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    Diver

    Uploaded by

    yogakharisma

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    © All Rights Reserved
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    ©. @ ‘2 INTERNATIONAL ‘Chis is to cenify that __Fathuddin, S.Pi.,M.Si_ Gis completed training course of Scuba SBiving and therefore qualified as ___Dive Master__ No: 62 - 070.3 - DM - 0048 Date of Certification: 23 December 2019 ? : | Didi Darmanin BT. MOB — Biol Sr Samaduddin —Sompa ADSI Diving Instructor Chairman of ‘No: 62 - 01.4 - 070 - INST.3 - NTX ADS Intemational Indonesia PERSATUAN OLAH RAGA SELAM ConrépinaTion MONDIALE SELURUH INDONESIA DES ACTIVITES SUBAQUATIQUES Indonesian Subaquatic Sport Association World Underwater Federation INTERNATIONAL CERTIFICATE Sertifikat Internasional hereby certifies that diberikan kepada Muhammad Hamsir Reg. No. INA.F00.A3.000878/1V/17 has successfully completed all requirements for setelah memenuhi persyaratan untuk jenjang THREE STAR SCUBA DIVER 08 / 03/2017 Certification Date Tangga! sertifikasi Muchsin, ST Reg. No. INA.F00.B2.0137 Instructor Instruktur Makassar - Indonesia Location, country Lokasi, negara 8 Dy CoN 15 0-BION BW BAY. ‘Chis is to certify that __Hendry__ Gas completed training course of Scuba Diving and therefore qualified as ___Open Water Diver__ No: 62 - 070.3 - OW - 0360 Date of Certification: 13 October 2021 =~ so ‘ Bit Darmanan 08, BT, CUB Bro SB. Mamatuddin Sompa, MC OBe ADSI Diving Instructor Chairman of No: 62 - 01.4 - 070 - INST.3 - NTX - SDI ADS International Indonesia CNG S520 GIOBIO CORAM 2c Aww Sw Gace OB) O8 Oy O8WY 30°C GIOABIIO\EA3O IBOSB 2; Sey ee Soe YANNI 508 B OBIE! z INTERNATIONAL Chis is to centify that __ Ahmad Maulana__ Cas completed training course of cuba Diving and therefore qualified as eB BBW BOGE (O25 ___Open Water Diver__ No: 62 - 070.3 - OW - 0361 Didi Barmanan 8 BT, MOS: Biol Br. amatudn Sompa, MOBe ADS! Diving Instructor Chairman of IS! No: 62 - 01.4 - 070 - INST.3 - NTX - SDI. ADS International Indonesia (eee Baor@se;; eee eel BN By BBY 5 (By 20° BBO LAI OGIIOG 3 (OPEN WATER DIVER AHMAD MAULANA, cove INDONESIA m0. 62.0703-0W-0361 owe 13 OCTOBER 2021 wssmucron_DIDIT DARMAWAN S,ST.M.Si face pene remo AS nner en SIDS rennationat {1 PEOUNGRN NDA TAB HO. 15 DENPASAR 80222, BAL‘NOONESIA TEL's62.361720013 Emalin@adeinarg Website: wore na 2 (fA? = Be tNeFERNATIONAt (OPEN WATER DIVER HENDRY ‘coum INDONESIA v0. 