daftar harga lab prolisa.xlsx

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    HARGA PAKET

    NO PAKET JENIS PEMERIKSAAN HARGA DISC 25 %

    1 DIABETES Glukosa Puasa 25,000 6,250

    Glukosa Urin Puasa 25,000 6,250

    Glukosa 2 Jam PP 25,000 6,250

    Glukosa Urin 2 Jam PP 25,000 6,250HbA1C 16,000 !6,500

     To"al 286,000 #1,500

    2 $E%A& &ol's"'rol To"al (2,000 ,000

    &ol's"'rol $D$ 60,000 15,000

    &ol's"'rol HD$ (,000 ),500

     Tri*lis'ri+a (2,000 ,000

     To"al 162,000 !0,500

    ( U-GSI GI-JA$ Ur'um (2,000 ,000

    &r'a"inin (2,000 ,000

    Asam Ura" (6,000 ),000

     To"al 100,000 25,000

    ! U-GSI JA-TU-G A**r'*asi Trombosi" 225,000 56,250

     To"al 225,000 56,250

    5 U-GSI HATI Albumin, Globulin, To"al Pro"'in 1(5,000 ((,#50

    Bilirubin 5,000 21,250

    SG.T (2,000 ,000

    SGPT (2,000 ,000

    os/a"as' Alkali 5,000 1!,500

     To"al 342,000 5,500

    6 HEPATITIS HbsA* 11,500 2),625

    An"i Hbs 152,000 (,000

    An"i HC To"al 22,000 #0,500

     To"al 552,500 1(,125# HE%AT.$.GI Dara u"in 5#,000 1!,250

    57,000 1!,250

    .-TGE- Tora3 )0,000 22,500

     To"al 90,000 22,500

    Har*a +an +iskon S'4ak"u 4ak"u +aa" b'ruba

    7 Puasa minimal 10 12 8am, an9a bol' minum air u"i sa8a:

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    HARGA / NET

    1,#50

    1,#50

    1,#50

    1,#501(),500

    214,500

    2!,000

    !5,000

    2,500

    2!,000

    121,500

    2!,000

    2!,000

    2#,000

    75,000

    16,#50

    168,750

    101,250

    6(,#50

    2!,000

    2!,000

    !(,500

    256,500

    ,#5

    11!,000

    211,500

    414,375!2,#50

    42,750

    6#,500

    67,500

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     JADWA DAN HARGA PEMERIKSAAN

