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LAPORAN

8-15 Juni 2020

Umur (th)
Pengirim

RT/RW

COVID 19
Trombo
L/P
No. KIS/U Nama Alamat Desa
Widal

Ht
1 BP U Nn. Siti s P 18 Cisitu 1/1 Cisbar Negatif
2 BP U Nn. Daisy P 18 Cisomanghilir 3/1 Tenjolaut Negatif
3 Ranap U Tn. Yaya L 62 Cibitung 21/6 Cikalong 34 49,000
4P GR Tn. Feri L 45 Warung domba 2/1 Mandalamukti 44 91,000
5 BP U Tn. Hendrik L 23 Bojongasih 5/10 Cikalong 39 134,000 POSITIF
6 Ranap KIS Nn. Sri Wahyuni P 21 Rajamandala 4/12 Mandalamukti POSITIF
7 BP U Ny. Nurul Aini P 57 Sri rahayu 2 Kota gajah Negatif
8 Ranap KIS Tn. Hendrik L 23 Bojong asih 5/10 Cikalong 37 141000
9 Ranap KIS Nn. Sri Wahyuni P 21 Rajamandala 4/12 Mandalamukti 30 111000
10 BP U Tn. Gery Maryana L 31 Warung domba 1/3 Mandalamukti Negatif
11 BP U Nn. Yusri Helmi L 14 Cibulan Indah 4/5 Cisomang barat Negatif
12 BP U Ny. Marisi Nadeah P 54 Siantar Negatif
13 BP U Tn. Tiarin Siregar L 52 Siantar Negatif
14 BP U Ny. Mira P 47 Ciasri 2/10 Mandalasari Negatif
15 BP U An. Wihangga L 6 Suka bungah 3/9 Wangunjaya 35 134,000
16 Ranap KIS Nn. Sri w P 21 Rajamandala 4/17 Mandalamukti 37 117,000
17 BP U Tn. Misbahudin L 40 Rende 1/2 Rende Negatif
18 BP U Tn, maryana L 50 Cisitu 1/1 Cisbar Negatif
19 BP U Tn. Dedih L 47 Sukawening 4/7 Puteran Negatif
20 BP U Tn. Rio L 20 Sukawening 4/7 Puteran Negatif
21 BP U Tn. Suherlan L 44 Cigatrot 4/5 Puteran Negatif
22 BP U Tn. Solihin L 46 Cigatrot 4/5 Puteran Negatif
23 BP U Tn. Lucky L 20 Blok kalapa 2/7 Puteran Negatif
24 BP U Tn. Sutisna L 36 Cigatrot 2/4 Puteran Negatif
25 BP U Tn. Deni C L 20 Cigatrot 4/7 Puteran Negatif
26 BP U Tn. Aum L 47 Pairpining 8/4 Tegalwaru Negatif
27 BP U Nn. Mardiana P 24 Legokwaru 7/3 Legoksari Negatif
28 BP U Ny. Lia Rosyanah P 38 Aceh tengah Negatif
29 BP U An. Ayra Rahma Dini P 2 Aceh tengah Negatif
30 BP U Tn. Agus Sutriyanto L 50 Gudang 5/4 Ciptagumati Negatif
31 BP KIS An. Zaira P 4 Tenggek 1/8 Wangunjaya POSITIF
32 PONED KIS/U Ny. Herawati P 27 Cidepong 2/7 Sumur bandung 31 129000 POSITIF
33 Ranap U An. Wihangga L 6 Sukabungah 3/9 Wangunjaya 34 144000
34 BP U Nn. Anita Fitriani P 16 Ciparang 3/9 Ganjarsari Negatif
35 BP U Tn. M. Edhi L 51 Warungdomba 2/1 Mandalamukti Negatif
LAPORAN HARIAN
02 Juni 2020

Umur (th)
Pengirim

RT/RW
L/P
No. KIS/U Nama Alamat Desa

Hb
1 Poned KIS Ny. Yani A P 28 Cisomang 1/7 Dusun 11,0
2 Poned U Ny. Neng NP 20 Cikara 1/12 Cisbar 11,2
3 BP KIS Ny. RustiasP 51 Tagog 2/11 Dusun
4 BP KIS Ny. SalamaP 53 Cipare 3/8 Cipada
5 BP KIS An. Agus g L 7 Hegarmana1/10 Rende 6,3
6 BP KIS Tn. DadangL 57 Cigintung 3/7 Ciptagumati
7 Poned KIS Ny. Lisa P 24 Rajamanda4/12 Mandalamu 8,2
8 Poned KIS Ny. Elsa P 25 Cianca 1/7 Cisbar 11,2
9 BP U Ny. Euis tetP 22 Nyalindung1/1 Cipatat
10 BP U Ny. Widia P 26 Cigentur 3/2 Mandalasar10,8
11 BP Gr Tn. Dede L 25 Kandu kur 2/9 Wargasaluyu
12 BP U Tn. HendraL 25 Bojongsero3/15 Ganjarsari
13 Poned U Ny. Wulan P 42 Cinegla 2/7 Mekarjaya
14 BP Askes Ny. Lilis H P 62 Rajamanda3/12 Mandalamukti
15 BP U Ny. Dedeh P 54 Sukabunga2/1 Wangunjaya
16 BP KIS Ny. Eni P 40 Ciawitali 1/12 Mandalasari
17 BP Gr Dr. putra L 25 Cimahi - Baros
18 Pgwai Gr Ny. Nia P 37 Baru rende- Cikalong
19 Pgwai Gr Ny. Friska P 28 Cigentur 3/1 Manda;asari
20 BP U Ny. NurmalP 21 Jl. Bintara 4/2 Jawa tengah
21 BP U Tn. Agus L 32 Pamoyana 1/5 Parakantugu
22 BP U Tn. Agis L 28 Cadas 3/3 Ciptagumati
22 BP U Tn. Iwan L 45 Ganjarsari 3/1 Pangsalatan
23 BP U Nn. Wida RP 23 Cisomang 3/7 Wangunjaya
24 BP U Tn. Cecep L 30 Sukamulya1/6 Ciseureh
25 BP U Tn. Didin L 43 Cadas 5/3 Ciptagumati
26 BP U Tn. Adam L 23 Cadas 5/3 Ciptagumati
27 BP U Tn. Ari L 43 Jakarta 2/2 Sukapada
28 BP U Tn. Miftah L 24 Cadas 3/3 Ciptagumati
29 BP U Tn. Anton L 38 Cadas 5/3 Ciptagumati
30 BP U Tn. Dandi L 23 Cadas 5/3 Ciptagumati
Hematologi Serologi

COVID 19
Trombo

Goldar

HbsAg
BT/CT
Leuko

Sifilis
HIV
Wdal
Ht

33 A/+ Neg NR
41 O/+ Neg NR neg

20 12,400 234,000

29 14,000 333,000 O:1/80.H:1/80,CH:1/80

34 O/+ Neg NR Neg


Negatif
32 A/+ Neg NR Neg
Neg
Negatif
Neg NR Neg

Negatif
Negatif
Negatif
Negatif
Negatif
Negatif
Negatif
Negatif
Negatif
Negatif
Negatif
Negatif
Serologi Urinalisis