62-0703-0W-0360 ow 13 OCTOBER 2021 jssmicron_DIDIT DARMAWANSST.MSi tao pe tanto Serta AIDS wrenvarionat 1 eDUMGRN NDA DN 8 HO. 15 DENPASAR 80222, BAL NOONESIA TELV6E-361-720913 Ema nfoBadsinnore | Website: war dena ort SIDS | INTERNATIONAL 4 ; wy. RAHASIA ICONFIDENTIAL i HASIL PEMERIKSAAN KESEHATAN No. Reg : 0120211001810 CIEE No. Lab : 2110270076 Nama : Bpk. FATHUDDIN Umur/Gender —: 48 Tahun 4 Bulan Laki - laki Perusahaan > KLINIK FIRARA 4. Monginsidi No. 90A Makassar 99142 Telp : 0611 486 9526 Fe p= Hp :085 349 995055 nS DATA PRIBADI Personal Data No. Lab i Lab, Number + 2110270076 Nama Lenakap : Full Name + Bpk. FATHUDDIN Jenis Uli Kesehatan ° peek eek Ue : Intermediate Medical Check Up zt brit : KOMP. BPS II BLOK C.2/30- Tangaallahir 07-08-1973 Date oF Bith Medical Check Up Terakhir + 27-10-2021 Last Meatcal Check Up RIWAYAT KESEHATAN PASIEN Medical History Keluhan Saat Ini : TAK Riwayat Penyakit Dahulu ee Riwayat Penyakit Keluarga + Stroke (Ayah) Imunisasi / Vaksinasi : Vaksin Covid-19 Gaya Hidup - Minuman + Kopi 3 Gelas/hari - Merokok : 12 Batang/hari - Olahraga : Menyelam = Obat Penenangi Narkoba a tN) 2110270076 J. Monginsi No. 90A Makassar 90142 ‘Teip:0att 466 9326, Hp 085 349 995 055 DATA VITAL Physical Examination Berat Badan ‘Suhu Badan t Borat + 60K Bunt Bast 196.6 (c) Tin dan Tekanan Darah Hho eam Blood Pressure IMT i ie a + 22.04 ‘Sistole © 120 mmilg Keteranaan IMT/IMB, : 4 : Ketoronas + Normal Diastole 80 mmiHg Waist arcumterence 86cm Normal Erekuensi Pernafasan : Denyut Nadi t Eason 20x! Menit Decvat + 80x/ Menit Kuali + Normal Keterangan + Sawo matang Kepala Kens + Normal Keterangan Mata = Normal Keterangan Eyes Visus 0D : ‘ visu 0 Normal Keterangan 20120 Visus 0S + Normal Keterangan 20120 visu Jaeger + Normal Keterangan 242 Jaeger oe : Tidak Keterangan Cover Bina = + Abnormal Keterangan + Serumen Hidung + Normal Keterangan Nose Mulut/Giat + Abnormal Keterangan : Terdapat gigi bertubang Tengoocok Normal Keterangan Kelenjar Leher 2 Molaniac La Normal Keterangan Keleniar Gondok : i eles Normal Keterangan pk. FATHUDDIN /48 Tahun 4 Bulan 3 2110270076 ‘J. Monginsid No. 90A Makasser 90142 “Teip 0411 486 9328 Hp : 085 349 995 055 SISTEM PERNAPASAN Respiration System ceaiaa + Normal Keterangan Perkusi Perks | + Normal Keterangan Auskultasi 1 Aualeulas + Normal Keterangan SISTEM GASTROINTESTINAL Gastrointestinal System E ‘Abdomen Normal Keterangan Had + Normal Keterangan — + Normal Keterangan + Normal Keterangan SISTEM SARAF PUSAT Central Nervous System Seartones + Noma Ketorangan Sistem Motonk + Normal Ketorangan one s =a + Normal Keterangan fated : Normal Keterangan Cerebrovascular Accident Tiga Keterangan SISTEM KARDIOVASCULAR CARDIOVASCULAR SYSTEM Batas Jantuna Batas Jan Noma Keterangan ‘Bunyi/ rama Jantung : Normal Keterangan par IMO = 