Web : www.royalprima.com RS. Royal Prima Email : contact@royalprima.com “MEDAN, 15 Jun 2014 10:54:39 ‘Penanggung jawab : dr. Deli Theo, Sp.PK.,MARS. Nola LK008 Dokter Perujuk sd, Alrda Aryan Nasuion, Nama Pasien Ta, EDISON MUNAF Alamat JL WIRAKSATI X NO 49 SITEBA No.RM —: 001059 UmurfJonisKelamin + 55 Tha 10 Bla 23 He / LAKI-LAKI HASIL PEMERIKSAAN LABORATORIUM DIABETIC ve. Pemeriksaan Tasit Normal Metode i [akosa Puasa 140 ___ Raia 70-110 Ccatatan PEMERIKS ¥ LABOFATORIUM Printed By : Inggit Kheirunnisa O7/1072044 10:37:35 dr, Del Theo, $p.PK, MARS, “HIGH QUALITY CARE IS OUR PRIORITY”JI, Ayahanda No. 68 A Medan 20118 Tip : (061) 888 13182 - 888 13183 (Hunting) . wi Fax : (061) 800 13181 Laboratorium Klinik air deeu nent aid RS. Royal Prima Email : contact@royalprima.com SEDAN Tsun PTO Tenonguung veo Tar Del Tvs Sp PR NANG Nola: Lx008 Dokter Perujuok + dr, Ada Aryan Nastion, Nama Pasion: a, EDISON MUNAF Atamat J WIRAKSATI X NO 49 SITEBA NoRM 01059 UmureisKelamin 36-Thn 10 Bln 23 Hy LAKELAR! HASIL PEMERIKSAAN LABORATORIUM PROFIL LIPID fe Femeritsann Tas Srna Nomar Metode [Sharer Tra 1 rg = 200 2 [HDL Cheoserot 102 gil >55 Efe Cholera 39 mg = 130 ir [trtserde 30 Taw 7-10 5 [aio CHa DE TA <6 Cataton peMERIK vty Y Be Pa Printod By : Inggit Khairunnisa 07/10/2014 10:37:36 dr. Deli Theo, p.PK..MARS. “HIGH QUALITY CARE IS OUR PRIORITY”JI, Ayahanda No. 68 A Medan 20118 Tip : (061) 888 13182 - 888 13183 (Hunting) Fax : (061) 800 13181 Web : www.royalprima.com y Laboratorium Klinik RS. Royal Prima Email : contact@royalprima.com SHEDAN To ]un 2014 105450 Penanggung jawab +d. Dal Theo, Sp.PR. MARS. Nolab —:1K008 DDokter Perujuk sar Aida Aryans Nasution, Nama Pasion : Ta, EDISON MUNAF Alamat JL, WIRAKSATI X NO 49 SITEBA No.RM 001059 ‘Umurfjenis Kelamin «56 Tn 10 Bln 23 He LAKL-LAKI HASIL PEMERIKSAAN LABORATORIUM LIVER FUNCTION Ne Fenerisaan Tas San Noma Nowe SoF 3 Uh tk0-37 2 [AcTSOPr zr Uk 12-65 catatan : PEMERIKSA, Y UM Printed By: Inggit Kharunnisa 071072014 103736 Ge, Dal Theo, sp PK. MARS. “HIGH QUALITY CARE IS OUR PRIORITY”JI, Ayahanda No. 68 A Medan 20118 Tip : (061) 888 13182 - 888 13183 (Hunting) . io a8 Fax : (061) 800 13181 Labor; atorium Klinik Web : www.royalprima.com RS. Royal Prima Email : contact@royalprima.com MEDAN, Toon 20TH 10ST Penanggung jawab dr Deh Theo, Sp PR.MARS No.lab — ; LX008 Dokter Perujuk dk. Aida Aryan Nasution, Nama Pasien : Ta, EDISON MUNAF Alama J. WIRAKSATI X No 49 SITEBA No.RM 001059, Umurffonis Kelamin + 55 Tha 10 Bin 23 fir) LAKFLAKT HASIL PEMERIKSAAN LABORATORIUM RENAL FUNCTION Noy Pemoriksaan Hasit Satwan Normal Metode 1_[Uream darat 20 magia 10-38 2_[Kreatinin 7 agi 05-15 3_[Asam Urat 38 mgd 3470) 7 [URINE ROUTINE, Warna Kuning’ Koning Glink Kekeruhan Keruh Jeri Borat jenis 1.020) 1.005 - 1.030) PH 35 45-80 [Glucose Nogative Negative Bilirubin Negative Negative Keto Nevatwe Negative Protein #1 Negative Urobilinogen 20 EIA 1-10 Nite Negative Negative Blood! Trace Negative Leucooyt Negative Negative catatan PEMERIKSA, LABORATORIUM Printed By: Inggit Khairunnisa 07/10/2014 10:37:36, dr. Doli Theo, Sp.PK.MARS, we RS.ROWL PRIMA “HIGH QUALITY CARE IS OUR PRIORITY”JI, Ayahanda No. 68 A Medan 20118 Tip : (061) 888 13182 - 888 13183 (Hunting) Fax : (061) 800 13181 Web : www.royalprima.com y Laboratorium Klinik RS. Royal Prima Email : contact@royalprima.com “MEDAN, Ts jun 2004 T0539 Fenonggung java dr Deh Theo, Sp PR.MARS No.Lab —: LK0OB Dokter Perujuk + dr. Affida Aryani Nasution, Nama Pasien : Ta, EDISON MUNAF ‘Alamat JL, WIRAKSATL X NO 49 SITEBA No. RM + 001059 ‘UmurfJonis Kelamin 55 Tha 10 Bin 23 Hr / LAKL-LAKI HASIL PEMERIKSAAN LABORATORIUM RENAL FUNCTION Ro] Fearon Tas Sana Toma Teed [URINE SebiMenr Eros z Ti oo overt a 7 os el Eott = Ti z Siinder Tea 7k Tete sta soa ae aie Nepave ' Noga 1 catatan PEMERIKSA YS (TORIUM Pine By ng Khirnnis 071072044 1037.38 de, et Theo. fo.PK. Mans, “HIGH QUALITY CARE IS OUR PRIORITY”