    A!ORATORI"M KINIK PROISA JAKARTA

     J#$ !#& P'()* T&+' C5

    !-#*' +'#& 02 M-& 2011

    N. P-+-&*( ! H

    01$ HEMATOOGI

    1 H'ma"olo*i u"in Dara EDTA ( ml 5#,0002 H'ma"olo*i $'n*ka Dara EDTA ( ml 62,000

    ( H'mo*lobin Dara EDTA ( ml 2#,000

    ! $'kosi" Dara EDTA ( ml 2(,000

    5 Hi"un* J'nis Dara EDTA ( ml 2#,000

    6 $ED Dara EDTA ( ml 2!,000

    # Trombosi" Dara EDTA ( ml 2),000

    H'ma"okri" Dara EDTA ( ml 2(,000

    ) Eri"rosi" Dara EDTA ( ml 2(,000

    10 Eosinoil Dara EDTA ( ml (1,000

    11 '"ikulosi" Dara EDTA ( ml (,00012 Pak'" Hausan Dara Dara EDTA ( ml 12),000

    1( Gol: Dara AB. Dara EDTA ( ml 2),000

    1! Gol: Dara 'sus Dara EDTA ( ml 2!,000

    15 aal H'mos"asis (1!,000

    16 ;ak"u P'n+araan

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    02$ "RINAISA

    1 Urin $'n*ka Urin S'*ar 15 ml (2,000

    2 Pro"'in Urin Urin S'*ar 15 ml 1),000

    ( Glukosa Urin Urin S'*ar 15 ml 1),000

    ! Bilirubin Urin Urin S'*ar 15 ml 1),000

    5 S'+im'n Urin Urin S'*ar 15 ml 2#,000

    6 B'r"a J'nis Urin Urin S'*ar 15 ml 1),000

    # %ikroalbumin Urin )1,000

    Pro"'in Esba> Urin S'*ar 15 ml (2,000

    03$ KEHAMIAN

    1 T's k'amilan Urin S'*ar 10 ml 51,000

    2 T's Pa>k i+ S'rum 1:0 ml (1),000

    06$ EMAK 

    1 Col's"'rol To"al S'rum 0:5 ml (2,000

    2 Tri*lis'ri+a S'rum 0:5 ml (2,000

    ( To"al $ii+ S'rum 0:5 ml 5(,000! HD$ Col's"'rol Dir'>" S'rum 0:5 ml (,000

    5 $D$ Col's"'rol Dir'>" S'rum 0:5 ml 60,000

    6 Col AP. A1 S'rum 0:5 ml 16#,000

    # Col AP. B S'rum 0:5 ml 12!,000

    $ioro"'in

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    N. P-+-&*( ! H

    07$ AA JANT"NG

    1 CP&?C& S'rum 0:5 ml )!,000

    2 C&%B S'rum 0:5 ml 162,000

    ( $DH S'rum 0:5 ml 6#,000

    ! Troonin I S'rum 0:5 ml (!2,000

    5 Troonin T Dara H'arin ( ml 252,000

    6 HsCP S'rum 1 ml 16#,000# Homo>9s"'in S'rum 1 ml !0!,000

    1 BU- a"a"an 1= 62,000

    1 Glukosa Puasa 25,000

    2 Glukosa 2 Jam PP A+a +i >a"a"an 5= 25,000

    ( GTT < T's Tol'ransi = 6,000

    ! Glukosa +ara s'4ak"u 25,000

    5 HBA1C Dara EDTA ( ml 1!(,000

    10$ EEKTROIT

    1 -a"rium S'rum 0:5 ml 60,000

    2 &alium S'rum 0:5 ml 60,000

    ( Clori+a S'rum 0:5 ml 60,000

    ! -a"rium Urin Urin 2! Jam 60,000

    5 &alium Urin Urin 2! Jam 60,000

    6 Clori+a Urin Urin 2! Jam 60,000

    # &alsium S'rum 0:5 ml !,000

    Posor Anor*anik S'rum 0:5 ml 51,000

    ) Cal>ium Ion S'rum 0:5 ml 11),000

    10 %a*n'sium S'rum 0:5 ml 51,000

    1 Amilas' S'rum 0:5 ml 105,000

    2 $ias' S'rum 0:5 ml 11!,000( A>i+ Posa"as' S'rum 0:5 ml 21),000

     JADWA DAN HARGA PEMERIKSAAN

    A!ORATORI"M KINIK PROISA JAKARTA

     J#$ !#& P'()* T&+' C5

    !-#*' +'#& 02 M-& 2011

    N. P-+-&*( ! H

    12$ IM"NO SEROOGI

    1 HBsA* &uali"a"i/ S'rum 0:5 ml )5,0002 HBsA* &uan"i"a"i/ S'rum 0:5 ml 1)0,000

    ( An"i HBs S'rum 0:5 ml 110,000

    ! An"i HBs < Ti"'r = S'rum 0:5 ml 15#,000

    5 An"i HB> S'rum 0:5 ml 1)5,000

    Plasma -a 2 ml ? S'rum0:5 ml

    Plasma -a 2 ml ? S'rum0:5 ml

    Plasma -a 2 ml ? S'rum0:5 ml

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    6 I*% An"i HB> S'rum 0:5 ml (56,000

    # HB'A* S'rum 0:5 ml 2#,000

    An"i HB' S'rum 0:5 ml ((#,000

    ) An"i HA S'rum 0:5 ml 2#,000

    10 I*m An"i HA S'rum 0:5 ml 2!(,000

    11 An"i HC S'rum 0:5 ml 2#(,000

    12 I*G An"i To3olasma S'rum 0:5 ml 1#6,000

    1( I*% An"i To3olasma S'rum 0:5 ml 1#6,0001! I*G To3o [email protected]+i"as S'rum 1 ml !6,000

    15 I*G An"i ub'lla S'rum 0:5 ml 1)1,000

    16 I*% An"i ub'lla S'rum 0:5 ml 2(),000

    1# I*G An"i C% S'rum 0:5 ml 1#),000

    1 I*% An"i CH S'rum 0:5 ml ()(,000

    1) I*G An"i HS2 S'rum 0:5 ml 1)1,000

    20 I*% An"i HS2 S'rum 0:5 ml 1)1,000

    21 I*G An"i HS1 S'rum 0:5 ml 16,000

    22 I*% An"i HS1 S'rum 0:5 ml 16,000

    2( TPHA S'rum 0:5 ml #2,0002! D$ S'rum 0:5 ml !!,000

    25 ;i+al S'rum 0:5 ml 6#,000

    26 I*% An"i Salmon'lla A>i+ Posa"as' S'rum 1 ml 2(),000

    2 AP S'rum 0:5 ml 1)5,000

    ( CEA S'rum 0:5 ml 11,000

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    ! Ca125 S'rum 0:5 ml (#6,000