2110270076 4, Mongias No. 904 Makasser 80142 ‘Telp 0417 466 9526. Hp" 085 349 995 055. SAHAYASAGA ‘Bai Bel Bay EE | SISTEM GENITOURINARIA Genitourinary System a + Normal Keterangan Sanstalla + Normal Keterangan Seluan deme + Normal Keterangan SISTEM MUSKULOSKELETAL Musculosceletal System Sistem Muskuloskeletal 5 Normal Keterangan LAIN-LAIN OTHERS vain Normal Keterangan J. Monginsid No. 908 Makassar 90142 Telp 0411 466 9328 Hp: 085 349 995 055 © (0mm ---~ 2110270076 : CAHAYASAGA. HASIL LABORATORIUM HEMATOLOGI! LENGKAP MCHC : Menurun non signifikan URINE LENGKAP- ‘Dalam Batas Normal . Bpk, FATHUDDIN /48 Tahun 4 Bulan 6 J. Monginsi No. 904 Makassar 99142 2110270076 Tob: nit 460 9398 Hp : 085 349 995 055 \YASAGA, Sot a KESIMPULAN DAN SARAN KESIMPULAN Gigi berlubang Serumen SARAN Pro perawatan gigi Jaga kebersihan telinga. Konsuitasi ke Dokter Spesialis THT apabila ada keluhan dirasakan STATUS KESEHATAN KERJA x Fit on job Unfit for job Unfit for spesific occupation Fit With Note Uncomplete Result SIP :446/39.3. Tanggal Pemeriksaan 27-10-2021 I) 2110270076 Bpk. FATHUDDIN /48 Tohun 4 Bulan 7 JI. Monginsii No. 904 Makassar 80142 ‘Tp 0811 486 9326, Hp. 085 349 995 055, Sas enanaura Jana Sci Aont So. HASIL PEMERIKSAAN LABORATORIUM bekier Anat wos Labreh : z1toro0r6/2-102021 Jeni Ketamin 5 Latte NO.ID + opiz0atrootro Tel LaniUmur 0-06-1878 48 Tm 4 Bn 20 He Nama Pasion pk, FATHUDOIN Telepon He; onttatoat Alama + KOMP. 8P8 U8L0KC.20- InstasiCorporate ; KLNKFIRARA PERRaaan va TATRUIUKAN SATURN KETERANGAN ENATOLOGI HEMATOLOG! LENGKAP Hemegttin 1a word gt eft 400 45-59 wee wv 20-86 , wc 28-38 3 wane 2-28 oa OW tae ns-us Leskost a2 300-1060 0 Vung Jove ests = Neto asa a7 * “most a0 wana % “ona 18 ve “ ~ Eos 2s ona % sasot os ont “ Trombost 8 120-440 rosa uD “ o-18 ream URINALISA URINE LENGKAP “ara Kening “alemhan Jeri -pH 55 48-74 = Pron Abin Heat eset ~ouaose Neat eat “kaon tee ep =n negetit weet Ta baapr wal Tgp Gah Gg TOA Taman TOE face ronan das nd seh ga J MonginsdiNo. 808 Makasser 90142 Tip 0411 486 8528 Fa ss Hp. 085 349 995.055 CAL gauavasaca Dasa Srna api HASIL PEMERIKSAAN LABORATORIUM Dokter =: - ‘Alamat No. Lab/Tgl: 2110270076 / 27-10-2021 Jenis Kelamin —: Laki-laki No.1 0120211001810 Tol. LahieUmur —: 07-06-1973 /48 Thn 4 Bin 20 Has Nama Pasien : Bpk. FATHUDDIN Telepon / HP 0811416441 ‘Alamat_ KOMP. BPS lI BLOK 6.2/50- InstansilCorporate : KLINIK FIRARA PEMERIKSAAN HASIL NILATRUJUKAN —SATUAN KETERANGAN ~ Urobilinogen ‘Normal ‘Normal ~ Leuiosit (Esterase) Negatit Negatit = Darah (Haem) Negatit Negatit = Nitit Nogatif Negatir ‘SEDIMEN - Entrost 0-1 0-3 Les ~ Loukosit o-1 2-4 Les + Epithel 1-2 5-15 