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Print By : Simedic - BML Rahasia Hasil MCU, Hal. : 1/ 6
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Ruko Komersial Griya Idola Industrial Park Unit AB 11 Jl. Raya Serang, RT.05/RW.02
Tangerang, (021) 59647419
e-Mail : info@biodilab.co.id
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NIK : 1611056205060001
No. Medical Record / No. Lab. : 2207001145 / 0024
Tanggal Mcu : 24-11-2023
N a m a :
Tanggal Lahir :
JK / Usia :
No. Medical Record :
Tanggal Mcu :
Meitri Ayu P.
16-05-2004
Wanita / 19 Thn.
2207001145
24-11-2023
Perusahaan : PT. MAYORA INDAH TBK
NIK :
Departemen :
Bagian :
Jabatan :
1611056205060001
QC
QC MAYORA
KARYAWAN KONTRAK
Data Pasien
Team Medical Check Up
Perusahaan : PT. MAYORA INDAH TBK N a m a : MEITRI AYU
Print By : Simedic - BML Rahasia Hasil MCU, Hal. : 2/ 6
NIK : - Tgl. Lahir : 16-05-2004
Departemen : QC JK / Usia : Wanita / 19 Thn.
Tanggal Mcu : 24-11-2023 / 2207001145 Kategori Mcu : Baik
Kesimpulan :
FIT TO WORK
Saran :
Lakukan pemeriksaan kesehatan berkala setidaknya setiap 1 tahun sekali.
Sudah Di Validasi Oleh : dr. Shinta Hidayani Utami
Kesimpulan Medical Check Up
Perusahaan : PT. MAYORA INDAH TBK N a m a : MEITRI AYU
Print By : Simedic - BML Rahasia Hasil MCU, Hal. : 3/ 6
NIK
Departemen
Tanggal Mcu
: -
: QC
: 24-11-2023 / 2207001145
Tgl. Lahir
JK / Usia
: 16-05-2004
: Wanita / 19 Thn.
Riwayat Kesehatan
Keluhan Sekarang Tidak Ada
Riwayat Kecelakaan Tidak Ada
Riwayat Kesehatan Dahulu
Riwayat Inap/Operasi Tidak Ada
Riwayat Alergi Tidak Ada
Penyakit Darah Tinggi Tidak Ada
Penyakit Kencing Manis Tidak Ada
Penyakit Paru/TBC/Asthma Tidak Ada
Penyakit Epilepsi Tidak Ada
Penyakit Dispepsia Tidak Ada
Penyakit Lain Tidak Ada
Kebiasaan
Merokok Tidak
Olahraga Tidak
Keadaan Fisik
Tinggi Badan 163 Cm.
Berat Badan 47 Kg.
Berat Badan Ideal 49.5 - 66.5 Kg.
BMI 17,69
Tekanan Darah 120/80 mmHg.
Sistolik 120
Diastolik 80
Nadi 79 x/menit
Keadaan/Kesan Umum
Kulit Normal
Mata
Memakai Kacamata Tidak pakai
Ukuran Kacamata
Ketajaman Penglihatan
Tanpa Kacamata Normal
Dengan Kacamata Normal
Buta Warna Tidak
Konjungtiva Normal
Sklera Normal
Lain-lain Tidak Ada
Telinga, Hidung, Tenggorokan
KGB Normal
Thorax
Paru-paru Normal
Jantung Normal
Lain-lain Tidak Ada
Abdomen
Bentuk Normal
Palpasi/Perkusi Normal
Hati Tidak Teraba
Limpa Tidak Teraba
Ginjal
Test Ketok Negatif
Hernia Tidak Ada
Lain-lain Tidak Ada
Extremitas & Tulang Punggung
Tulang/Sendi Normal
Tangan Normal
Kaki Normal
Neurologis
Reflex Fisiologis Positif
Aktifitas Reflex Normal
Daun, Liang dan Gendang
(Membran Tympani)
Normal
Hidung (Septum, Conchae) Tidak diperiksa
Sinus Tidak diperiksa
Faring Tidak diperiksa
Tonsil Tidak diperiksa
Mulut
Lidah Tidak diperiksa
Gigi Tidak diperiksa
Lain-lain Tidak Ada
Leher
Umum Normal
Tyroid/Trachea Normal
HASIL PEMERIKSAAN FISIK
ITEM PEMERIKSAAN H A S I L ITEM PEMERIKSAAN H A S I L
Perusahaan : PT. MAYORA INDAH TBK N a m a : MEITRI AYU
Print By : Simedic - BML Rahasia Hasil MCU, Hal. : 4/ 6
NIK
Departemen
Tanggal Mcu
: -
: QC
: 24-11-2023 / 2207001145
Tgl. Lahir
JK / Usia
No. Lab.