    5 PSA To"al S'rum 0:5 ml 252,000

    6 Ca 15( S'rum 0:5 ml (!2,000

    # Ca 1)) S'rum 0:5 ml ()0,000

    SCC S'rum 1 ml ((2,000

    1 T( S'rum 0:5 ml 1!#,000

    2 T! S'rum 0:5 ml 1!#,000( TSHs S'rum 0:5 ml 156,000

    ! r'' T( S'rum 0:5 ml 2(0,000

    5 r'' T! S'rum 0:5 ml 1)5,000

    6 TU"ak' S'rum 0:5 ml 2!!,000

    # $H S'rum 0:5 ml 21(,000

    SH S'rum 0:5 ml 21(,000

    ) Prolak"in S'rum 0:5 ml 20(,000

    10 T's"os"'ron S'rum 0:5 ml 2(),000

    11 Es"ra+iol S'rum 0:5 ml 25!,000

    12 Pro*'s"'ron S'rum 0:5 ml 26!,0001( BHCG &uan"i"a"i/ S'rum 0:5 ml 2)2,000

    1! Insulin S'rum 1 ml 220,000

    15 CP'"i+' S'rum 1 ml 2!!,000

    1 I*E To"al S'rum 0:5 ml 205,000

    1 Pr'ara" Gram S'suai 'rmin"aan !2,000

    2 Pr'ara" BTA Su"um !2,000

    ( Pr'ara" Go S'kr'" Ur'"[email protected]*ina !2,000

    ! Pr'ara" Jamur?Sora S'suai 'rmin"aan !2,000

     JADWA DAN HARGA PEMERIKSAAN

    A!ORATORI"M KINIK PROISA JAKARTA

     J#$ !#& P'()* T&+' C5

    !-#*' +'#& 02 M-& 2011

    N. P-+-&*( ! H

    17$ K"T"R RESISTENSI

    1 &ul"ur Dara Dara 5 ml 215,0002 &ul"ur Gall Dara ( ml 215,000

    ( &ul"ur 'a>'s 'a>'s 2!(,000

    ! &ul"ur Pus Pus 2!(,000

    5 &ul"ur S'kr'" S'kr'" 2!(,000

    6 &ul"ur Su"um Su"um 2!(,000

    # &ul"ur Usa T'n**orok Usa T'n**orok 2!(,000

    &ul"ur Urin' Urin' Pa*i 215,000

    ) &ul"ur Cairan Pl'ura Cairan Pl'ura 22(,000

    10 &ul"ur Cairan $iuor Cairan $iour 215,000

    11 &ul"ur Usa 'k"al Usa 'k"al 22(,00012 &ul"ur Dara

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    1#Usa T'n**orok (12,000

    1&ul"ur Usa 'k"al i"ra" 5 ml (61,000

    ! Pro"'in S Dara >i"ra" 5 ml !),000

    5 Pro"'in C Dara >i"ra" 5 ml !),000

    6 T's Cooms +ir'k F in+ir'k 225,000

    # CD! Dara EDTA ( ml 1)5,000

    CD!CD Dara EDTA ( ml 2)(,000

    ) Asam ola" S'rum 1 ml !!),000

    1 Al/a HBDH S'rum 1 ml 10#,000

    2 G$DH S'rum 1 ml (22,000( C9s"a"in C S'rum 1 ml 2#(,000

    ! Pro B-P Dara H'arin ( ml !#,000

    1 I*% An"i HC S'rum 1 ml ((2,000

    2 I*G An"i Clam9+ia S'rum 1 ml !05,000

    ( I*% An"i Clam9+ia S'rum 1 ml !05,000

    ! I*G An"i DH S'rum 1 ml 220,000

    5 I*% An"i DH S'rum 1 ml 220,000

    6 Al/a 1 An"i Trisin S'rum 1 ml 156,000

    # I*- H: 9lori S'rum 1 ml ((2,000 An"i HI S'rum 1 ml 2(),000

    ) ;'s"'rn Blo" 1,02!,000

    10 S%A S'rum 1 ml 1(#,000

    11 A%A S'rum 1 ml 1(#,000

    &ul"ur Usa T'n**orok

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    12 A-CA S'rum 1 ml 2!),000

