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DP-P.13-LAB03/002 Rev.

00
CABANG A.YANI BANDUNG
Jl. AHMAD YANI NO 243
Email : bandung.ayani@pramitautama.co.id
[**2]
Penanggung Jawab: dr. H. Danial Malik H Sp.PK. MM [REK]
No Lab / Tgl : 150311605 / 31 Maret 2015 Tgl Lhr/Umur : 25 Thn.
Nama : Ny. RISTIN (P) Status Hasil :
Tlp / HP : /
Alamat : LAB UMMI SUKABUMI
Pengirim : UMMI,LAB

1. TORCH
-IgM Anti Toxo Negatif : 0,09 Negatif : indeks < 0,55 Negative : 0.09 Negative : index < 0.55
Borderline : 0,55 <= indeks < 0,65 Borderline : 0.55 <=index < 0.65
Positif : indeks >= 0,65 Positive : index >= 0.65
-IgG Anti Toxo Positif : 230,0 Negatif : titer < 4,0 IU/ml Positive : 230.0 Negative : titer < 4.0 IU/ml
Borderline:4,0 <=titer < 8,0 IU/ml Borderline:4.0 <= titer < 8.0
IU/ml
Positif: titer >= 8,0 IU/ml Positive: titer >= 8.0 IU/ml
-IgM Anti Rubella Negatif : 0,11 Negatif : indeks < 0,80 Negative : 0.11 Negative : index < 0.80
Equivocal : indeks 0,80 - < 1,20 Equivocal : index 0.80 - < 1.20
Positif : indeks >= 1,20 Positive : index >= 1.20
-IgG Anti Rubella Positif : 66 Negatif : < 10 IU/ml Positive : 66 Negative : < 5.0 IU/ml
Equivocal :10 - < 15 IU/mL Equivocal : 10 - < 15 IU/ml
Positif : >= 15 IU/ml Positive : >= 15 IU/ml
-IgM Anti CMV Negatif : 0,07 Negatif : indeks < 0,70 Negative : 0.07 Negative : index < 0.70
Borderline : indeks 0,70 - < 0,90 Borderline : index 0.70 - < 0.90
Positif : indeks >= 0,90 Positive : index >= 0.90
-IgG Anti CMV Positif : 47 Negatif : < 4 AU/ml Positive : 47 Negative : < 4 AU/ml
Equivocal : 4 - < 6 AU/ml Equivocal : 4 - < 6 AU/ml
Positif : >= 6 AU/ml Positive : >= 6 AU/ml
-IgM Anti HSV II Negatif : 0,31 Negatif: indek < 0,90 Negative : 0.31 Negative: index < 0.90
Equivocal: indek 0,90 - 1,10 Equivocal: index 0.90 - 1.10
Positif: indek > 1,10 Positive: index > 1.10
-IgG Anti HSV II Negatif : 0,11 Negatif: indek < 0,90 Negative : 0.11 Negative: index < 0.90
Equivocal: indek 0,90 - 1,10 Equivocal: index 0.90 - 1.10
Positif: indek > 1,10 Positive: index > 1.10

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Bandung,9-4-2015 Sampel :
Pemeriksa Printed By : SBY[**2] 15:01:32

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