Cholesterol

Asam Urat

Protein
Warna

Keton

Nitrit
GDS

pH
BJ
GDN/GDPP

7,3
197
233
360
KK 1010 7,0 N N N

180
211
281
235 7,8
171
184
N
reduksi

N
Bilirubin

N
Urobilinogen

N
Darah

3+
4.-6 Leuko.est

Eritrosit
>50

Leukosit
8.-10

Epitel
N

Silinder
N

Kristal
Pos
Bakteri

N
Yeast

Parasit
Urinalisis

PP test
Narkoba

Warna

Konsistensi

Lendir

Darah

Eritrosit
Leukosit

Epitel

Jamur

Parasit

No. Medrek

BTA

Jamur

GO
Analisa Feses
Mikrobioligi Lain-lain
LAPORAN HARIAN
03 Juni 2020

Umur (th)
Pengirim

RT/RW
L/P
No. KIS/U Nama Alamat Desa

Hb
1 BP KIS Ny. Tri F P 29 Perum Ber2/2 Mandalamu 12,8
2 Pgwai Gr Ny. Lisa P 22 Rajamanda1/3 Mandalamu 8,2
3 BP KIS Ny. Yayah P 55 Cisomang 3/10 Cisbar
4 Poned KIS Ny. Agnes P 20 Tenggek 2/11 Wangunjay10,8
5 Ranap Gr Tn. Feri L 44 Wardom 3/2 Mandalamu 13,9
6 BP JKN An. M syahL 6 pangkalan 2/1 cikalong 7,4
7 BP KIS Ny. Siti S P 40 Wardom 3/5 Mandalamukti
8 BP KIS Tn. AchmaL 55 Baru 3/4 Mandalamu 9,7
9 BP JKN Ny. Ipah P 45 Cikawung 2/11 Dusun
10 BP KIS Ny. Nani P 58 Panghegar4/3 Dusun
11 BP U Ny. Sri P 52 Cisauhem 13/17 -
12 BP KIS Ny. Ai sopiP 45 Sukaasih 2/16 Dusun
13 BP Askes Tn. Djoko L 64 Tagog 3/11 Ciptagumati
14 BP KIS Ny. Euis P 53 Baru 3/4 Mandalamukti
15 BP U Tn. MauludL 51 Sirnagalih 4/2 Cikalong
16 BP U Ny. Lili w P 35 Bongkok 2/4 Mekarjaya
17 BP U Tn. Didin L 47 Bongkok 2/4 Mekarjaya
18 BP U Tn. Enday L 34 Baru 2/3 Mandalamukti
19 BP U Ny. Eneng P 33 Baru 2/3 Mandalamukti
20 BP U Tn. Yanto L 20 Bongkok 2/4 Mekarjaya
21 BP U Tn. Heray L 39 Jakarta - -
22 BP U Tn. Yayan L 51 Puteran 4/2 cikalong
23 BP U Tn. Deni L 22 Cibarengko- WIKA
24 BP U Tn. Saepul L 55 Wardom - Mandalamukti
Hematologi Kimia Darah

COVID 19
Trombo

Goldar

HbsAg
Leuko

Sifilis
HIV
Wdal GDN/GDPP
Ht

37 5400 288000 O/+


17 10,600 266,000
242
31 A/+ Neg Nr
43 4,700 97,000
23 8,500 284,000

29 11,100 343,000

Negatif
Negatif
Negatif
Negatif
Negatif
Negatif
Negatif
Negatif

409
Kimia Darah Urinalisis

Cholesterol

Asam Urat

reduksi
Protein
Warna

Keton

Nitrit
GDS

pH
5,5 BJ

4,5
587
271
574
236

KAK 1005 6,5 N N N N


420
N
Bilirubin

N
Urobilinogen

N
Darah

2+
Leuko.est

1.-2
Eritrosit

20-25
Leukosit

0-1
Epitel

N
Silinder

N
Kristal

Pos Bakteri
N
Yeast

Parasit

Sperma+\
PP test
Urinalisis

Narkoba

Warna

Konsistensi

Lendir

Darah

Eritrosit

Leukosit
Epitel

Jamur

Parasit

No. Medrek

BTA

Jamur

GO
Analisa Feses
Mikrobioligi Lain-lain
LAPORAN HARIAN
4 Juni 2020

Umur (th)
Pengirim

RT/RW
L/P
No. KIS/U Nama Alamat Desa

1 BP KIS Ny. leman P 51 Jambudipa1/2 Ganjarsari


2 BP U An. M reza L 5 Ciasman 2/2 mandalasar
3 BP U Tn. Sugandi L 50 Mekarbaru2/11 -
4 BP KIS Ny. Empon P 61 Cianca 1/8 Dusun
5 BP U Tn. Ansori L 29 Singapura 1/12 Sumurbandung
6 Pgwai Gr Tn. Feri (ambulan) L 45 Wardom 2/1 Mandalamu
7 BP U An. Khanza P 2 Selagombo1/9 Mandalamu
8 BP U An. khanza P 4 Jambudipa2/2 Ganjarsari
9 BP JKN Ny. Aisah P 76 Baru 1/4 Mandalamukti
10 BP JKN Ny. Yani P 32 Baru 3/4 Mandalamukti
11 BP KIS Ny. Enung P 42 Cidaplang 3/10 Dusun
12 UGD Kis/U Ny. Sumiati P 32 Jambudipa2/1 mandalasar
13 UGD KIS An. Adam L 5 Wardom 2/1 Mandalamu
14 BP U Ny. Cucu P 81 Bongkok - Mekarjaya
15 Poned KIS Ny. Dinan P 17 Pasirtenga 17 Mandalamu
16 BP U Ny. Yuli P 16 Cikalong 4/2 -
17 ank A feri Gr An. Widia P 6 Wardom 2/7 Mandalamu
18 BP U Tn. Asep J L 47 Cikurutug 1/12 Campakamekar
BP KIS Tn. Edwin L 42 Malingping4/11 Rende
Hematologi Serolo

Narkoba
Trombo

Goldar

HbsAg
Leuko

Sifilis
HIV
Hb

Wdal
Ht

10,7 33 12,000 255,000

Sumurbandung
14,0 44 3,300 75,000
8,1 26 3,500 121,000 Negatif

11,6 35 15,700 272,000


Mandalamukti
Mandalamukti

8,5 28 8,600 330,000


11,6 37 9,400 179,000
Mekarjaya
8,8 26 Neg Nr
13,3 39 2,700 68,000
11,6 37 3,000 138,000
Campakamekar Negatif
Serologi Kimia Darah

