FORM AUDIT REAGENSIA

INSTALASI LABORATORIUM RSU SARASWATI

Tanggal : 9 Maret 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 9 Maret 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

FORM AUDIT REAGENSIA

INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 16 Maret 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 16 Maret 2015

PJ. Instalasi Laboratorium
 Nur Fadhillah, Amd. AK

FORM AUDIT REAGENSIA

INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 23 Maret 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 23 Maret 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

FORM AUDIT REAGENSIA

INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 30 Maret 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 30 Maret 2015

PJ. Instalasi Laboratorium
Nur Fadhillah, Amd. AK
 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 6 April 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah

Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 6 April 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 13 April 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah

Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 13 April 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 20 April 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah

Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 20 April 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 27 April 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah

Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 27 April 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 4 Mei 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%
Cikampek, 4 Mei 2015
PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 11 Mei 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%
Cikampek, 11 Mei 2015
PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 18 Mei 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%
Cikampek, 18 Mei 2015
PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 25 Mei 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%
Cikampek, 25 Mei 2015
PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 1 Juni 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 1 Juni 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 8 Juni 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 8 Juni 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 15 Juni 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 15 Juni 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 22 Juni 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 22 Juni 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 29 Juni 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 29 Juni 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 6 Juli 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT √ √ √ √
Reagen SGPT √ √ √ √
Reagen Ureum + Standard √ √ √ √
Reagen Creatinine + Standard √ √ √ √
Reagen Asam Urat + Standard √ √ √ √
Reagen Cholesterol + Standard √ √ √ √
Reagen Trigliserida + Standard √ √ √ √
Reagen HDL-Cholesterol √ √ √ √
Reagen CK-MB √ √ √ √
Reagen Protein Total + Standard √ √ √ √
Reagen Albumin + Standard √ √ √ √
Reagen Gamma GT √ √ √ √
Reagen Alkali Phosphatase √ √ √ √
Reagen Calsium √ √ √ √
Reagen Bilirubin Total √ √ √ √
Reagen Bilirubin direct √ √ √ √
Reagen Sodium sitrat √ √ √ √
Reagen Widal √ √ √ √
Reagen Tubex TF √ √ √ √
Reagen Anti Sera Golongan Darah √ √ √ √
Reagen ASTO √ √ √ √
Reagen CRP √ √ √ √
Reagen RF/ RA √ √ √ √
Rapid Anti HIV √ √ √ √
Rapid HBsAg √ √ √ √
Rapid Anti HBs √ √ √ √
Rapid Anti HAV IgG/ IgM √ √ √ √
Rapid DHF IgG/ IgM √ √ √ √
Rapid NS1 √ √ √ √
Rapid Narkoba Urine √ √ √ √
Rapid Malaria √ √ √ √
Rapid FOB Faeces √ √ √ √
Larutan NaCl 0,86% √ √ √ √
Larutan Na Sitrat 3,8% √ √ √ √
Larutan Hemoglobin C √ √ √ √
Larutan Ammonium Oxalat √ √ √ √
Larutan Turk √ √ √ √
Cairan Pelarut Universal √ √ √ √
Larutan Cleaning √ √ √ √
Larutan Conditioner √ √ √ √
Larutan Cell Clean √ √ √ √
Larutan Stromatolyser √ √ √ √
Larutan Cell Pack √ √ √ √
Pewarna Rapid √ √ √ √
Pewarna Ziehl Neelsen √ √ √ √
Pewarna Eosin √ √ √ √
Pewarna BCB √ √ √ √
Pewarna Gram √ √ √ √
Pewarna Methylen Blue √ √ √ √
Metanol √ √ √ √
Alkohol 70% √ √ √ √
Alkohol 96% √ √ √ √