    1( I*G %9>olasma S'rum 1 ml #2#,000

    1! I*% %9>olasma S'rum 1 ml #2#,000

    15 An"i*'n'mia S'rum 1 Urin 15 ml 6(!,000

    16 I*G C% [email protected]+i"as S'rum 1 ml !1,000

    1# Pro Cal>i"onin is' S'rum 1 ml 2#(,000

    ! Para"9roi+ Hormon S'rum 1 ml !2),000

    1 I*E A"o9 an* S'rum 1 ml 2#(,000

    I*E as" Cokla" S'rum 1 ml 2#(,000) I*E as" Pu"i T'lur S'rum 1 ml 2#(,000

    10 I*E as" &unin* T'lur S'rum 1 ml 2#(,000

    11 I*E as" D'bu uma S'rum 1 ml 2#(,000

    12 I*E as" Tun*au S'rum 1 ml 2#(,000

    1( I*E as" Ikan S'rum 1 ml 2#(,000

    1! I*E as" &'>oa S'rum 1 ml (0(,000

    15 I*E as" Bulu A9am S'rum 1 ml (56,000

    16 I*E as" Ei"'l An8in* S'rum 1 ml (12,000

    1# I*E as" Ei"'l Tikus S'rum 1 ml (12,000

    1 I*E as" Ei"'l &u>in* S'rum 1 ml (12,0001) I*E as" Gan+um S'rum 1 ml (12,000

    20 I*E as" As'r*illus S'rum 1 ml (12,000

    21 I*E as" 8amu %u>or S'rum 1 ml (12,000

    22 I*E as" P'ni>ilin S'rum 1 ml (12,000

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    D&( 20% H / N-)

    11,!00 !5,60012,!00 !),600

    5,!00 21,600

    !,600 1,!00

    5,!00 21,600

    !,00 1),200

    5,00 2(,200

    !,600 1,!00

    !,600 1,!00

    6,200 2!,00

    #,600 (0,!0025,00 10(,200

    5,00 2(,200

    !,00 1),200

    6(,000 251,200

    !,600 1,!00

    !,600 1,!00

    26,600 106,!00

    1,00 #5,200

    2,600 11!,!00

    26,!00 106,!00

    !0,000 160,000

    11,200 !!,00

    11,200 !!,00

    15,000 60,000

    22,00 )1,200

    (0,!00 121,600

    (,000 152,000

    !,600 ((,!00

    (,000 152,000

    ),600 (,!00

    (!,200 1(6,00

    #,600 (0,!00

    26,600 106,!00

    26,600 106,!00

    !(,00 1#5,200

    #5,200 (00,00

    D&( 20% H / N-)

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    6,!00 25,600

    (,00 15,200

    (,00 15,200

    (,00 15,200

    5,!00 21,600

    (,00 15,200

    1,200 #2,00

    6,!00 26,500

    10,200 !0,00

    1!,!00 5#,600

    5#,000 22,000

    #,600 (0,!00

    !,00 1),200

    15,200 60,00

    6,!00 25,600

    #,600 (0,!00

    #,600 (0,!00

    #,600 (0,!00

    6,200 2!,00

    6,200 2!,00

    10,200 !0,00

    ,200 (2,00

    12,!00 !),600

    2!,00 )),200

    ,600 (!,!00

    6,200 2!,00

    26,600 106,!00

    6(,00 255,200

    6,!00 25,600

    6,!00 25,600

    10,600 !2,!00#,600 (0,!00

    12,000 !,000

    ((,!00 1((,600

    2!,00 )),200

    2!,00 )),200

    )!,00 106,00

    1),000 #6,000

    (6,000 1!!,000

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    D&( 20% H / N-)

    1,00 #5,200

    ((,000 12),600

    1(,!00 5(,600

    6,!00 2#(,600

    50,!00 201,600

    ((,!00 1((,6000,00 (2(,200

    6,!00 25,600

    6,!00 25,600

    6,!00 2!,00

    12,!00 !),600

    5,000 20,000

    5,000 20,000

    1#,200 6,00

    5,000 20,000

    2,600 11!,!00

    12,000 !,000

    12,000 !,000

    12,000 !,000

    12,000 !,000

    12,000 !,000

    12,000 !,000

    ),600 (,!00

    10,200 !0,00

    2(,00 )5,200

    10,200 !0,00

    21,000 !,000

    22,00 )1,200!(,00 1#5,200

    D&( 20% H / N-)