Cholesterol

Trigliserida

Asam Urat
Bil. Tot /
GDS

LDL
GDN/GDPP Ur/Cr rapid covid Direct

260
Neg
180
175
80 185

190
95 184
267
96

90 11,6

/0.9
h
BJ

pH

Protein

Keton

Nitrit

reduksi

Bilirubin

Urobilinogen

Darah

Leuko.est
Eritrosit

Leukosit

Epitel

Silinder
Urinalisis

Kristal

Bakteri

Yeast

Parasit

PP test
Narkoba
Warna

Konsistensi

Lendir

Darah

Eritrosit

Leukosit

Epitel

Jamur

Parasit
Analisa Feses

No. Medrek
es Mikrobioligi Lain-lain

Jamur
BTA

GO
LAPORAN HARIAN
06 Juni 2020

Umur (th)
Pengirim

RT/RW
L/P
No. KIS/U Nama Alamat

1 PONED U Ny. Bella Lorenza P 24 Cisomang 3/7


2 Poli TB KIS Tn. Irfan M L Pasir tengah 3/11
3 PONED KIS Ny. Neni Nurhayati P 46 Selagombong 9/5
4 BP U Ny. Nurhayati P 28 Warungjati 3/10
5 PONED KIS/U Ny. Hani Mulyani P 36 Sukabungah 1/9
6 BP U Tn. Mamat L 67 Cipatat 4/4
7 BP KIS Tn. Edwin L 42 Malingping 4/11
8 BP ASKES Ny. Lilis Nuryani P 51 Pasirhalang 3/4
9 BP KIS Ny. Nonoy Logayah P 51 Warungdomba 2/7
10 BP U Ny. Teti P 47 Kamba 2/3
RIAN
20
Hematologi

Retikulosit
Trombo

Goldar
Desa

Leuko

LED

Diff
Hb

Ht
Wangunjaya 13.0 40 A/+
Mandalamukti
Mandalamukti 12.0 36 A/+
Ciptagumati
Wangunjaya 9.6 30
Cipatat
Rende
Mandalamukti
Mandalamukti
Mandalamukti
Serologi Kimia Darah

Rapid COVID 19

Cholesterol

Trigliserida
HbsAg
BT/CT

Sifilis

GDS
HIV
Wdal GDN/GDPP

neg NR
NR
neg NR
neg
neg neg
92

217
202
161
Kimia Darah

Asam Urat

Protein
Warna

Keton
Bil. Tot /
LDL

pH
BJ
Ur/Cr rapid covid
Direct

28
Nitrit

reduksi

Bilirubin

Urobilinogen

Darah

Leuko.est
Urinalisis

Eritrosit

Leukosit

Epitel

Silinder
Kristal

Bakteri

Yeast

Parasit

PP test
Narkoba

Warna

Konsistensi

Lendir

Darah
Analisa Feses
Eritrosit
Analisa Feses

Leukosit

Epitel

Jamur

Parasit

No. Medrek

BTA
Mikrobioligi

Jamur

GO
Lain-lain
LAPORAN HARIAN
08 Juni 2020
Hematologi Serologi Kimia Darah

Rapid COVID 19
Umur (th)
Pengirim

Cholesterol
RT/RW

Retikulosit

Asam Urat
Trombo
L/P

Goldar
No. KIS/U Nama Alamat Desa

HbsAg
BT/CT
Leuko

Sifilis
GDN/G

GDS
LED

Diff

HIV
Hb
Wdal

Ht
DPP

1 BP U Ny. Enung P 64 Pasir halang 3/14 Mandalamukti 171


2 BP KIS Ny. Aisah P 60 Pasar 1/2 Ciptagumati 12,1 40 11,200 269,000
3 BP KIS Tn. Deden L 72 Lapang 3/4 Cikalong 9,0
4 BP U Ny. enung P 60 Cigintung 2/1 Cikalong 240
5 BP KIS Ny. Ai rosmini P 44 Pasir halang 4/14 Mandalamukti 9,8 31 8,300 373,000
6 PONED U Ny. Rani P 25 Nanggeleng 2/10 Cipendeuy 8,8 24 neg NR
7 UGD KIS Ny. Sri w P 20 Rajamandala 2/1 Mandalamukti 10,3 34 2,700 171,000
8 BP U Tn. Yayat L 30 Ciloa 2/6 Wangunjaya 100 183 5,5
9 BP KIS Ny. Kanah P 60 Lembang dano 2/2 Cipada 141
10 BP U Nn. Siti s P 18 Cisitu 1/1 Cisbar Negatif
11 BP U Ny. Eti P 34 Nagrog 2/9 Sukahaji 171
12 BP U Ny. Wiwin k P 43 Nagrog 2/12 Sukahaji 140 160
13 BP KIS Ny. Mimin P 56 Wardom 3/1 Mandalamukti 201
14 BP U Ny. Ayi P 50 Kadupugur 2/11 Ganjarsari 179
15 PONED U Ny. Lilis d P 30 Ciawitali 1/3 mandalasari 11,0 33 B/+ neg NR
16 BP U Ny. mimin P 50 Tenjolaut 1/4 Cikalong wetan 180 4,6
17 BP KIS An. Mirna P 8 Tagog 2/3 Cikalong 8,6 27 5,100 226,000
18 BP U Nn. Daisy P 18 Cisomanghilir 3/1 Tenjolaut Negatif
19 BP KIS Ny. Ruliyanti P 38 Panghotan 3/7 Ganjarsari 224
20 PONED U Ny. Siti w P 27 Cikubang 5/17 Mandalamukti 11,0 33 B/+ neg NR
21 Ranap U Tn. Yaya L 62 Cibitung 21/6 Cikalong 11,3 34 4,700 49,000
22 BP JKN An. Syahdan L 6 Pangkalan 3/7 Cikalong 5,6 18 9,700 224,000
23 PONED U Ny. Ai royani P 24 Cisteng 1/9 Cisbar 8,8 27
24 BP Kis/U Ny. Iis P 47 Cigondok 1/14 Dusun 280 309
25 BP U Ny. Iyah P 64 Baru rende 4/13 Rende 206 279
26 BP U Tn. Jajang L 52 Baru rende 3/12 Rende 7,3 23 6,900 544,000
27 BP KIS An. Rizal L 6 Cirengot 2/17 Mekarjaya 7,6 24 6,200 152,000

Jumlah pemeriksaan 12 12 8 8 2 0 0 0 0 0 3 3 2 2 7 7 3

Petugas,

Chandra D A
LAPORAN HARIAN
09 Juni 2020

Umur (th)
Pengirim

RT/RW
L/P
No. KIS/U Nama Alamat

1 PONED U Ny. Wiwin W P 24 Kp. Balepulang 1/10


2 PONED U Ny. Sipa P 30 Tenggek 1/4
3 BP U An. Bilal L 2 Pasirhalang 3/14
4P GR Tn. Feri L 45 Warung domba 2/1
5 BP U Tn. Hendrik L 23 Bojongasih 5/10
6 BP KIS An. Ayu L 11 Cigentur 3/17
7 BP KIS Ny. Ijah P 58 Cipadang 1/15
8 Ranap KIS Nn. Sri Wahyuni P 21 Rajamandala 4/12
9 BP KIS Ny. Didoh P 54 Mandorbas 1/5
10 BP KIS Ny. Juariah P 50 Wadon 1/9
11 BP KIS Ny. Titi P 61 Babakan nagreg 2/4
12 BP KIS Ny. Rina Laelasari P 40 Cilangkob 3/3
13 BP KIS Ny. Ritje rita Yulia P 67 Warungjati 1/6
14 BP KIS Ny. Turi P 63 Cipare 1/9
15 BP ASKES ny. Iyam Nurhayati P 63 Cadas 3/3
16 UGD JAMKESDANy. Titin Rohanah P 30 Bojongsero 1/5
17 BP U Ny. Nurul Aini P 57 Sri rahayu 2