Cikampek, 6 Juli 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 13 Juli 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT √ √ √ √
Reagen SGPT √ √ √ √
Reagen Ureum + Standard √ √ √ √
Reagen Creatinine + Standard √ √ √ √
Reagen Asam Urat + Standard √ √ √ √
Reagen Cholesterol + Standard √ √ √ √
Reagen Trigliserida + Standard √ √ √ √
Reagen HDL-Cholesterol √ √ √ √
Reagen CK-MB √ √ √ √
Reagen Protein Total + Standard √ √ √ √
Reagen Albumin + Standard √ √ √ √
Reagen Gamma GT √ √ √ √
Reagen Alkali Phosphatase √ √ √ √
Reagen Calsium √ √ √ √
Reagen Bilirubin Total √ √ √ √
Reagen Bilirubin direct √ √ √ √
Reagen Sodium sitrat √ √ √ √
Reagen Widal √ √ √ √
Reagen Tubex TF √ √ √ √
Reagen Anti Sera Golongan Darah √ √ √ √
Reagen ASTO √ √ √ √
Reagen CRP √ √ √ √
Reagen RF/ RA √ √ √ √
Rapid Anti HIV √ √ √ √
Rapid HBsAg √ √ √ √
Rapid Anti HBs √ √ √ √
Rapid Anti HAV IgG/ IgM √ √ √ √
Rapid DHF IgG/ IgM √ √ √ √
Rapid NS1 √ √ √ √
Rapid Narkoba Urine √ √ √ √
Rapid Malaria √ √ √ √
Rapid FOB Faeces √ √ √ √
Larutan NaCl 0,86% √ √ √ √
Larutan Na Sitrat 3,8% √ √ √ √
Larutan Hemoglobin C √ √ √ √
Larutan Ammonium Oxalat √ √ √ √
Larutan Turk √ √ √ √
Cairan Pelarut Universal √ √ √ √
Larutan Cleaning √ √ √ √
Larutan Conditioner √ √ √ √
Larutan Cell Clean √ √ √ √
Larutan Stromatolyser √ √ √ √
Larutan Cell Pack √ √ √ √
Pewarna Rapid √ √ √ √
Pewarna Ziehl Neelsen √ √ √ √
Pewarna Eosin √ √ √ √
Pewarna BCB √ √ √ √
Pewarna Gram √ √ √ √
Pewarna Methylen Blue √ √ √ √
Metanol √ √ √ √
Alkohol 70% √ √ √ √
Alkohol 96% √ √ √ √

Cikampek, 13 Juli 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 20 Juli 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT √ √ √ √
Reagen SGPT √ √ √ √
Reagen Ureum + Standard √ √ √ √
Reagen Creatinine + Standard √ √ √ √
Reagen Asam Urat + Standard √ √ √ √
Reagen Cholesterol + Standard √ √ √ √
Reagen Trigliserida + Standard √ √ √ √
Reagen HDL-Cholesterol √ √ √ √
Reagen CK-MB √ √ √ √
Reagen Protein Total + Standard √ √ √ √
Reagen Albumin + Standard √ √ √ √
Reagen Gamma GT √ √ √ √
Reagen Alkali Phosphatase √ √ √ √
Reagen Calsium √ √ √ √
Reagen Bilirubin Total √ √ √ √
Reagen Bilirubin direct √ √ √ √
Reagen Sodium sitrat √ √ √ √
Reagen Widal √ √ √ √
Reagen Tubex TF √ √ √ √
Reagen Anti Sera Golongan Darah √ √ √ √
Reagen ASTO √ √ √ √
Reagen CRP √ √ √ √
Reagen RF/ RA √ √ √ √
Rapid Anti HIV √ √ √ √
Rapid HBsAg √ √ √ √
Rapid Anti HBs √ √ √ √
Rapid Anti HAV IgG/ IgM √ √ √ √
Rapid DHF IgG/ IgM √ √ √ √
Rapid NS1 √ √ √ √
Rapid Narkoba Urine √ √ √ √
Rapid Malaria √ √ √ √
Rapid FOB Faeces √ √ √ √
Larutan NaCl 0,86% √ √ √ √
Larutan Na Sitrat 3,8% √ √ √ √
Larutan Hemoglobin C √ √ √ √
Larutan Ammonium Oxalat √ √ √ √
Larutan Turk √ √ √ √
Cairan Pelarut Universal √ √ √ √
Larutan Cleaning √ √ √ √
Larutan Conditioner √ √ √ √
Larutan Cell Clean √ √ √ √
Larutan Stromatolyser √ √ √ √
Larutan Cell Pack √ √ √ √
Pewarna Rapid √ √ √ √
Pewarna Ziehl Neelsen √ √ √ √
Pewarna Eosin √ √ √ √
Pewarna BCB √ √ √ √
Pewarna Gram √ √ √ √
Pewarna Methylen Blue √ √ √ √
Metanol √ √ √ √
Alkohol 70% √ √ √ √
Alkohol 96% √ √ √ √

