SATIVA WISATA DUNIA

Ruko Este Square Blok C No 56-58, Jl. Dr. Ir. H. Soekarno No.56- 58,
Mulyorejo, Surabaya, Jawa Timur 60115
Telp/Fax: +6231 9901 1103, HP +62823 2382 3232
Instagram: @sativa.travel.medical

Health Program 2023

Standard Vital Bright Lady Good Life Lady Graceful Life Lady Great Life Lady
(25-35 yrs.) (34-45 yrs.) (>45 yrs.) (>45 yrs.)

Physical Physical Physical Physical Physical Physical

Examination Examination Examination Examination Examination Examination
Complete Blood Complete Blood Complete Blood Complete Blood Complete Blood Dental
Count Count Count Count Count Examination
Fasting Blood Fasting Blood Fasting Blood Sugar Fasting Blood Fasting Blood Eye Examination
Sugar Sugar Sugar Sugar
Total Cholesterol HbA1C HbA1C HbA1C HbA1C Complete Blood
Count
Triglyceride Total Cholesterol Total Cholesterol Total Cholesterol Total Cholesterol Fasting Blood
Sugar
LDL - Cholesterol Triglyceride Triglyceride Triglyceride Triglyceride HbA1C
HDL - Cholesterol LDL - Cholesterol LDL - Cholesterol LDL - Cholesterol LDL - Cholesterol Total Cholesterol
SGPT HDL - Cholesterol HDL - Cholesterol HDL - Cholesterol HDL - Cholesterol Triglyceride
Creatinine SGPT SGPT SGPT SGPT LDL - Cholesterol
Uric acid Creatinine Creatinine Creatinine SGOT HDL - Cholesterol
Urine Examination Uric acid Uric acid Uric acid Albumin SGPT
Chest X-ray Urine Urine Examination Alpha Fetoprotein Uric acid SGOT
Examination
Medical Report Chest X-ray Chest X-ray CEA Alkaline Albumin
Phosphatase
Samitivej Ultrasound Upper Ultrasound Lower CA 125 Fibro scan (P) Alkaline
Complimentary Abdomen Abdomen Phosphatase
Voucher
Hospital Service Electrocardiogram Electrocardiogram Carbohydrate GI doctor fee Total Protein
and Nursing (EKG) (EKG) Antigen (CA19-9)
Service
Medical Report Pelvic examination CA 15-3 Creatinine GGT
by Gynecologist
Samitivej Thin Prep Pap Test Urine TSH Total Bilirubin
Complimentary Examination
Voucher
Hospital Service HPV -DNA Testing Stool Examination Uric acid Direct Bilirubin
and Nursing
Service
Jet Peel Stool Occult CEA Anti HAV IgG
Blood
Medical Report Chest X-ray CA 125 Anti HBs
Samitivej Ultrasound Lower Carbohydrate HBsAg
Complimentary Abdomen Antigen (CA19-9)
Voucher
Hospital Service Electrocardiogra CA 15-3 Anti HCV
and Nursing m (EKG)
 SATIVA WISATA DUNIA
Ruko Este Square Blok C No 56-58, Jl. Dr. Ir. H. Soekarno No.56- 58,
Mulyorejo, Surabaya, Jawa Timur 60115
Telp/Fax: +6231 9901 1103, HP +62823 2382 3232
Instagram: @sativa.travel.medical

Service
Mammogram Vit D Total Fibro scan (P)
(with Ultrasound
Breast)
Pelvic Urine GI doctor fee
examination by Examination
Gynecologist
Thin Prep Pap Stool Examination Creatinine
Test
HPV -DNA Testing Stool Occult TSH
Blood
Jet Peel Chest X-ray Total T4 & Free T4
Medical Report Ultrasound Upper Uric acid
Abdomen
Samitivej Ultrasound Lower Alpha Fetoprotein
Complimentary Abdomen
Voucher
Hospital Service Electrocardiogram CEA
and Nursing (EKG)
Service
Albumin Exercise Stress CA 125
Test (EST)
Ankle Brachial Carbohydrate
Index (ABI) Antigen (CA19-9)
Bone Density test CA 15-3
Mammogram Vit D Total
(with Ultrasound
Breast)
Pelvic DHEA
examination by
Gynecologist
Hospital Service IGF1
and Nursing
Service
Thin Prep Pap Anti ageing (doctor
Test fee)
HPV -DNA Testing Urine Examination
Jet Peel Stool Examination
Medical Report Stool Occult Blood
Samitivej Chest X-ray
Complimentary
Voucher
Hospital Service In body (P)
and Nursing
Service
Ultrasound Upper
Abdomen
Ultrasound Lower
SATIVA WISATA DUNIA
Ruko Este Square Blok C No 56-58, Jl. Dr. Ir. H. Soekarno No.56- 58,
Mulyorejo, Surabaya, Jawa Timur 60115
Telp/Fax: +6231 9901 1103, HP +62823 2382 3232
Instagram: @sativa.travel.medical