Jumlah pemeriksaan

Petugas,

Nurina Y s
HARIAN
020
Hematologi

Trombo

Goldar
Desa

BT/CT
Leuko
Hb

Ht
Cipada 11.2 36 O/+
Wangunjaya 9.6 30 B/+
Mandalamukti 11.2 35 11,400 390,000
Mandalamukti 15.6 44 7,800 91,000
Cikalong 13.5 39 6,200 134,000
Mandalamukti 11.4 30 8,700 302,000
Sirnagalih 11.0 34 12,700 351,000
Mandalamukti 10.1 30 1,900 155,000
Ciptagumati
Tenjolaut
Tenjolaut
Ganjarsari
Ciptagumati
Cipada
Ciptagumati
Ganjarsari 15.0 48 11,400 453,000
Kota gajah

9 9 7 7 2 0
Hematologi Serologi

COVID 19
HbsAg

Sifilis

GDS
HIV
Wdal GDN/GDPP

neg NR neg
neg NR neg

O=1/640 H=1/320 AH=1/160 BO= 1/320 CH=1/160

O= 1/640

259
143

348
151

272

neg

2 2 2 2 1 0 5
Cholesterol

232
284
210

3
Asam Urat

1
5.5
Warna

0
BJ

0
pH

0
Protein
Urinalisis

0
Keton

0
Nitrit

0
reduksi
0

Bilirubin
0
Urobilinogen

0
Darah

0
Leuko.est

0
Eritrosit

0
Leukosit

0
Epitel

0
Silinder

0
Kristal

0
Bakteri
0

Yeast
0
Urinalisis
Parasit
Urinalisis

0
PP test

0
Narkoba

0
Warna

0
Konsistensi

0
Lendir

0
Darah

0
Eritrosit

0
Leukosit

Epitel
Jamur

Parasit

No. Medrek

BTA

Jamur

GO
Analisa Feses
Mikrobioligi Lain-lain
LAPORAN HARIAN
10 Juni 2020
Hematologi Serologi Kimia Darah

Rapid COVID 19
Umur (th)
Pengirim

Cholesterol
RT/RW

Trigliserida
Retikulosit

Asam Urat
Trombo
L/P

Goldar
No. KIS/U Nama Alamat Desa

HbsAg
BT/CT
Leuko

Sifilis
GDN/G

GDS
LED

LDL
Diff

HIV
Hb
Wdal

Ht
DPP

1 BP KIS Ny. Aan N P 50 Tenjolaut 1/6 Tenjolaut 77


2 BP KIS Ny. Nunung P 46 Baru rende 3/17 Cikalong 5,3
3 BP KIS Ny. Hj ate P 62 Sirna galih 1/2 Cikalong 250
4 Pgwai Gr Tn. Tito L 29 Perum Berkah - 14,2 42 5,900 224,000
5 BP Askes Tn. Mustopa L 79 Ciptagumati 2/3 Ciptagumati 277
6 BP JKN Ny. Juariah P 55 Daya mekar 2/3 Cikalong 121
7 BP KIS Ny. Idah P 36 Tagog 3/11 Dusun 280
8 BP KIS Tn. Achmad L 55 Baru 3/4 Mandalamukti 9,6 30 10,100 280,000
9 PONED KIS Ny. Ooh P 37 Cianca 2/8 Cisbar 11,0 33 A/+ neg NR
10 BP KIS Ny. Ee P 44 Baru 4/5 Dusun 202
11 BP KIS Ny. Nani P 58 Panghegar 4/3 Dusun 283
12 PONED U Ny. Ria P 24 Ciaseupan 3/8 mandalasari 10,9 33 AB/+ neg NR
13 PONED KIS Ny. Iis l P 27 Bojong asih 5/10 Cikalong 11,2 33 A/+ neg NR
14 BP U Ny. Uti P 50 Cidaplang 3/10 mandalasari 112
15 BP JKN Tn. Rahmat L 82 Gudang 1/2 Ciptagumati 96
16 BP U Ny. Engkar P 56 Cigeblig 3/9 Ciptagumati 98
17 Ranap BPJS Nn. Sri w P 21 Rajamandala 4/12 Mandalamukti 10,2 33 1,900 142,000
18 Ranap U Tn. Hendrik L 23 Bojong asih 3/10 Cikalong 12,2 36 4,800 132,000

Jumlah pemeriksaan 7 7 4 4 3 0 0 0 0 0 3 3 0 0 7 3 0 0 1

Petugas,

Chandra D a
LAPORAN HARIAN
11 Juni 2020

Umur (th)
Pengirim

RT/RW
L/P
No. KIS/U Nama Alamat

1 Ranap KIS Tn. Hendrik L 23 Bojong asih 5/10


2 Ranap KIS Tn. Roni L 31 Cikiria 1/11
3 Ranap KIS Nn. Sri Wahyuni P 21 Rajamandala 4/12
4P GR Tn. Feri L 45 Warung domba 2/1
5 UGD KIS Tn. Tatang L 63 BTN 3/16
6 BP U Tn. Gery Maryana L 31 Warung domba 1/3
7 BP U Nn. Yusri Helmi L 14 Cibulan Indah 4/5
8 BP Askes Ny. Euis Komariah P 64 Cihuni 1/7
9 PONED GR Ny. Neni Nurhayati P 43 Selagombong 5/9
10 BP JKN Ny. Neneng Yoyok P 58 Ciraja 3/4
11 BP U Ny. Marisi Nadeah P 54 Siantar
12 BP U Tn. Tiarin Siregar L 52 Siantar
13 BP U Ny. Mira P 47 Ciasri 2/10
14 PONED GR Ny. Hani Mulyani P 36 Sukabungah 1/9
15 PONED U Ny. Leni P 33 Cianca 2/7
16 PONED KIS Ny. Nurhasanah P 35 Tenggek 1/11
17 BP KIS Ny. Dedah Jubaedah P 64 Daya mekar 2/3

Jumlah pemeriksaan

Petugas,

Nurina Y s
N HARIAN
i 2020
Hematologi

Trombo

Goldar
Desa

HbsAg
BT/CT
Leuko
Hb
Wdal

Ht
Cikalong 12 37 4600 141000
Cipada 13 39 8800 216000
Mandalamukti 9 30 2200 111000
Mandalamukti 15.8 46 8300 227000
Mandalasari
Mandalamukti
Cisomang barat
Mandalasari B/+
Mandalamukti
Mandalasari