Cikampek, 20 Juli 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 27 Juli 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT √ √ √ √
Reagen SGPT √ √ √ √
Reagen Ureum + Standard √ √ √ √
Reagen Creatinine + Standard √ √ √ √
Reagen Asam Urat + Standard √ √ √ √
Reagen Cholesterol + Standard √ √ √ √
Reagen Trigliserida + Standard √ √ √ √
Reagen HDL-Cholesterol √ √ √ √
Reagen CK-MB √ √ √ √
Reagen Protein Total + Standard √ √ √ √
Reagen Albumin + Standard √ √ √ √
Reagen Gamma GT √ √ √ √
Reagen Alkali Phosphatase √ √ √ √
Reagen Calsium √ √ √ √
Reagen Bilirubin Total √ √ √ √
Reagen Bilirubin direct √ √ √ √
Reagen Sodium sitrat √ √ √ √
Reagen Widal √ √ √ √
Reagen Tubex TF √ √ √ √
Reagen Anti Sera Golongan Darah √ √ √ √
Reagen ASTO √ √ √ √
Reagen CRP √ √ √ √
Reagen RF/ RA √ √ √ √
Rapid Anti HIV √ √ √ √
Rapid HBsAg √ √ √ √
Rapid Anti HBs √ √ √ √
Rapid Anti HAV IgG/ IgM √ √ √ √
Rapid DHF IgG/ IgM √ √ √ √
Rapid NS1 √ √ √ √
Rapid Narkoba Urine √ √ √ √
Rapid Malaria √ √ √ √
Rapid FOB Faeces √ √ √ √
Larutan NaCl 0,86% √ √ √ √
Larutan Na Sitrat 3,8% √ √ √ √
Larutan Hemoglobin C √ √ √ √
Larutan Ammonium Oxalat √ √ √ √
Larutan Turk √ √ √ √
Cairan Pelarut Universal √ √ √ √
Larutan Cleaning √ √ √ √
Larutan Conditioner √ √ √ √
Larutan Cell Clean √ √ √ √
Larutan Stromatolyser √ √ √ √
Larutan Cell Pack √ √ √ √
Pewarna Rapid √ √ √ √
Pewarna Ziehl Neelsen √ √ √ √
Pewarna Eosin √ √ √ √
Pewarna BCB √ √ √ √
Pewarna Gram √ √ √ √
Pewarna Methylen Blue √ √ √ √
Metanol √ √ √ √
Alkohol 70% √ √ √ √
Alkohol 96% √ √ √ √

Cikampek, 27 Juli 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 3 Agustus 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 3 Agustus 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 10 Agustus 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 10 Agustus 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 17 Agustus 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 17 Agustus 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 24 Agustus 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 24 Agustus 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 31 Agustus 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%
Cikampek, 31 Agustus 2015
PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 7 September 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 7 September 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 14 September 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 14 September 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 21 September 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 21 September 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 28 September 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek, 28 September 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI

Tanggal :
Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan
Reagen SGOT
Reagen SGPT
Reagen Ureum + Standard
Reagen Creatinine + Standard
Reagen Asam Urat + Standard
Reagen Cholesterol + Standard
Reagen Trigliserida + Standard
Reagen HDL-Cholesterol
Reagen CK-MB
Reagen Protein Total + Standard
Reagen Albumin + Standard
Reagen Gamma GT
Reagen Alkali Phosphatase
Reagen Calsium
Reagen Bilirubin Total
Reagen Bilirubin direct
Reagen Sodium sitrat
Reagen Widal
Reagen Tubex TF
Reagen Anti Sera Golongan Darah
Reagen ASTO
Reagen CRP
Reagen RF/ RA
Rapid Anti HIV
Rapid HBsAg
Rapid Anti HBs
Rapid Anti HAV IgG/ IgM
Rapid DHF IgG/ IgM
Rapid NS1
Rapid Narkoba Urine
Rapid Malaria
Rapid FOB Faeces
Larutan NaCl 0,86%
Larutan Na Sitrat 3,8%
Larutan Hemoglobin C
Larutan Ammonium Oxalat
Larutan Turk
Cairan Pelarut Universal
Larutan Cleaning
Larutan Conditioner
Larutan Cell Clean
Larutan Stromatolyser
Larutan Cell Pack
Pewarna Rapid
Pewarna Ziehl Neelsen
Pewarna Eosin
Pewarna BCB
Pewarna Gram
Pewarna Methylen Blue
Metanol
Alkohol 70%
Alkohol 96%