LK + Silinder Negatit Negatit = Kristal Nogatir Negatit Negatit Nogett Negatif Negatit LAIN - LAIN Fisik Doktor Terlampir “sai Pongarblan Spasmen tie 2770-2021 Yar Pak oe: Z7-102021 03.48 2PM “barsh EDTA 27-10-2021 1247.07 PM Flas beripa angie menggunakan siclem desimal dergan separator ti Falaman 2 Dan? Tanda * menuniukkan rile datas atau of Bawah nai rjukan, gos ox a J. Monginsii No. 904 Makassar 90142 Telp 0411 468 9326 = Hp: 085 349 995 055 CAHAYASAGA Clinic & Diagnostic Center Sarenasnce Jl, Monginsidi No. 90A-B Makassar Tip: 0411-87774 No. Rekam Medik —: 2140270076 Nomor Sampel 12 Nama Pasien : FATHUDDIN Tanggal / Jam : 27/10/2021 - 13:03:55 Tgl-Lahir / J. Kelamin : : ovioert97s Male Instansi © KLINIK FIRARA Dokter Penanggung Jawab f dr-Suci Aprianti, SpPK SYSMEX XS-800i abi Histogram / Scattergraph CBC HASIL FLAG SATUAN _ NILAI NORMAL RBC wec 8.32 [10"S/ul] (3.80 - 10.60) ; RBC 4.90 [oreul] ( 4.50- 5.90) HGB 142 fo/dl] —( 14.0- 17.4) HCT 43.1 (%) ( 42.0- 50.0) MeV 88.0 iy ( 80.0- 96.0) MCH 29.0 [pg] ( 28.0- 33.0) MCHC 32.9 : Igidl]_ ( 33.0- 36.0) PLT 315 (o-siul] (150-440) RDW-SD 39.5 (fl) ( 37.0- 54.0) RDW-CV 126 (%] (11.5- 14.5) POW 116 ffl) ( 9.0- 17.0) MPV 10.2 {fly ( 9.0- 13.0) P-LCR 26.6 [%] ( 13.0- 43.0) PCT 0.32 (%] (0.17- 0.35) DIFFERENTIAL NEUT 48.4 %) ( 48.0- 73.0) LYMPH 41.0 1%) (18.0- 44.0) MONO 78 (%] ( 3.0- 9.0) EO 25 (%) ( 0.0- 4.0) BASO. 05 [%] ( 0.0- 1.0) NEUT 4.03 [10%s/ul] ( 1.50- 7.00) LYMPH 3.41 [103/uL] ( 1.00- 3.70) MONO 0.63 [10*3/ul]( 0.00- 0.70) EO 0.21 [1o"sul] ( 0.00- 0.40) BASO 0.04 [10"s/uL]_ ( 0.00- 0.10) WBC IP Message(s) RBC IP Message(s) PLT IP Message(s) 3 CAHAYASAGA. Sees RAHASIA ICONFIDENTIAL | a HASIL PEMERIKSAAN KESEHATAN No. Reg No. Lab Nama Umur / Gender Perusahaan £ 012021001811 {DAA + 2110270077 * Bpk. MUHAMMAD HAMSIR LASIKADA : 33 Tahun 0 Bulan Laki - laki : KLINIK FIRARA J. Monginsid No. 908 Makassar 99142 Telp 0411 486 9326 Hp : 085 349 995 055. CAHAYASAGA cn eeieeeeeenlsill [ DATA PRIBADI Personal Data ‘No.Lab + 2110270077 hee Sema + Bpk, MUHAMMAD HAMSIR LASIKADA Type of Medical ‘Up + Intermediate Medical Check Up Alamat : BTN MANGGA TIGA BLK A4/16 - anes Tangoal ai + 2800-1988 snore Medical Check Up Terakhir + 27-10-2021 tocar chet RIWAYAT KESEHATAN PASIEN Medical History Keluhan Saat Ini : TAK Riwayat Penyakit Dahulu be Riwayat Penyakit Keluarga pe Imunisasi / Vaksinasi Vaksin Covid-19 Gaya Hau = Minuman kop aca kacang) - Merokok te = Olahraga + Diving ~ Obat Penenang/ Narkoba be Sl MMAMAAD HAE LASKADA 29 Tn : 2110: J, Monginsd No. 998 Makassar 90142 ae Tp O41 466 9525 = § Hp 085 349 995 055 —— aauasace By Bally Ay tf Berat Badan