Mandalasari
Wangunjaya
Cisomang barat 7.6 24 A/+
Wangunjaya 10.8 33 O/+
Cikalong

6 6 4 4 3 0 0 0
Serologi Urinalisis

Cholesterol

Asam Urat
COVID 19

Warna
Sifilis

GDS
HIV

pH
BJ
GDN/GDPP

165
neg
neg
93 203 5.5
neg
188
neg
neg
neg
neg

2.0

0 2 5 1 1 2 2 0 0 0
Protein
Urinalisis

0
Keton

0
Nitrit

0
reduksi

0
Bilirubin

0
Urobilinogen

0
Darah

0
Leuko.est

0
Eritrosit
0

Leukosit
0
Epitel

0
Silinder

0
Kristal

0
Bakteri

0
Yeast

0
Parasit
Urinalisis

0
PP test

0
Narkoba

0
Warna
0

Konsistensi
0
Lendir

0
Darah

0
Eritrosit

0
Leukosit

Epitel

Jamur

Parasit

No. Medrek

BTA

Jamur
Analisa Feses
Analisa Feses Mikrobioligi Lain-lain
GO
LAPORAN HARIAN
12 Juni 2020
Hematologi Serologi Kimia Darah

Rapid COVID 19
Umur (th)
Pengirim

Cholesterol

Trigliserida
RT/RW

Retikulosit

Asam Urat
Trombo
L/P

Goldar
No. KIS/U Nama Alamat Desa

HbsAg
BT/CT
Leuko

Sifilis
GDN/

GDS
LED

LDL
Diff

HIV
Hb
Wdal

Ht
GDPP

1 PONED KIS Ny. Wulansari P 29 Cigentur 2/2 Mandalamukti 7,5 24 15800 193000
2 BP U An. Wihangga L 6 Suka bungah 3/9 Wangunjaya 10,6 35 3,700 134,000
3 BP JKN Tn. Endang L 62 Watjat 1/10 Ciptagumati 150
4 BP JKN Tn. Nomo L 61 Warjat 4/10 Ciptagumati 235
5 BP KIS/U Ny. Eutik P 46 Baru 4/5 Dusun 11,5 35 9,700 302,000 245
6 PONED U Ny. Santi P 30 Cikara 2/12 - 11,5 34 AB/+ neg NR neg
7 Dr. jul U Ny. Yanti P 46 Warjar 1/10 Ciptagumati 8,4 26 7,800 263,000 O/+ 115/130
8 PONED U Ny. Fuji P 37 Cibulanindah 2/5 Cisbar 10,0 30 neg NR neg
9 PONED KIS Ny. Suminar P 33 Tenggek 2/4 Dusun 11,0 34 A/+ neg NR neg
10 BP JKN Ny. Rohanah P 74 Dayamekar 5/3 Cikalong 210
11 Ranap KIS Nn. Sri w P 21 Rajamandala 4/17 Mandalamukti 37 117,000
12 Ranap U Tn. Hendrik L 23 Bojong asih 3/10 Cipada 37 165,000
13 BP U Tn. Misbahudin L 40 Rende 1/2 Rende Negatif
14 BP U Tn, maryana L 50 Cisitu 1/1 Cisbar Negatif 103
15 BP U Tn. Dedih L 47 Sukawening 4/7 Puteran Negatif
16 BP U Tn. Rio L 20 Sukawening 4/7 Puteran Negatif 178
17 BP U Tn. Suherlan L 44 Cigatrot 4/5 Puteran Negatif
18 BP U Tn. Solihin L 46 Cigatrot 4/5 Puteran Negatif
19 BP U Tn. Lucky L 20 Blok kalapa 2/7 Puteran Negatif
20 BP U Tn. Sutisna L 36 Cigatrot 2/4 Puteran Negatif
21 BP U Tn. Deni C L 20 Cigatrot 4/7 Puteran Negatif
22 BP U Tn. Aum L 47 Pairpining 8/4 Tegalwaru Negatif
23 Pgawai Gr Bd. Tintin P 48 - - - 201 4,2

Jumlah pemeriksaan 7 8 4 6 3 1 0 0 0 3 3 3 10 0 3 4 0 0 1

Petugas,

Chandra D A
LAPORAN HARIAN
13 Juni 2020

Umur (th)
Pengirim

RT/RW
L/P
No. KIS/U Nama Alamat Desa

1 BP U An. Wihangga L 6 Sukabungah 3/9 Wangunjaya


2 BP U Nn. Mardiana P 24 Legokwaru 7/3 Legoksari
3 BP U Ny. Yayah P 49 Ciawitali 2/16 Mandalasari
4 BP U Ny. Lia Rosyanah P 38 Aceh tengah
5 BP U An. Ayra Rahma Dini P 2 Aceh tengah
6 Poned U Ny. Cucu P 36 Gudang 5/17 Ciptagumati
7 Poned KIS Ny. Tironi Nirmala Ningsih P 36 Pangsalatan 3/3 Ganjarsari
8 BP KIS Ny. Kurniasih P 48 Cipadakati 1/17 Mekarjaya
9 BP KIS Ny. Tati Rochajati P 68 Daya mekar 3/3 Cikalong
10 BP U Tn. Agus Sutriyanto L 50 Gudang 5/4 Ciptagumati
11 BP KIS An. Hanip L 10 blPuteran 2/7 Puteran
12 BP KIS An. Zaira P 4 Tenggek 1/8 Wangunjaya
13 BP JamkeNy. Wiwin P 27 Cipare 3/8 Cipada
14 BP AskesNy. Noneng Elayani P 61 Daya mekar 5/3 Cikalong

Jumlah pemeriksaan

Petugas,

Nurina Y s
Hematologi Serologi

Trombo

Goldar

HbsAg
BT/CT
Leuko

Sifilis
HIV
Hb

Wdal
Ht

11.5 36 5700 94000

9.0 29

12.0 36 O/+ neg NR neg


10.4 33 A/+ neg NR neg

8.6 25 7900 311000


10.8 32 25300 271000 O=1/640 BO=1/320

6 6 3 3 2 0 1 2 2 2
Serologi Urinalisis

Cholesterol

Asam Urat
COVID 19

Protein
Warna

Keton
GDS

pH
BJ
GDN/GDPP

neg

neg
neg

183
140 262
neg

221 3.3

4 0 2 2 1 0 0 0 0 0
Nitrit

reduksi

Bilirubin

Urobilinogen

Darah

Leuko.est

Eritrosit

Leukosit

Epitel

Silinder
Kristal

Bakteri

Yeast

Parasit
Urinalisis

PP test

POSITIF
Narkoba

Warna

Konsistensi

Lendir

Darah
Eritrosit

Leukosit

Epitel

Jamur

Parasit

No. Medrek

BTA

Jamur

GO
Analisa Feses
es Mikrobioligi Lain-lain
LAPORAN HARIAN
15 Juni 2020
Hematologi Serologi