    1),000 #6,000(,000 152,000

    22,000 ,000

    (1,!00 125,600

    (),000 156,000

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    #1,200 2!,00

    556,000 222,!00

    6#,!00 26),600

    55,600 222,!00

    !,600 1)!,!00

    5!,600 21,!00

    (5,200 1!0,00

    (5,200 1!0,00)(,600 (#!,!00

    (,200 152,00

    !#,00 1)1,200

    (5,00 1!(,200

    #,600 (1!,!00

    (,200 152,00

    (,200 152,00

    (#,200 1!,00

    (#,200 1!,00

    1!,!00 5#,600,000 (5,200

    1(,!00 5(,600

    (6,200 1!!,00

    12,000 !,000

    12,!00 !),600

    ((,!00 1((,600

    12,!00 !),600

    !),00 1)),200

    5,!00 2((,600

    5,!00 2((,6005#,600 2(0,!00

    56,600 226,!00

    5!,600 21,!00

    ((,200 1(2,00

    66,!00 265,600

    50,00 20(,200

    5#,000 22,000

    52,!00 20),600

    !0,000 160,000

    61,600 2!6,!00

    5),600 2(,!00

    #,000 (12,000

    #,000 (12,000

    D&( 20% H / N-)

    !#,00 1)1,200

    (),000 156,000

    (6,200 1!!,00

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    #5,200 (00,00

    50,!00 201,600

    6,!00 2#(,600

    #,000 (12,000

    66,!00 265,600

    2),!00 11#,600

    2),!00 11#,600(1,200 12!,00

    !6,000 1!,000

    (),000 156,000

    !,00 1)5,200

    !2,600 1#0,!00

    !2,600 1#0,!00

    !0,600 162,!00

    !#,00 1)1,200

    50,00 20(,200

    52,00 211,2005,!00 2((,600

    !!,000 1#6,000

    !,00 1)5,200

    !1,000 16!,000

    ,!00 ((,600

    ,!00 ((,600

    ,!00 ((,600

    ,!00 ((,600

    D&( 20% H / N-)

    !(,000 1#2,000!(,000 1#2,000

    !,600 1)!,!00

    !,600 1)!,!00

    !,600 1)!,!00

    !,600 1)!,!00

    !,600 1)!,!00

    !(,000 1#2,000

    !!,600 1#,!00

    !(,000 1#2,000

    !!6,000 1#,!0062,!00 2!),600

    62,!00 2!),600

    62,!00 2!),600

    62,!00 2!),600

    62,!00 2!),600

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    62,!00 2!),600

    62,!00 2!),600

    62,!00 2!),600

    62,!00 2!),600

    1(,000 52,0001(,000 52,000

    1(,000 52,000

    1(,000 52,000

    1(,000 52,000

    1(,000 52,000

    (5,200 1!0,00

    (5,200 1!0,00

    1),600 #,!00

    D&( 20% H / N-)

    #2,200 2,00

    6#,!00 26),600

    #2,200 2,00

    )),600 (),!00

    )),600 (),!00

    !5,000 10,000

    (),000 156,000

    5,600 2(!,!00

    ),00 (5),200

    21!,!00 5,600

    6!,!00 25#,6005!,600 21,!00

    )5,600 (2,!00

    66,!00 265,600

    1,000 (2!,000

    1,000 (2!,000

    !!,000 1#6,000

    !!,000 1#6,000

    (1,200 12!,00

    66,!00 265,600!#,00 1)1,200

    20!,00 1),200

    2#,!00 10),600

    2#,!00 10),600

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    !),00 1)),200

    1!5,!00 51,600

    1!5,!00 51,600

    12#,000 50#,000

    )6,200 (!,00

    ##,200 (0,00

    (,200 1,552,00(12,000 1,2!,000

    6,!00 2#(,600

    6,!00 2#(,600

    (,000 ((2,000

    10#,!00 !2),600

    102,!00 !0),600

    #,00 (51,200

    D&( 20% H / N-)

    !),00 1)),200

    5!,600 21,!00

    5!,600 21,!00

    5,00 (!(,200

    1#(,600 6)!,!00

    5!,600 21,!00

    5!,600 21,!00

    5!,600 21,!00

    5!,600 21,!00

    5!,600 21,!00

    5!,600 21,!00

    5!,600 21,!005!,600 21,!00

    5!,600 21,!00

    5!,600 21,!00

    5!,600 21,!00

    5!,600 21,!00

    60,600 2!2,!00

    #1,200 2!,00

    62,!00 2!),600

    62,!00 2!),600

    62,!00 2!),60062,!00 2!),600

    62,!00 2!),600

    62,!00 2!),600

    62,!00 2!),600

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     JADWA DAN HARGA PEMERIKSAA