Weight Tinggi Badan ‘eight IMT Mi Keterangan IMT/MB Examination Lingkar Pinggang ss Waist circumference Erekuensi Pemafasan Respiration Frequence Kulit Skin Kepala eae Mata Eyes Visus OD Visus 0D Visus OS Visus OS lager Jaeger Buta Warna Color Bind Telinga Ears Hiduna Nose Mulut / Giai Mouthteeth ‘Tenggorokan Throat/ Tonsii Kelenjar Leher Carvioal Nodes Keleniar Gondok Thyroid gland tN 2110271 DATA VITAL Physical Examination : 84 Kg cues + 366(c) 2 164Cm Tekenan Darah 231.23 Sistole +140 mmHg + Obesitas Diastole + 90 mmitig : 105m ‘Ket. Tekanan Darah . Hipertensi 2 20x/Menit Denvut Ned! + 90x/ Menit + Normal Keterangan +: Sawo matang + Normal Keterangan : Normal Keterangan + Abnormal Keterangan = 20/200 + Abnormal Keterangan + 20/200 : Normal Keterangan 3 d2 : Tidak Keterangan Normal Keterangan + Normal Keterangan : Abnormal Keterangan : Terdapat karang gigi : Normal Keterangan t + Nosmal Keterangan + Nosmal Keterangan pk. MUHAMMAD HAMSIR LASIKADA / 22 Tahun 0. 2 4 Monginsi No. 208 Makassar 90142 Talp 0411 488 9326 Hp : 085 349 995 055 ee CAHAYASAGA [ SISTEM PERNAPASAN Respiration System Teak + Normal Keterangan Fotki 3 Normal Keterangan Bustle = Normal Keterangan SISTEM GASTROINTESTINAL Gastrointestinal System Fendt + Normal Keterangan a + Normal Keterangan — = Normal Keterangan Massa tu Normal Keterangan SISTEM SARAF PUSAT Central Nervous System Saral Kraniat + Normal Keterangan Pre + Normal Keterangan nee + Normal Keterangan Behe + Normal Keterangan Gorebrovascular Accident; Tigak Keterangan SISTEM KARDIOVASCULAR CARDIOVASCULAR SYSTEM Sates Jamun + Normal Keterangan Bu ilies + Normal Keterangan HNN 2410270077 ‘Bpk. MUHAMMAD HAMSIR LASIKADA / 32 Tehun 0... J. Monginsidi No. 904 Makassar 90142 26 CANAYASAGA SISTEM GENITOURINARIA Genitourinary System Snel + Normal Keterangan Senetlia + Normal Keterangan Sauuran Coma + Normal Keterangen SISTEM MUSKULOSKELETAL Musculosceletal System Sistem Muskuloskeletal feoereee + Normal Keterangan LAIN-LAIN OTHERS Lah: + Normal Keterangan So im. : 2110270077 4. Monginsii No. 90A Makassar 90142 TTeyp : 0411 458 9326 = Hp : 085 349 995 055 E |AHAYASAGA eee HASIL LABORATORIUM HEMATOLOG! LENGKAP LED : Meningkat non signifikan URINE LENGKAP Dalam Batas Normal ‘Bpk. MUHAMMAD HAMSIR LASIKADA / 29 Tahun 0... ‘ J. Monginsii No. 904 Makassar 90142 2410270077 Telp 0411 468 9326 = Hp : 085 349 995 055 Ed CAHAYASAGA Cee KESIMPULAN DAN SARAN KESIMPULAN Hipertensi Obesitas Kerang Gigi Anomali refraksi ODS ‘SARAN Diet makanan rendah garam. olah raga teratur 2-3x/minggu @20 menit. rutin cek tekanan darah Diet makanan rendah kalori. turunkan berat badan. olah raga teratur 