: 16-05-2004
: Wanita / 19 Thn.
: 0024
Hematology
Darah Lengkap
Hemoglobin 13.3 P(13.2-17.3), W(11.7-15.5) g/dL
Leukosit 8.0 P(3.8 - 10.6), W(3.6 - 11.0) ribu/uL
Hematokrit 40 P(40 - 52), W(35 - 47) %
Trombosit 405 150 - 440 ribu/uL
Eritrosit 4.8 P(4.4 - 5.9), W(3.8 - 5.2) juta/uL
MCV 84 80 - 100 fL
MCH 28 26 - 34 pg
MCHC 33 32 - 36 g/dL
Hitung Jenis Lekosit
Basofil 0 0 - 1 %
Eosinofil 2 2 - 4 %
Neutrofil Segmen 61 50 - 70 %
Limfosit 31 25 - 40 %
Monosit 6 2 - 8 %
LED 8 P(0 - 15), W(0 - 20) mm/Jam
Kimia Darah
Fungsi Hati
SGOT
SGPT
Urine Analysis
Makroskopis
16 P(<35), W(<31)
4 P(<41), W(<31)
U/L
U/L
HASIL PEMERIKSAAN LABORATORIUM
ITEM PEMERIKSAAN H A S I L NILAI NORMAL UNIT KETERANGAN
Warna Kuning Kuning
Kejernihan Jernih Jernih
Berat Jenis 1.020 1.003 - 1.035
Lekosit Esterase Negatif Negatif
pH 5.0 4.5 - 8.0
Protein Negatif Negatif
Glukosa Negatif Negatif
Keton Urine Negatif Negatif
Urobilinogen Normal Normal -(+1)
Bilirubin Negatif Negatif
Nitrit Negatif Negatif
Darah Samar Negatif Negatif
Mikroskopis
Lekosit 0 - 2 0 - 5 /LPB
Eritrosit 0 - 2 0 - 2 /LPB
Epitel Positif Positif /LPK
Silinder Negatif Negatif /LPK
Amorf Urat Negatif Negatif
Amorf Phosphat Negatif Negatif
Uric Acid Negatif Negatif
Calcium Oxalat Negatif Negatif
Perusahaan : PT. MAYORA INDAH TBK N a m a : MEITRI AYU
Print By : Simedic - BML Rahasia Hasil MCU, Hal. : 5/ 6
NIK
Departemen
Tanggal Mcu
: -
: QC
: 24-11-2023 / 2207001145
Tgl. Lahir
JK / Usia
No. Lab.
: 16-05-2004
: Wanita / 19 Thn.
: 0024
Triple Posphat
Bakteri
Lendir
Jamur
Lain - lain
Negatif
Negatif
Negatif
Negatif
Negatif
Negatif
Negatif
Negatif
Negatif
Negatif
Dokter Penanggung Jawab : dr. Stevi Dwiyani, SpPK
HASIL PEMERIKSAAN LABORATORIUM
ITEM PEMERIKSAAN H A S I L NILAI NORMAL UNIT KETERANGAN
Perusahaan : PT. MAYORA INDAH TBK N a m a : MEITRI AYU
Print By : Simedic - BML Rahasia Hasil MCU, Hal. : 6/ 6
HASIL PEMERIKSAAN RADIOLOGI DAN KARDIOLOGI
THORAX FOTO
NIK : - Tgl. Lahir : 16-05-2004
Departemen : QC JK / Usia : Wanita / 19 Thn.
Tanggal Mcu : 24-11-2023 / 2207001145
Thorax Foto No. RO :
PEMERIKSAAN X FOTO THORAX PA
Trakea di tengah.
Tak tampak pelebaran mediastinum.
Cor : CTR < 50 %
Bentuk dan letak dalam batas normal.
Pulmo : Corakan bronkovaskuler tampak normal.
Tak tampak bercak infiltrat di kedua lapangan paru.
Sinus kostofrenikus kanan-kiri lancip.
Cor tak membesar.
Pulmo tak tampak kelainan.