Abdomen
Electrocardiogram
(EKG)
Exercise Stress Test
(EST)
Ankle Brachial
Index (ABI)
Bone Density test
Mammogram
(with Ultrasound
Breast)
Pelvic examination
by Gynecologist
Thin Prep Pap Test
HPV -DNA Testing
Nutrition
Consultion
Jet Peel
Medical Report
Samitivej
Complimentary
Voucher
Hospital Service
and Nursing
Service
 SATIVA WISATA DUNIA
Ruko Este Square Blok C No 56-58, Jl. Dr. Ir. H. Soekarno No.56- 58,
Mulyorejo, Surabaya, Jawa Timur 60115
Telp/Fax: +6231 9901 1103, HP +62823 2382 3232
Instagram: @sativa.travel.medical

Bright Gentleman Good Life Gentleman Graceful Life Gentleman Great Life Gentleman
(25- 35 yrs.) (35-45 yrs.) (>45 yrs.) (>45 yrs.)
Physical Examination Physical Examination Physical Examination Physical Examination
Complete Blood Count Complete Blood Count Complete Blood Count Dental Examination
Fasting Blood Sugar Fasting Blood Sugar Fasting Blood Sugar Eye Examination
HbA1C HbA1C HbA1C Complete Blood Count
Total Cholesterol Total Cholesterol Total Cholesterol Fasting Blood Sugar
Triglyceride Triglyceride Triglyceride HbA1C
LDL - Cholesterol LDL - Cholesterol LDL - Cholesterol Total Cholesterol
HDL - Cholesterol HDL - Cholesterol HDL - Cholesterol Triglyceride
SGPT SGPT SGPT LDL - Cholesterol
Creatinine Albumin SGOT HDL - Cholesterol
Uric acid Creatinine Albumin SGPT
Alpha Fetoprotein Uric acid Alkaline Phosphatase SGOT
CEA Alpha Fetoprotein Total Protein Albumin
Urine Examination CEA GGT Alkaline Phosphatase
Chest X-ray Prostatic Specific Antigen Fibro scan (P) Total Protein
(PSA)
Ultrasound Upper Carbohydrate Antigen (CA19- GI doctor fee GGT
Abdomen 9)
Electrocardiogram (EKG) Urine Examination Creatinine Total Bilirubin
Medical Report Stool Examination TSH Direct Bilirubin
Samitivej Complimentary Stool Occult Blood Uric acid Anti HAV IgG
Voucher
Hospital Service and Chest X-ray Alpha Fetoprotein Anti HBs
Nursing Service
Ultrasound Upper Abdomen CEA HBsAg
Electrocardiogram (EKG) Prostatic Specific Antigen Anti HCV
(PSA)
Exercise Stress Test (EST) Carbohydrate Antigen Fibro scan (P)
(CA19-9)
Medical Report Vit D Total GI doctor fee
Samitivej Complimentary Urine Examination Creatinine
Voucher
Hospital Service and Nursing Stool Examination TSH
Service
Stool Occult Blood Total T4 & Free T4
SATIVA WISATA DUNIA
Ruko Este Square Blok C No 56-58, Jl. Dr. Ir. H. Soekarno No.56- 58,
Mulyorejo, Surabaya, Jawa Timur 60115
Telp/Fax: +6231 9901 1103, HP +62823 2382 3232
Instagram: @sativa.travel.medical

Chest X-ray Testosterone

Ultrasound Upper Uric acid
Abdomen
Ultrasound Lower Alpha Fetoprotein
Abdomen
Electrocardiogram (EKG) CEA
Exercise Stress Test (EST) Prostatic Specific Antigen
(PSA)
Ankle Brachial Index (ABI) Carbohydrate Antigen (CA19-
9)
Bone Density test Vit D Total
Medical Report DHEA
Samitivej Complimentary IGF1
Voucher
Hospital Service and Anti ageing (doctor fee)
Nursing Service
Urine Examination
Stool Examination
Stool Occult Blood
Chest X-ray

In body (P)
Ultrasound Upper Abdomen
Ultrasound Lower Abdomen
Electrocardiogram (EKG)
Exercise Stress Test (EST)
Ankle Brachial Index (ABI)
Bone Density test
Nutrition Consultion
Medical Report
Samitivej Complimentary
Voucher
Hospital Service and Nursing
Service
SATIVA WISATA DUNIA
Ruko Este Square Blok C No 56-58, Jl. Dr. Ir. H. Soekarno No.56- 58,
Mulyorejo, Surabaya, Jawa Timur 60115
Telp/Fax: +6231 9901 1103, HP +62823 2382 3232
Instagram: @sativa.travel.medical