2-3x/1 yu @20 menit Pro perawatan gigi Koreksi Visus ODS ‘STATUS KESEHATAN KERJA X | Fit on job Unfit for job Unfit for spesific occupation Fit With Note Uncomplete Result Tanggal Pemeriksaan 27-10-2021 SIP :448/39.3 07/0 PRIDKKIVU2017, «A Monginsid No. 908 Makassar 90142 ‘i Telp 0411 466 9328 — ge Hp : 085 349 995 055 a wisest ‘ 2110270077 _ CAHAYASAGA SSuapros ing Jawab : dt. Suc HASIL PEMERIKSAAN LABORATORIUM Dokter = - ‘Alamat No. Lab/Tgl_ + 2110270077 / 27-10-2021 Jenis Kelamin —: Laki-laki NO.ID = oot20211001811 Tal. Lahir/Umur —: 28-09-1988 / 33 Thn 0 Bin 29 Har Nama Pasien : Bpk. MUHAMMAD HAMSIR LASIKADA —_Telepon / HP 085942741708 Alamat_ —: BTN MANGGA TIGA BLK AA/16- InstansiiCorporate : KLINIK FIRARA PEMERIKSAAN HASiL NILAIRUJUKAN SATUAN KETERANGAN ‘EMATOLOGI HEMATOLOG! LENGKAP Hemoglobin 15.0 140-174 gid. ——Lakilaki, Dewasa Eritrosit 522 45-59 tor6iut Hematokrit 45.3 42-50 % Mev 268 80-96 a McH 27 28-38 Po cHe 334 33-38 iat ROW 130 115-145 % Leukosit 9.34 3.80- 10.60 10" Hitung Jenis Leukosit = Neutrofi ata 48-73 % - Limfosit 40.3 18-44 % = Monosit 82 3-9 % - Eosinofi 39 0-4 % ~- Basofil 02 0-1 % Trombosit 318 150. 440 torsiut Leo me 0-15 mmJam URINALISA URINE LENGKAP = Warna Kuning = Kejerninan Jernih - Berat Jenis 4.030 1.015 1.025 “pH 55 48-74 + Protain (Albumin) Negatit Negatt - Glukosa Negatit Negatit ~Keion Nogatit Negatit - Bilubin Nogatit Negati “as borage angka menggunakan ssiom desial dengan separaier Wik Halaman 7 Da 2 rina orsern Tanda * menunjukkan nai ¢ ata etau a Dawah nisi ryan 4. Monginsid No, 80 Makassar 80142 Top : 0417 488 9326 Hp : 085 349 995 055 HASIL PEMERIKSAAN LABORATORIUM. Dokter re Alamat No. Lab/Tgl : 2110270077 / 27-10-2021 denis Kelamin —:Laki- laki NO. 1D (0012021 1001811 Tol. LahirlUmur 28-09-1988 / 33 Thn 0 Bin 29 Hari Nama Pasien : Bpk. MUHAMMAD HAMSIR LASIKADA Telepon / HP + 085342741708 Alamat_ —: BTNMANGGA TIGA BLK AA/16 - InstansilCorporate : KLINIK FIRARA PEMERIKSAAN HASIL NILAIRUJUKAN —SATUAN KETERANGAN ~ Uroblinogen Normal Normal - Leukosit (Esterase) Negatif Negatit + Darah (Haem) Negatit Negatit = Niet Negatit Negatit SEDIMEN - Enitrosit 0-4 0-3 LPB = Leukosit 0-4 2-4 LPB Epithel o-4 5-15 LPK - Silinder Negatif Negetit + Keistal Negatir Negatit + Lein-ain Negatit Negatif = Bakteri Negatif Negatit LAIN - LAIN Fisik Dokter Terlampir (Wat Pengambian Sposimen ‘inne 2710 202% Year PM Pak. 2-10-2001 084009 PM Desh EDTA. 2710-001 124726 Pkt Trasi beripa angka menggunakan sistem desinal dengan separator tk Tanda * menunjukkan nila datas atau of bawah nai ryukan, (ztacasoezrsemn ‘Halaman 2 Dan? J. Monginsidi No. 904 Makassar 90142 Talp 0411 