Umur (th)
Pengirim

Cholesterol
RT/RW

Asam Urat
COVID 19
Trombo
L/P

Goldar
No. KIS/U Nama Alamat Desa

HbsAg
BT/CT
Leuko

Sifilis
GDN/

GDS
HIV
Hb
Wdal

Ht
GDPP

1 BP U Nn. Anita Fitriani P 16 Ciparang 3/9 Ganjarsari neg


2 BP U Tn. M. Edhi L 51 Warungdomba 2/1 Mandalamukti neg
3 BP Askes/U Ny. A. Komariah P 70 Dayamekar 1/3 Cikalong 222 191
4 BP JKN Ny. Yani P 44 Jati 1/11 Mekarjaya 241
5 BP KIS Ny. Usep Setiawan P 55 Ciawitali 2/3 Mandalasari 202
6 BP KIS Tn. Juanda L 44 Sukajadi 3/1 Wangunjaya -
7 BP JKN/U Ny, Unasih P 65 Tagog 1/3 Ciptagumati 345 261
8 BP KIS Tn. Deden L 51 Pangheotan 1/16 Mandalamukti 5.5
9 UGD U Nn. Wulan P 18 Babakan sari 2/11 Mandalamukti 11.3 33 8200 279000
10 UGD U Ny. Lia P 45 Babakan sari 2/11 Mandalamukti 9.2 27 19300 273000 447
11 Ranap Tn. Teteng L 12.7 37 8700 171000
12 PONED KIS/U Ny. Herawati P 27 Cidepong 2/7 Sumur bandung 10.2 31 11900 129000 O=1/80 H=1/320

13 Ranap U An. Wihangga L 6 Sukabungah 3/9 Wangunjaya 10.8 34 7700 144000


14 BP U By. Meisya P 7 bln Nagrak 1/14 Ganjarsari 11.9 36 15100 491000
15 BP KIS Ny. Linda Wanti P 23 Puteran 3/7 Tenjolaut 12 36 A/+ neg NR neg
16 PONED U Ny. Nani Susanti P 26 Lebak Leungsir 7/10 Mekarjaya 11.6 36 A/+ neg NR neg
17 PONED GR Ny. Rani P 25 Tugaran 2/16 Cipeundeuy neg

Jumlah pemeriksaan 8 8 6 6 2 0 1 2 2 3 2 2 4 2 1

Petugas,

Nurina Y s
LAPORAN HARIAN
16 Juni 2020
Hematologi Serologi Kimia Darah Urinalisis

Rapid COVID 19

Urobilinogen
Umur (th)
Pengirim

Leuko.est
Cholesterol
RT/RW

Trigliserida

Asam Urat

Bilirubin

Leukosit
Eritrosit

Silinder
Protein

reduksi

Bakteri
Warna
Trombo

Kristal
L/P

Darah
Keton

Epitel
Goldar
No. KIS/U Nama Alamat Desa

Yeast
HbsAg

Nitrit
Leuko

Sifilis
GDN/G

GDS
HIV

LDL

pH
Hb

BJ
Ht
DPP

1 PONED U Ny. Milah P 26 Lembang 2/2 Cipada 10,8 31 11100 442000


2 PONED U Ny. Hernawati P 27 sumurbandung 2/11 Sumur bandung 10,3 31 12,300 188,000 Negatif
3 BP JKN Ny. Alit P 56 Dayamekar 5/3 Cikalong 190 4,0
4 BP U Ny. Naning P 53 Kubangsari 2/5 ganjarsari 156
5 PONED U Ny. Siti a P 27 Kadupugur 1/11 ganjarsari 10,4 31 A/+ Neg NR Neg
6 BP KIS Ny. Cucu P 55 Sirnasari 2/1 ganjarsari 5,0
7 BP KIS By. Excel L 1 Bobojong 2/12 Kanangasari 9,9 34 5,500 238,000
8 BP KIS Tn. Beni L 47 Cilenca 3/10 Tenjolaut 180
9 BP Askes Ny. Lilis P 62 Rajamandala 1/3 Mandalamukti 176
10 PONED KIS Ny. Kiki P 26 Ciakara 2/11 Cisbar 11,2 35 B/+ neg NR Neg
11 Ranap U Tn. Teteng L 77 Sukabungah 2/9 Wangunjaya 9,0 28 6,700 112,000
12 Ranap KIS Tn. Mamat L 58 Jambudipa 3/1 ganjarsari KK 1020 5,0 N N N N N N 3+ N >50 8.-100.-1 N Ca-oxalat N N
13 PONED U Ny. Yati P 32 Ciraja mekar 1/14 mandalasari 11,0 34 A/+ Neg NR Neg
14 PONED U Ny. Siti N P 17 Kiarapayung 1/3 Cipada 9,6 28 O/+ Neg NR Neg
15 BP U An. Nadifah P 1 Sukajadi 1/2 Wangunjaya 9,8 30 5,900 188,000
16 BP KIS Ny. Rumyati P 45 Lembang 1/2 Cipada 481 178

Jumlah pemeriksaan 9 9 5 5 4 4 4 4 1 1 2 3 0 0 2 1 URINE 1

Petugas,

Chandra D a
LAPORAN HARIAN
18 Juni 2020
Hematologi Serologi Kimia Darah Urinalisis

Urobilinogen
Rapid COVID 19
Umur (th)
Pengirim

Leuko.est
Cholesterol
RT/RW

Trigliserida

Asam Urat

Leukosit
Bilirubin

Eritrosit

Silinder
reduksi
Protein

Bakteri
Warna
Trombo

Kristal
L/P

Darah
Keton

Epitel
Goldar

Yeast
No. KIS/U Nama Alamat Desa

Nitrit
HbsAg
Leuko

Sifilis
Wida

GDS
HIV

LDL

pH
Hb

BJ
Ht
l

1 Ranap U An. Davian L 9 Wardom 2/7 Mandalamukti 28 45000


2 Ranap KIS Tn. mamat L 58 Jambudipa 3/1 ganjarsari 13,1 39 7,700 198,000
3 BP KIS Ny. Lisna P 18 Cidaplang 2/10 Mandalamukti 11,0 33 O/+ Neg NR Neg
4 BP KIS/U Tn. Sugito L 56 Maswati 1/7 Kenangasari 104 235 5,5
5 BP U Ny. Rosita P 58 Cisauheun 1/11 Cikalong 200
6 BP KIS Ny. Nengsih P 40 Cisauheun 2/1 Cikalong 242
7 BP U Sdr. Firmansyah L 16 Bongok 2/7 Cipada B/+
8 BP U Sdr. Rifki M h L 15 Bongok 2/15 Cipada A/+
9 BP JKN Tn. Dede L 31 Wardom 3/1 Mandalamukti 217
10 BP KIS Tn. Jaelani L 53 Sukajadi 3/1 Wangunjaya 9,4
11 PONED U Ny. Hernawati P 27 Cidepong 2/7 Sumurbandung 10,7 33 12,000 200,000 A/+
12 BP KIS Ny. Siti a P 29 Cikiria 1/11 Cipada KAK 1015 5,0 N N N N N N N N 4.-6 2.-4 10.-15 N N N N
13 PONED U/gr Ny. Siska P 22 Cigintung 3/7 Ciptagumati 10,9 32 12,800 178,000 Neg Neg

