prodia ClinicaI l_aboratory

il By Pass Dharma Giri No. 77 Bitera Gianyar - gair

Phone. C361-4797819

ffi'Qwda Kontak Fn:dia: 150SSg0

Clinica! Patha[agist :
dr.Made Arisani

Physician : dr. Heri Suratno, MD (p)

Address : Prodia Health Care Jl. Raya Pupuian No. 56, Renon, DenpasarTimur
Denpasar
Reg No./ Date : 2104010010 I A1-04-2021
'it
Gender :Male
Patient iD . 0424-2A02.00aa5 , DOB / Age : 16-07-1984136 Year 8 Month
Paiient Name : Mr. Michael Sheehan Alahouzos I U Phone :
Address : Ji. Hanoman
Ubud
Result stalus

Parameter Result Ref. Range Un,t - Note

IMMUNO SEROLOGY
AntiAmoeba # Negaiive Negalive U Negative: < 8.5 U
2.6 Borderline : 8.5 - 1i.5 U
Positive:> 1"1.5 U
For borderline resuit, recommended
to repeat testing 2 - 4 weeks later
with a fresh sample
FECES ANALYSIS
Rouline Feces examinatlon
Macroscopic:
- Color Brown Brown
- ccnsistency Soft Rather saft
and Shaped
* Mucus
Negative Negative
- Blaod Negative Negative
Microscopic
- Residual Digestion :

1. Fecal lat Z < 60 giobul globuil HPF

2. Fecal Carbohydrate Negative Negative
3. Fecal Fibers (+) Negativb
- Leukocytes Negative Negative IHPF
- Erythrocytes Negative Negative /HPF
- Parasites Not found No organism
identified
- Worm Ova Not found No organisrn
identified
- Yeast Not found No organism
identified
MICRONUTRIENS AND HEAVY METAL
Panel Nutrisi dan Logam Berat
Zn# 1 1.5 9.2 - 19.9 umollL > 18 years
Sef 1a
I,J 0.3 - 2.4 umol/L
Mn# 5.5 <= 20.0 umol/L
Cu# 12.72 11.8 - 22.8 umol/L >= 1l years

Hal . 1 I Z @ A644-2021 17:34 .% by-Cipsrioo/05s-ozo6x3

I Gede yudia SatyawEn
Numerical result use comma as a decimal senarator
" indicates vatue(s) not within reference range
# The tes! was performed in Prodia Clinica! Laboratory, Kramat Raya 1SA. Jaka/ta
lnterpretatiofi offesf(sl res,utt should be done only by doctors/clinicians
 Prodia Cllnicat Laboratory
Ji. By Pass Dharrna Girl No. 77 Bitera Gianyar - Beli
Phone : 0361-4797S19
Kontak Prodia : 15CI*830

Reg No./ Date : 2104010010 t A1.A4-2*24 Gender

Fatient lD : 00?4-20S2.00005 DOH I Age : 16-07-1984 I 36 Year I Monlh
Fstient Name . Mr. Miehael Sheehan Alaheuzqs / U Phone :

,
I3trlgl1. _& _ Resula Ref Rffia- unr't Note -
Fe#
- 12.2 9.0 - 26.9 umol/L Male
Co# 4.2 < 1.0 ug/L
cd# 0.9 < 44 nmol/L
5.8 <= 12 ug/L
ph{
4,24 <= 0.4 umoi/L >= 7 years
Hg# 0.0S5 " <= 0.045 umol/L

Specimen collection time :

Faeces - 05i04/2021 08:30

Blood - A110412021 1A.30
Blood - A1lA4l2A21 1A.3A
Blood - A110412A21 10.3A

Quality Validator

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Numeical result use comma as a decimal separator ""fil'ff,it3:#"1',Ti'
*
indicates value{s} not within reference range
#The test was perfarmed in Pmdia Ctinical Laboratory, Kramat Raya 150, Jakafta
interpretation of lesfls/ resuJf should be dane only by doctors/clinicians