466 9326 Hp : 085 349 995 055 CAHAYASAGA Clinic & Diagnostic Center Jl. Monginsidi No. 90A-B Makassar Tip : 0411-877774 Baa No. Rekam Medik —: 2110270077 Nomor Sampel 1 Nama Pasien MUHAMMAD HAMSIR —Tanggal/ Jam : 27/10/2021 - 13:01:17 Tgl-Lahir / J. Kelamin : 28/09/1988 Male Instansi KLINIK FIRARA Dokter Penanggung Jawab + dr.Suci Aprianti, SpPK SYSMEX XS-800i canal Histogram / Scattergraph CBC HASIL FLAG SATUAN NILAI NORMAL RBC ws 9.34 [10%3/uL] ( 3.80- 10.60) a RBC 5.22 [1o%6ruL] ( 4.50- 5.90) HGB 15.0 loldL] = ( 14.0- 17.4) HCT 45.3 (%] ( 42.0- 50.0) MCV 86.8 (fy ( 80.0- 96.0) MCH 287 [pg] ( 28.0- 33.0) MCHC 33.1 Igidl] —( 33.0- 36.0) PLT 315 [0*3/ul] (150-440) RDW-SD 40.6 (fly ( 37.0- 54.0) RDW-CV 13.0 (%) (11.5- 14.5) PDW 13.3 (fl) ( 9.0- 17.0) MPV 11.0 tu) ( 9.0- 13.0) P-LCR 328 (%] (13.0- 43.0) PCT 0.35 (%] (0.17- 0.35) DIFFERENTIAL NEUT 474 7 (%) ( 48.0- 73.0) LYMPH 40.3 ‘ (4) ( 18.0- 44.0) MONO 82 * P) ( 3.0- 9.0) EO 39 (%] (0.0- 4.0) BASO: 02 (%] ( 0.0- 1.0) NEUT 4.43 ' [10*3/uL] ( 1.50- 7.00) LYMPH 3.76 * (10°3ul] (1.00 3.70) MONO 0.77 $ [10%/ul]( 0.00- 0.70) EO 0.36 [0*s/ul] ( 0.00- 0.40) BASO 0.02 [10*3/uL] ( 0.00- 0.10) WBC IP Message(s) RBC IP Message(s) PLT IP Message(s) ‘Atypical Lympho? RAHASIA [CONFIDENTIAL HASIL PEMERIKSAAN KESEHATAN No. Reg No. Lab Nama Umur/ Gender Perusahaan + 0012021090070 FT = 2409020030 : Bpk. HENDRI + 25 Tahun 4 Bulan : KLINIK FIRARA LJ Monginsidi No. 80A Makassar 80142 Telp : 0411 468 9326 Hp : 085 349 995 055, Ema: cahayasagakiini@gmailcom DATA PRIBADI Personal Data Ae + 2109020030 Nama Lenokap + Bpk. HENDRI eee + Intermediate Medical Check Up Alamat + PULAU BONETAMBU - Accross Tanggal tahir 11-04-1998 Date Orch Medical Check Up Terakhir + 02-09-2021 Lest Mesical Check Up RIWAYAT KESEHATAN PASIEN | Medical History Keluhan Saat Int : TAK Riwayat Penyakit Dahulu tig Riwayat Penyakit Keluarga ie Imunisast / Vaksinasi f= Gaya Hidup -Minuman 2 Kopi 3 gelasihari - Merokok +S batangihari - Olahraga i = Obat Penenang/ Narkoba a , 2109020030 J Monginsii No. 908 Makassar 90142 Telp 0411 468 9328 Hp = 086 249 995 055 ee Email: cehayasagaklinik@gmai.com GAHAYASA\ SRHAYASAGA Sy Meas tf DATA VITAL Physical Examination Ce = 83KQ SumwBadan 2566) a 161.6m Zekanan Darah ia + 20.45 “Sistole 2120 mmiHig Keterangan lt Normal Diastole + 80 mmHg ‘nakar Pinoqana 75¢m Kot, Tekanan Darah . Korma} ee + 20x/ Menit Demyast Nec! : 80x/ Meni Hoult Normal Keterangan + Sawo matang ieoala Normal Keterangan — Normal Keterangan oe Normal Keterangan + 20120 as Normal Keterangan + 2on20 aa Normal Keterangan 12 Buta Wama + Tide Ketorangen Talloga. Normal Keterangan icing + Normal