0024
Dokter Pembaca Hasil : dr. Billy Zukyawan, Sp. Rad
Hasil :
Kesimpulan :

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MEITRI AYU-0024.pdf

  • 1. Print By : Simedic - BML Rahasia Hasil MCU, Hal. : 1/ 6 L LA AB B K KL LI IN NI IK K B BI IO OM ME ED DI IL LA AB B Ruko Komersial Griya Idola Industrial Park Unit AB 11 Jl. Raya Serang, RT.05/RW.02 Tangerang, (021) 59647419 e-Mail : info@biodilab.co.id L La ap po or ra an n H Ha as si il l M Me ed di ic ca al l C Ch he ec ck k U Up p M ME EI IT TR RI I A AY YU U P PE EB BI IO OL LA A NIK : 1611056205060001 No. Medical Record / No. Lab. : 2207001145 / 0024 Tanggal Mcu : 24-11-2023 N a m a : Tanggal Lahir : JK / Usia : No. Medical Record : Tanggal Mcu : Meitri Ayu P. 16-05-2004 Wanita / 19 Thn. 2207001145 24-11-2023 Perusahaan : PT. MAYORA INDAH TBK NIK : Departemen : Bagian : Jabatan : 1611056205060001 QC QC MAYORA KARYAWAN KONTRAK Data Pasien Team Medical Check Up
  • 2. Perusahaan : PT. MAYORA INDAH TBK N a m a : MEITRI AYU Print By : Simedic - BML Rahasia Hasil MCU, Hal. : 2/ 6 NIK : - Tgl. Lahir : 16-05-2004 Departemen : QC JK / Usia : Wanita / 19 Thn. Tanggal Mcu : 24-11-2023 / 2207001145 Kategori Mcu : Baik Kesimpulan : FIT TO WORK Saran : Lakukan pemeriksaan kesehatan berkala setidaknya setiap 1 tahun sekali. Sudah Di Validasi Oleh : dr. Shinta Hidayani Utami Kesimpulan Medical Check Up
  • 3. Perusahaan : PT. MAYORA INDAH TBK N a m a : MEITRI AYU Print By : Simedic - BML Rahasia Hasil MCU, Hal. : 3/ 6 NIK Departemen Tanggal Mcu : - : QC : 24-11-2023 / 2207001145 Tgl. Lahir JK / Usia : 16-05-2004 : Wanita / 19 Thn. Riwayat Kesehatan Keluhan Sekarang Tidak Ada Riwayat Kecelakaan Tidak Ada Riwayat Kesehatan Dahulu Riwayat Inap/Operasi Tidak Ada Riwayat Alergi Tidak Ada Penyakit Darah Tinggi Tidak Ada Penyakit Kencing Manis Tidak Ada Penyakit Paru/TBC/Asthma Tidak Ada Penyakit Epilepsi Tidak Ada Penyakit Dispepsia Tidak Ada Penyakit Lain Tidak Ada Kebiasaan Merokok Tidak Olahraga Tidak Keadaan Fisik Tinggi Badan 163 Cm. Berat Badan 47 Kg. Berat Badan Ideal 49.5 - 66.5 Kg. BMI 17,69 Tekanan Darah 120/80 mmHg. Sistolik 120 Diastolik 80 Nadi 79 x/menit Keadaan/Kesan Umum Kulit Normal Mata Memakai Kacamata Tidak pakai Ukuran Kacamata Ketajaman Penglihatan Tanpa Kacamata Normal Dengan Kacamata Normal Buta Warna Tidak Konjungtiva Normal Sklera Normal Lain-lain Tidak Ada Telinga, Hidung, Tenggorokan KGB Normal Thorax Paru-paru Normal Jantung Normal Lain-lain Tidak Ada Abdomen Bentuk Normal Palpasi/Perkusi Normal Hati Tidak Teraba Limpa Tidak Teraba Ginjal Test Ketok Negatif Hernia Tidak Ada Lain-lain Tidak Ada Extremitas & Tulang Punggung Tulang/Sendi Normal Tangan Normal Kaki Normal Neurologis Reflex Fisiologis Positif Aktifitas Reflex Normal Daun, Liang dan Gendang (Membran Tympani) Normal Hidung (Septum, Conchae) Tidak diperiksa Sinus Tidak diperiksa Faring Tidak diperiksa Tonsil Tidak diperiksa Mulut Lidah Tidak diperiksa Gigi Tidak diperiksa Lain-lain Tidak Ada Leher Umum Normal Tyroid/Trachea Normal HASIL PEMERIKSAAN FISIK ITEM PEMERIKSAAN H A S I L ITEM PEMERIKSAAN H A S I L