    A!ORATORI"M KINIK PROISA JAKA

     J#$ !#& P'()* T&+' C5

    !-#*' +'#& 02 M-& 2011

    N. P-+-&*( !

    01$ HEMATOOGI

    1 H'ma"olo*i u"in Dara EDTA ( ml

    2 H'ma"olo*i $'n*ka Dara EDTA ( ml

    ( H'mo*lobin Dara EDTA ( ml

    ! $'kosi" Dara EDTA ( ml

    5 Hi"un* J'nis Dara EDTA ( ml

    6 $ED Dara EDTA ( ml

    # Trombosi" Dara EDTA ( ml

    H'ma"okri" Dara EDTA ( ml

    ) Eri"rosi" Dara EDTA ( ml

    10 Eosinoil Dara EDTA ( ml

    11 '"ikulosi" Dara EDTA ( ml

    12 Pak'" Hausan Dara Dara EDTA ( ml

    1( Gol: Dara AB. Dara EDTA ( ml

    1! Gol: Dara 'sus Dara EDTA ( ml

    15 aal H'mos"asis

    16 ;ak"u P'n+araan

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    !-#*' +'#& 02 M-& 2011

    N. P-+-&*( !

    02$ "RINAISA

    1 Urin $'n*ka Urin S'*ar 15 ml

    2 Pro"'in Urin Urin S'*ar 15 ml

    ( Glukosa Urin Urin S'*ar 15 ml

    ! Bilirubin Urin Urin S'*ar 15 ml

    5 S'+im'n Urin Urin S'*ar 15 ml

    6 B'r"a J'nis Urin Urin S'*ar 15 ml

    # %ikroalbumin Urin Urin a*i 10 ml ? urin 2! 8am

    Pro"'in Esba> Urin S'*ar 15 ml

    03$ KEHAMIAN

    1 Plano T's Urin S'*ar 10 ml

    2 T's Pa>k i+ S'rum 1:0 ml

    06$ EMAK 1 Col's"'rol To"al S'rum 0:5 ml

    2 Tri*lis'ri+a S'rum 0:5 ml

    ( To"al $ii+ S'rum 0:5 ml

    ! HD$ Col's"'rol Dir'>" S'rum 0:5 ml

    5 $D$ Col's"'rol Dir'>" S'rum 0:5 ml

    6 Col AP. A1 S'rum 0:5 ml

    # Col AP. B S'rum 0:5 ml

    $ioro"'in

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    A!ORATORI"M KINIK PROISA JAKA