Keterangan ae aL + Normal Keterangan a Noma Keterangan Comaioae tt © Nowa Keterangen tetand 5 Normal Keterengan (8pk. HENDRI/ 25 Tahun 4 Baton 2 an J. Monginsii No. 904 Mekassar 90142 Telp 0411 466 9326 Hp : 085 249 995 055 Email: cahayasagakink@gmailcom SISTEM PERNAPASAN Respiration System Takes = Normal Keterangan Perks! + Normal Keterangan coe = Normel Keterangan SISTEM GASTROINTESTINAL Gastrointestinal System Pout = Normal Keterangan = =eNenmal Keterangan ag + Normal Keterangan Nossa = Normal Keterangan SISTEM SARAF PUSAT Central Nervous System sean ‘sama ak + Normal Keterangan eee + Normal Keterangan eft Normal Keterangan Cerebrovascular Accident ar + Tidak Keterangan SISTEM KARDIOVASCULAR CARDIOVASCULAR SYSTEM eee nMuty + Normal Keterangan ‘Bunyi /Irama Jantung : ‘Suvi Lica + Normal Keterangan pk. HENDRI/25 Tahun 4 Bulan J. Monginsii No. 908 Makassar 90142 Telp 0411 466 9326 Hp 085 349 295 055 mall: cehayasagekiik@gmailcom SataNASacA Sa SISTEM GENITOURINARIA Genitourinary System aa + Normal Keterangan Genstalia + Normal Keterangan Saluran Coma + Nom Katerangen SISTEM MUSKULOSKELETAL Musculosceletal System hacoeeal eet + Normal Keterangan LAIN-LAIN OTHERS + Normal Keterangan pk. HENDRI/25 Tahun 4 Bulan s 3. Mongins No, SA Makassar 90142 Telp : 0411 488 9228 Hp 085 240 08 05 mall: cahayasagakink@gmallcom gAnAYASAGA Sie Ba Ones ie HASIL LABORATORIUM "Dalam Batas Normal HEMATOLOGI LENGKAP. URINE LENGKAP. 'Fostat amort : Positif ‘Bpk. HENDRI/ 25 Tahun 4 Bulan J. Monginsii No, 804 Makassar 90142 Telp 0411 488 9328 Hp : 085 249 995 055 : Email: cahayasagakink@gmalcom Satianasnca KESIMPULAN DAN SARAN KESIMPULAN Urine positif Fostat Amort SARAN Perbanyak minum air putin 1.5-2 L/ hari. jangan menahan buang air kecil STATUS KESEHATAN KERJA X | Fiton job Unfit for job Unfit for spesific occupation Fit With Note Uncomplete Result Tanggal Pemeriksaan 02-09-2021 SIP : 446/39, 3.07/DS PKIDKKIVIZ017 '8pk. HENDRI/25 Tahun 4 Bulan MN J Monginsii No, 908 Makassar 90142 2108020030 Trip at 460 8808 Hp | 085 349 996 055 & Email: cahayasagakink@gmailcom Sars be at HASIL PEMERIKSAAN LABORATORIUM. boker Aart No LabyTl_+ 210002000 2.082024 Jenislamin Lalla NO.1D + obtanetesoora Tal anirumor + 1.044006 /28 Tm 4 Bn 22H Na Pasion pk HENDRI Telopon HE + —r5tzs4ce Alamat > PULAU BONETAMBU- IstaneCorprte KLIK FARA rece wna Ta ROO aR WETERANA EMATOLOGI HEMATOLOGILENGKAP Hein 182 40-174 lL, Dove ett 500 45-69 foe. Heat 3 a-%0 * wey tas 00-95 : won ms 23.8 3 were us 23-26 oi row Pr news Losi a2 220-1000 fant viang Joi Leto =e es wa. * “ine 3 ‘ea * = none eo 2-8 *

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