  • 4. Perusahaan : PT. MAYORA INDAH TBK N a m a : MEITRI AYU Print By : Simedic - BML Rahasia Hasil MCU, Hal. : 4/ 6 NIK Departemen Tanggal Mcu : - : QC : 24-11-2023 / 2207001145 Tgl. Lahir JK / Usia No. Lab. : 16-05-2004 : Wanita / 19 Thn. : 0024 Hematology Darah Lengkap Hemoglobin 13.3 P(13.2-17.3), W(11.7-15.5) g/dL Leukosit 8.0 P(3.8 - 10.6), W(3.6 - 11.0) ribu/uL Hematokrit 40 P(40 - 52), W(35 - 47) % Trombosit 405 150 - 440 ribu/uL Eritrosit 4.8 P(4.4 - 5.9), W(3.8 - 5.2) juta/uL MCV 84 80 - 100 fL MCH 28 26 - 34 pg MCHC 33 32 - 36 g/dL Hitung Jenis Lekosit Basofil 0 0 - 1 % Eosinofil 2 2 - 4 % Neutrofil Segmen 61 50 - 70 % Limfosit 31 25 - 40 % Monosit 6 2 - 8 % LED 8 P(0 - 15), W(0 - 20) mm/Jam Kimia Darah Fungsi Hati SGOT SGPT Urine Analysis Makroskopis 16 P(<35), W(<31) 4 P(<41), W(<31) U/L U/L HASIL PEMERIKSAAN LABORATORIUM ITEM PEMERIKSAAN H A S I L NILAI NORMAL UNIT KETERANGAN Warna Kuning Kuning Kejernihan Jernih Jernih Berat Jenis 1.020 1.003 - 1.035 Lekosit Esterase Negatif Negatif pH 5.0 4.5 - 8.0 Protein Negatif Negatif Glukosa Negatif Negatif Keton Urine Negatif Negatif Urobilinogen Normal Normal -(+1) Bilirubin Negatif Negatif Nitrit Negatif Negatif Darah Samar Negatif Negatif Mikroskopis Lekosit 0 - 2 0 - 5 /LPB Eritrosit 0 - 2 0 - 2 /LPB Epitel Positif Positif /LPK Silinder Negatif Negatif /LPK Amorf Urat Negatif Negatif Amorf Phosphat Negatif Negatif Uric Acid Negatif Negatif Calcium Oxalat Negatif Negatif
  • 5. Perusahaan : PT. MAYORA INDAH TBK N a m a : MEITRI AYU Print By : Simedic - BML Rahasia Hasil MCU, Hal. : 5/ 6 NIK Departemen Tanggal Mcu : - : QC : 24-11-2023 / 2207001145 Tgl. Lahir JK / Usia No. Lab. : 16-05-2004 : Wanita / 19 Thn. : 0024 Triple Posphat Bakteri Lendir Jamur Lain - lain Negatif Negatif Negatif Negatif Negatif Negatif Negatif Negatif Negatif Negatif Dokter Penanggung Jawab : dr. Stevi Dwiyani, SpPK HASIL PEMERIKSAAN LABORATORIUM ITEM PEMERIKSAAN H A S I L NILAI NORMAL UNIT KETERANGAN
  • 6. Perusahaan : PT. MAYORA INDAH TBK N a m a : MEITRI AYU Print By : Simedic - BML Rahasia Hasil MCU, Hal. : 6/ 6 HASIL PEMERIKSAAN RADIOLOGI DAN KARDIOLOGI THORAX FOTO NIK : - Tgl. Lahir : 16-05-2004 Departemen : QC JK / Usia : Wanita / 19 Thn. Tanggal Mcu : 24-11-2023 / 2207001145 Thorax Foto No. RO : PEMERIKSAAN X FOTO THORAX PA Trakea di tengah. Tak tampak pelebaran mediastinum. Cor : CTR < 50 % Bentuk dan letak dalam batas normal. Pulmo : Corakan bronkovaskuler tampak normal. Tak tampak bercak infiltrat di kedua lapangan paru. Sinus kostofrenikus kanan-kiri lancip. Cor tak membesar. Pulmo tak tampak kelainan. 0024 Dokter Pembaca Hasil : dr. Billy Zukyawan, Sp. Rad Hasil : Kesimpulan :