     J#$ !#& P'()* T&+' C5

    !-#*' +'#& 02 M-& 2011

    N. P-+-&*( !

    07$ AA JANT"NG

    1 CP&?C& S'rum 0:5 ml

    2 C&%B S'rum 0:5 ml

    ( $DH S'rum 0:5 ml

    ! Troonin I S'rum 0:5 ml

    5 Troonin T Dara H'arin ( ml

    6 HsCP S'rum 1 ml

    # Homo>9s"'in S'rum 1 ml

    08$ AA GINJA

    1 BU- a"a"an 1=

    09$ G"A DARAH

    1 Glukosa Puasa Plasma -a 2 ml ? S'rum 0:5 ml

    2 Glukosa 2 Jam PP A+a +i >a"a"an 5=

    ( GTT < T's Tol'ransi = Plasma -a 2 ml ? S'rum 0:5 ml

    !Glukosa +ara s'4ak"u Plasma -a 2 ml ? S'rum 0:5 ml5 HBA1C Dara EDTA ( ml

    10$ EEKTROIT

    1 -a"rium S'rum 0:5 ml

    2 &alium S'rum 0:5 ml

    ( Clori+a S'rum 0:5 ml

    ! -a"rium Urin Urin 2! Jam

    5 &alium Urin Urin 2! Jam

    6 Clori+a Urin Urin 2! Jam

    # &alsium S'rum 0:5 ml

    Posor Anor*anik S'rum 0:5 ml) Cal>ium Ion S'rum 0:5 ml

    10 %a*n'sium S'rum 0:5 ml

    11$ KIMIA AIN

    1 Amilas' S'rum 0:5 ml

    2 $ias' S'rum 0:5 ml

    ( A>i+ Posa"as' S'rum 0:5 ml

     JADWA DAN HARGA PEMERIKSAA

    A!ORATORI"M KINIK PROISA JAKA

     J#$ !#& P'()* T&+' C5!-#*' +'#& 02 M-& 2011

    N. P-+-&*( !

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    12$ IM"NO SEROOGI

    1 HBsA* &uali"a"i/ S'rum 0:5 ml

    2 HBsA* &uan"i"a"i/ S'rum 0:5 ml

    ( An"i HBs S'rum 0:5 ml

    ! An"i HBs < Ti"'r = S'rum 0:5 ml

    5 An"i HB> S'rum 0:5 ml

    6 I*% An"i HB> S'rum 0:5 ml

    # HB'A* S'rum 0:5 ml

    An"i HB' S'rum 0:5 ml

    ) An"i HA S'rum 0:5 ml

    10 I*m An"i HA S'rum 0:5 ml

    11 An"i HC S'rum 0:5 ml

    12 I*G An"i To3olasma S'rum 0:5 ml

    1( I*% An"i To3olasma S'rum 0:5 ml

    1! I*G To3o [email protected]+i"as S'rum 1 ml

    15 I*G An"i ub'lla S'rum 0:5 ml

    16 I*% An"i ub'lla S'rum 0:5 ml

    1# I*G An"i C% S'rum 0:5 ml

    1 I*% An"i CH S'rum 0:5 ml

    1) I*G An"i HS2 S'rum 0:5 ml

    20 I*% An"i HS2 S'rum 0:5 ml

    21 I*G An"i HS1 S'rum 0:5 ml

    22 I*% An"i HS1 S'rum 0:5 ml

    2( TPHA S'rum 0:5 ml

    2! D$ S'rum 0:5 ml

    25 ;i+al S'rum 0:5 ml

    26 I*% An"i Salmon'lla

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     J#$ !#& P'()* T&+' C5

    !-#*' +'#& 02 M-& 2011

    N. P-+-&*( !

    13$ PETANDA T"MOR

    1Pros"a"i> A>i+ Posa"as' S'rum 1 ml

    2 AP S'rum 0:5 ml

    ( CEA S'rum 0:5 ml

    ! Ca125 S'rum 0:5 ml

    5 PSA To"al S'rum 0:5 ml

    6 Ca 15( S'rum 0:5 ml

    # Ca 1)) S'rum 0:5 ml

    SCC S'rum 1 ml

    14$ HORMON ENDOKRINOOGI

    1 T( S'rum 0:5 ml

    2 T! S'rum 0:5 ml

    ( TSHs S'rum 0:5 ml

    ! r'' T( S'rum 0:5 ml

    5 r'' T! S'rum 0:5 ml

    6 TU"ak' S'rum 0:5 ml

    # $H S'rum 0:5 ml

    SH S'rum 0:5 ml

    ) Prolak"in S'rum 0:5 ml

    10 T's"os"'ron S'rum 0:5 ml

    11 Es"ra+iol S'rum 0:5 ml

    12 Pro*'s"'ron S'rum 0:5 ml1( BHCG &uan"i"a"i/ S'rum 0:5 ml

    1! Insulin S'rum 1 ml

    15 CP'"i+' S'rum 1 ml

    15$ AERGI

    1 I*E To"al S'rum 0:5 ml

    16$ PREPARAT DIREK 

    1 Pr'ara" Gram S'suai 'rmin"aan

    2 Pr'ara" BTA Su"um

    ( Pr'ara" Go S'kr'" Ur'"[email protected]*ina

    ! Pr'ara" Jamur?Sora S'suai 'rmin"aan

     JADWA DAN HARGA PEMERIKSAA

    A!ORATORI"M KINIK PROISA JAKA

     J#$ !#& P'()* T&+' C5

    !-#*' +'#& 02 M-& 2011

    N. P-+-&*( !

    17$ K"T"R RESISTENSI

    1 &ul"ur Dara Dara 5 ml

    2 &ul"ur Gall Dara ( ml

    ( &ul"ur 'a>'s 'a>'s

    ! &ul"ur Pus Pus

    5 &ul"ur S'kr'" S'kr'"

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    6 &ul"ur Su"um Su"um

    # &ul"ur Usa T'n**orok Usa T'n**orok

    &ul"ur Urin' Urin' Pa*i

    ) &ul"ur Cairan Pl'ura Cairan Pl'ura

    10 &ul"ur Cairan $iuor Cairan $iour

    11 &ul"ur Usa 'k"al Usa 'k"al

    12 &ul"ur Dara i"ra" 5 ml

    5 Pro"'in C Dara >i"ra" 5 ml

    6 T's Cooms +ir'k F in+ir'k Dara EDTA ( ml +an S'rum 1 ml

    # CD! Dara EDTA ( ml

    CD!CD Dara EDTA ( ml

    ) Asam ola" S'rum 1 ml

    02$ KIMIA KINIK 1 Al/a HBDH S'rum 1 ml

    2 G$DH S'rum 1 ml

    ( C9s"a"in C S'rum 1 ml

    &ul"ur Usa T'n**orok

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    ! Pro B-P Dara H'arin ( ml