Jumlah pemeriksaan 3 4 2 3 4 1 1 1 1 1 3 2 0 0 2 URINE 1

Petugas,

Chandra D a
LAPORAN HARIAN
20 Juni 2020
Hematologi Serologi Kimia Darah

Rapid COVID 19
Umur (th)
Pengirim

Cholesterol
RT/RW

Asam urat
Trombo
L/P

Goldar
No. KIS/U Nama Alamat Desa

HbsAg
BT/CT
Leuko

SOGT
Sifilis

SGPT
GDN/

GDS
LED

HIV
Hb
Wdal

Ht
GDPP

1 BP U Ny. Sri P 38 Wardom 3/1 Mandalamukti 160


2 BP Gr Tn. Dani L 28 Wardom 1/3 Mandalamukti neg NR
3 BP U Ny. Ela P 46 Cigentur 2/1 Mandalasari 169 3,2
4 BP U Ny. Ilah P 62 Wardom 1/3 Mandalamukti 233
5 BP KIS Ny. Janah P 32 Ciawitali 2/1 Mandalasari 150
6 Ranap U Ny. Amah P 93 Cihanjuang 3/20 Mandalasari 11,2 35 9,900 198,000
7 Ranap U An. Ikhsan L 1,5 Cianca 1/5 Cisbar 9,2 31 20,100 480,000
8 PONED KIS Ny. Asyifa P 20 pangheotan 1/18 Mandalamukti 12,0 36 A/+ neg NR
9 BP U Tn. Egi L 28 Cigentur 1/18 Mandalasari Negatif
10 UGD KIS Ny. Wardjiyati P 65 Lembang dano 2/2 Cipada 242
11 BP U Tn. Dian L 25 Cisela 1/10 Rende 13,3 41 7,700 240,000 23/43 35 21

Jumlah pemeriksaan 3 3 2 2 1 0 0 0 2 2 1 2 0 3 1 1 1

Petugas,

Chandra D A
LAPORAN HARIAN
22 Juni 2020
Hematologi Serologi Kimia Darah URINALISIS

Rapid COVID 19

Urobilinogen
Umur (th)
Pengirim

Leuko.est
Cholesterol
RT/RW

Trigliserida
Asam urat

Bilirubin

Leukosit
Eritrosit

Silinder
Protein

reduksi

Bakteri
Warna

Kristal
L/P

Darah
Keton

Epitel
Goldar
No. KIS/U Nama Alamat Desa

HbsAg

Nitrit
Leuko

BT/CT
Bilt

Sifilis
GDN/G

GDS

HDL
LED

HIV

pH
Hb

BJ
Wdal

Ht

S
DPP ot

1 Ranap KIS Ny. Enung P 46 Rajamandala 3/12 Mandalamukti 11,1 34 12500 232000
2 UGD KID Tn. Budi L 41 Cikuda 2/13 Mandalasari 14,7 41 4,800 169,000
3 BP U An. Alya P 5 Cikalong kolot 5/8 Cikalong 8,9 28 6200 199000
4 BP U Tn. Sedyo L 42 Johobaru 5/8 Jateng Negatif
5 BP U Tn. Iwan L 45 Pangsalatan 3/1 Wangunjaya Negatif
6 BP KIS Ny. Aminah P 81 Nagrak 2/12 Dusun 174 3,1
7 BP KIS Ny. Nani P 57 Panghegar 4/3 Dusun 227
8 BP KIS Ny. Tati P 48 Patrol 4/6 Puteran 118
9 BP KIS Ny. Rully P 37 Pangheotan 3/7 Ganjarsari 412
10 PONED KIS Ny. Siti N P 25 Bobojong 3/1 Bojong 11,0 33 Neg NR Neg 242
11 PONED U Ny. Dewi P 28 Jati 1/8 Ciptagumati 7,8 25 O/+ Neg NR Neg 13 KK 1010 7,5 2+ N N N N N 3+ N >50 8.-10 8.-10 N N N
12 BP Askes Ny. Mariam P 54 Wardom 1/3 Mandalamukti 135
13 BP Gr Tn. Asep J L 37 Baru 3/3 Mandalamukti Neg NR
14 BP U An. Fajar R L 13 Kadudampit 1/2 Cisomangbarat 11,8 37 6,500 284,000
15 BP KIS Ny. Neti P 57 Lapang 5/4 Cikalong 129
16 UGD KIS Tn. Oding L 70 Jambudipa 1/2 Ganjarsari 12,4 36 21,200 423,000 90
17 BP U Ny. Dian P 36 Ciharashas - - 220 6,4 180 30
18 BP KIS Nn. Sumarni P 23 Cipeureu 1/9 Dusun
19 BP U Tn. Amin L 79 Mandalasari 1/16 Mandalasari 11,4 33 9,800 203,000 Negatif Negatif
20 PONED U By. Al aris L 5hr Wadon 2/9 Tenjolaut

Jumlah pemeriksaan 8 8 6 6 1 0 0 1 3 3 2 3 4 2 3 2 1 1 1 URINE 1

Petugas,

Chandra D A
N
Yeast
LAPORAN HARIAN
23 Juni 2020
Hematologi Kimia Darah URINALISIS

Urobilinogen
Rapid COVID 19
Umur (th)
Pengirim

Leuko.est
Cholesterol
RT/RW

Asam urat

Leukosit
Bilirubin
Trombosit

Eritrosit

Silinder
reduksi
Protein

Bakteri
Warna

Kristal
L/P

Darah
Keton

Epitel
Goldar

Yeast
No. KIS/U Nama Alamat Desa

Nitrit
HbsAg
Leuko

BT/CT

Sifilis
GDN/G

GDS
HIV

pH
Hb

BJ
Ht
DPP

1 PONED U Ny. Sinta P 36 Cikara 2/11 Cisomangbarat 10,9 32 A/+ Neg NR Neg
2 PONED U Ny. Astri P 21 Baru 1/4 Mandalamukti 10,9 32 B/+ Neg NR Neg
3 PONED KIS Ny. Yuli P 20 Panglejar 1/11 Tenjolaut 11,0 33 O/+ Neg NR Neg
4 BP KIS Tn. Ayong L 63 Tagog 2/3 Dusun 485
5 BP KIS Ny. Ai aisyah P 45 Parakankubu 3/6 Wangunjaya 126
6 PONED U Ny. Aas hasanah P 24 Cikubang 1/19 Mandalasari 12,0 38 B/+ Neg NR Neg
7 Ranap KIS Ny. Enung P 46 Rajamandala 3/12 Mandalamukti 11,1 35 7,500 226,000
8 PONED KIS Ny. Rini P 27 Cipicung 3/3 Cipicung 11,4 33 7,400 2,269,000
9 UGD KIS Ny. Nunung P 25 Tagog 2/3 Ciptagumati 11,9 37 6,800 265,000
10 BP U Ny. Nina P 44 Cigentur 1/1 Mandalasari 5,2
11 BP JKN Ny. A rohanah P 74 Dayamekar 3/5 Cikalong 185
12 BP U Sdr. M alfiana L 17 Cikembang 16/5 Tasikmalaya Negatif
13 BP U Tn. Adetyan Edo L 24 Sleman - Yogyakarta Negatif
14 BP JKN Ny. Hj mamah P 66 Sindangsari 1/2 Mandalamukti 155
15 BP Gr Dr. ikbal L 25 Cimahi - - KJ 1015 6,0 N N N N N N N N 1.-20.-2 0.-1 N N N N