    03$ IM"NO SEROOGI

    1 I*% An"i HC S'rum 1 ml

    2 I*G An"i Clam9+ia S'rum 1 ml

    ( I*% An"i Clam9+ia S'rum 1 ml

    ! I*G An"i DH S'rum 1 ml

    5 I*% An"i DH S'rum 1 ml

    6 Al/a 1 An"i Trisin S'rum 1 ml

    # I*- H: 9lori S'rum 1 ml

    An"i HI S'rum 1 ml

    ) ;'s"'rn Blo" Dara b'ku s'*ar olasma S'rum 1 ml

    15 An"i*'n'mia S'rum 1 Urin 15 ml

    16 I*G C% [email protected]+i"as S'rum 1 ml

    1# Pro Cal>i"onin

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    I*E as" Cokla" S'rum 1 ml

    ) I*E as" Pu"i T'lur S'rum 1 ml

    10 I*E as" &unin* T'lur S'rum 1 ml

    11 I*E as" D'bu uma S'rum 1 ml

    12 I*E as" Tun*au S'rum 1 ml

    1( I*E as" Ikan S'rum 1 ml

    1! I*E as" &'>oa S'rum 1 ml

    15 I*E as" Bulu A9am S'rum 1 ml

    16 I*E as" Ei"'l An8in* S'rum 1 ml

    1# I*E as" Ei"'l Tikus S'rum 1 ml

    1 I*E as" Ei"'l &u>in* S'rum 1 ml

    1) I*E as" Gan+um S'rum 1 ml

    20 I*E as" As'r*illus S'rum 1 ml

    21 I*E as" 8amu %u>or S'rum 1 ml

    22 I*E as" P'ni>ilin S'rum 1 ml

    HARGA PAKET

    NO PAKET JENIS PEMERIKSAAN

    1 DIABETES Glukosa Puasa

    Glukosa Urin Puasa

    Glukosa 2 Jam PP

    Glukosa Urin 2 Jam PP

    HbA1C

     To"al2 $E%A& &ol's"'rol To"al

    &ol's"'rol $D$

    &ol's"'rol HD$

     Tri*lis'ri+a

     To"al

    ( U-GSI GI-JA$ Ur'um

    &r'a"inin

    Asam Ura"

     To"al

    ! U-GSI JA-TU-G A**r'*asi Trombosi"

     To"al

    5 U-GSI HATI Albumin, Globulin, To"al Pro"'in

    Bilirubin

    SG.T

    SGPT

    os/a"as' Alkali

     To"al

    6 HEPATITIS HbsA*

    An"i Hbs

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    An"i HC To"al

     To"al

    # HE%AT.$.GI Dara u"in

    .-TGE- Tora3

     To"al

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    H

    (2,000:00

    1),000:00

    1),000:00

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    51,000:00

    #2,000:00

    25,000:00

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    2!,000:00

    #6,000:00

    (2,000:00

    (,000:00

    (,000:00

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    51,000:00

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    62,000:00

    12!,000:00

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    16#,000:00

    12!,000:00

    12!,000:00

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    RTA

    H

    )!,000:00

    162,000:00

    6#,000:00

    (!2,000:00

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    60,000:00

    60,000:00

    60,000:00

    60,000:00

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    51,000:00

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    H

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    )5,000:00

    1)0,000:00

    110,000:00

    15#,000:00

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    (56,000:00

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    2!(,000:00

    2#(,000:00

    1#6,000:00

    1#6,000:00

    !6,000:00

    1)1,000:00

    2(),000:00

    1#),000:00

    ()(,000:00

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    16,000:00

    16,000:00

    #2,000:00

    !!,000:00

    6#,000:00

    11,000:00

    60,000:00

    62,000:00

    16#,000:00

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    2!),000:00

    2)2,000:00

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    2,000:00

    2(,000:00

    2#(,000:00

    166,000:00

    ((2,000:00

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    H

    2(),000:00

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    11,000:00

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    26!,000:00 2)2,000:00

    220,000:00

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    H

    215,000:00

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    2!(,000:00

    2!(,000:00

    215,000:00

    22(,000:00

    215,000:00

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    (12,000:00

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    65,000:00

    65,000:00

    65,000:00

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    1#6,000:00

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      S"S

    RTA

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    (61,000:00 ((#,000:00

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    !),000:00

    !),000:00

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    !#,000:00

    ((2,000:00

    !05,000:00

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    RTA

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    2!),000:00

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    2#(,000:00

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    HARGA

    25,000

    25,000

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    16,000

    286,000(2,000

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    22,000

    552,500

    5#,000

    57,000

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    90,000