Jumlah pemeriksaan 7 7 3 3 4 0 4 4 4 2 1 3 0 1 URINE 1

Petugas,

Chandra D A
LAPORAN HARIAN
02 Juni 2020

Umur (th)
Pengirim

RT/RW
L/P
No. KIS/U Nama Alamat Desa

Hb
KIS Nn. Susi P 14 Cipadakati 3/17 Mekarjaya 9.3
Ny. Teti Herawati P 40 Sukarasa 3/2 9.6
Tn. Soleh L 65 Puteran 5/7 Puteran
Tn. Dede Sutisna L 39 Babakan 1/10 wangunjaya
U Ny. Dedah P 40 Ciawitali 2/3 Mandalasari
ASKES Tn. Rahmat L 77 Pangkalan 2/12 Cikalong
KIS Ny. Popon Karlina P 58 Cikubang 1/19 Mandalasari
U Ny. Sri andini P 34 Cigentur 1/2 Mandalasari
Kons. VCT GR Tn. Iwan Setiawan L 35 Ciburial 1/6 Tajimekar
KIS Tn. Saepudin P 55 Cimanggu Permai 2/14 Cikalong
U Nn. Akmelani P 18 Caringin 1/13 Margalaksana
KIS Ny. Desi P 38 Cipadakati 3/17 Mekarjaya 6.1
U Ny. Idah P 38 Cinegla 1/7 Cinegla 12.1
Ny. Sinta L 36 Cikara 2/11 Cisomangbarat
Ranap U Ny. Ikoh P 76 Galudra 1/18 Mandalasari 7.0
Kons. VCT U/GR Tn. Jeni Jaeni L 38 Cigintung 2/1 Ciptagumati
Hematologi Serologi

COVID 19
Trombo

Goldar

HbsAg
BT/CT
Leuko

Sifilis
HIV
Widal
Ht

31 6200 305000
30 O/+ neg NR neg

REAKTIF neg

20 17400 261000
36 O/+ neg NR neg

23 4800 326000
neg NR
Serologi Urinalisis

Cholesterol

Asam Urat

Protein
Warna

Keton

Nitrit
GDS

pH
BJ
GDN/GDPP

231
KAK 1.03 5 2+ neg neg
160
369
178
87

66

338
neg
reduksi

neg
Bilirubin

neg
Urobilinogen

neg
2+ Darah

Leuko.est
0-1

Eritrosit
20-25

Leukosit
1-2

Epitel
Urinalisis

Silinder

Bakteri

PP test
Parasit

Warna
Kristal

Yeast
Narkoba

neg

granula kasar, silinder leukosit neg neg neg neg

neg

neg
Konsistensi

Lendir

Darah

Eritrosit

Leukosit

Epitel

Jamur

Parasit

No. Medrek

BTA
Analisa F
Analisa Feses Mikrobioligi
Jamur

GO
Lain-lain
LAPORAN HARIAN
29 Juni 2020

Umur (th)
Pengirim

RT/RW
L/P
No. KIS/U Nama Alamat

BP KIS Tn. Salim L 70 Sukabungah 1/1


BP U Tn. M. Rainaldi L 20 Cileunca 4/10
BP Askes Ny. Dewi Suminar P 48 Cikubang girang 4/17
BP KIS Ny. Nunung Ida P 70 Blok Lembur 1/9
BP KIS Ny. Nunung Sukaesih P 40 Cianca 1/8
BP Askes Ny. Aam Nurhayati P 66 Tagog 3/11
BP KIS/U Tn. Rahmat Ardiansyah L 24 Sancang 3/14
UGD U Tn. Mahmud L 50 Cinegla 1/6
BP U An. Nabila P 10 bln Babakan Nagreg 1/4
BP U Nn. Mawar N P 15 Cigentur 3/2
BP JKN Ny. Eha Julaeha P 58 Rajamandala 2/12
BP U Tn. Rizky Muhammad L 15 Ciawitali 1/3
BP JKN Tn. Ahmad Zizan L 16 Sancang 4/13
BP U Ny. Ruly Yanti P 38 Pangheotan 2/7
Ranap KIS Nn. Windi P 20 Cisomanghilir 3/2
PONED GR Ny. Yeni S P 28 Babakan 3/6
BP U Tn. Benny L 28 Medan
PONED U/GR Ny. Asry Awaliah P 27 Puteran 3/7
PONED U/GR Ny. Lina P 27 Sancang 3/13
PONED GR Ny. Nina L 20 Cianca 1/8
BP KIS By. Ny. Entin P 8 hari Cidita 4/1
N

Hematologi

Trombo

Goldar
Desa

HbsAg
BT/CT
Leuko
Hb
Wdal

Ht
Wangunjaya
Tenjolaut
Mandalamukti
Puteran
Cisomangbarat
Ciptagumati
Cisomangbarat
Mekarjaya
Tenjolaut 10.9 33 7400 238000 neg
Mandalasari O/+
Mandalamukti
Mandalasari AB/+
Cisomangbarat B/+
Ganjarsari
Tenjolaut 11.0 35 2200 103000
Cisomangbarat neg

Tenjolaut 11.2 33 neg


Cisomangbarat 10.0 30 A/+ neg
Cisomangbarat POSITIF
A/+
Serologi Urinalisis

Choleste

Warna
COVID

Asam
Sifilis

Urat
GDS
HIV

pH
rol

BJ
19
GDN/GDPP

430

107
175

358
84 Kuning jernih 1.010 9
159

264

249

neg
NR neg
NR neg
neg
neg
Urinalisis
Protein

neg
Keton

neg
Nitrit

neg
reduksi
neg

Bilirubi
n
neg

Urobili
nogen
neg

Darah
1+

Leuko.
est
0-1

Eritrosi
t
4-6

Leukos
it
Urinalisis

Bakteri

PP test
Parasit
Silinde

Kristal
Epitel

Yeast
Narkoba
r

neg/neg/neg

6-8 neg neg neg neg neg/+ Spermatozoa


Warna

Konsist
ensi

Lendir

Darah

Eritrosi
t

Leukos
it

Epitel

Jamur

Parasit

No.
Medre
k
Analisa Feses Mikrobioligi

Jamur
BTA

GO

biltot =10.1 bil dir=2.9


obioligi Lain-lain