Cikampek,
PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 9 Maret 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT √ √ √ √
Reagen SGPT √ √ √ √
Reagen Ureum + Standard √ √ √ √
Reagen Creatinine + Standard √ √ √ √
Reagen Asam Urat + Standard √ √ √ √
Reagen Cholesterol + Standard √ √ √ √
Reagen Trigliserida + Standard √ √ √ √
Reagen HDL-Cholesterol √ √ √ √
Reagen CK-MB √ √ √ √
Reagen Protein Total + Standard √ √ √ √
Reagen Albumin + Standard √ √ √ √
Reagen Gamma GT √ √ √ √
Reagen Alkali Phosphatase √ √ √ √
Reagen Calsium √ √ √ √
Reagen Bilirubin Total √ √ √ √
Reagen Bilirubin direct √ √ √ √
Reagen Sodium sitrat √ √ √ √
Reagen Widal √ √ √ √
Reagen Tubex TF √ √ √ √
Reagen Anti Sera Golongan Darah √ √ √ √

Reagen ASTO √ √ √ √
Reagen CRP √ √ √ √
Reagen RF/ RA √ √ √ √
Rapid Anti HIV √ √ √ √
Rapid HBsAg √ √ √ √
Rapid Anti HBs √ √ √ √
Rapid Anti HAV IgG/ IgM √ √ √ √
Rapid DHF IgG/ IgM √ √ √ √
Rapid NS1 √ √ √ √
Rapid Narkoba Urine √ √ √ √
Rapid Malaria √ √ √ √
Rapid FOB Faeces √ √ √ √
Larutan NaCl 0,86% √ √ √ √
Larutan Na Sitrat 3,8% √ √ √ √
Larutan Hemoglobin C √ √ √ √
Larutan Ammonium Oxalat √ √ √ √
Larutan Turk √ √ √ √
Cairan Pelarut Universal √ √ √ √
Larutan Cleaning √ √ √ √
Larutan Conditioner √ √ √ √
Larutan Cell Clean √ √ √ √
Larutan Stromatolyser √ √ √ √
Larutan Cell Pack √ √ √ √
Pewarna Rapid √ √ √ √
Pewarna Ziehl Neelsen √ √ √ √
Pewarna Eosin √ √ √ √
Pewarna BCB √ √ √ √
Pewarna Gram √ √ √ √
Pewarna Methylen Blue √ √ √ √
Metanol √ √ √ √
Alkohol 70% √ √ √ √
Alkohol 96% √ √ √ √

Cikampek, 9 Maret 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 16 Maret 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT √ √ √ √
Reagen SGPT √ √ √ √
Reagen Ureum + Standard √ √ √ √
Reagen Creatinine + Standard √ √ √ √
Reagen Asam Urat + Standard √ √ √ √
Reagen Cholesterol + Standard √ √ √ √
Reagen Trigliserida + Standard √ √ √ √
Reagen HDL-Cholesterol √ √ √ √
Reagen CK-MB √ √ √ √
Reagen Protein Total + Standard √ √ √ √
Reagen Albumin + Standard √ √ √ √
Reagen Gamma GT √ √ √ √
Reagen Alkali Phosphatase √ √ √ √
Reagen Calsium √ √ √ √
Reagen Bilirubin Total √ √ √ √
Reagen Bilirubin direct √ √ √ √
Reagen Sodium sitrat √ √ √ √
Reagen Widal √ √ √ √
Reagen Tubex TF √ √ √ √
Reagen Anti Sera Golongan Darah √ √ √ √

Reagen ASTO √ √ √ √
Reagen CRP √ √ √ √
Reagen RF/ RA √ √ √ √
Rapid Anti HIV √ √ √ √
Rapid HBsAg √ √ √ √
Rapid Anti HBs √ √ √ √
Rapid Anti HAV IgG/ IgM √ √ √ √
Rapid DHF IgG/ IgM √ √ √ √
Rapid NS1 √ √ √ √
Rapid Narkoba Urine √ √ √ √
Rapid Malaria √ √ √ √
Rapid FOB Faeces √ √ √ √
Larutan NaCl 0,86% √ √ √ √
Larutan Na Sitrat 3,8% √ √ √ √
Larutan Hemoglobin C √ √ √ √
Larutan Ammonium Oxalat √ √ √ √
Larutan Turk √ √ √ √
Cairan Pelarut Universal √ √ √ √
Larutan Cleaning √ √ √ √
Larutan Conditioner √ √ √ √
Larutan Cell Clean √ √ √ √
Larutan Stromatolyser √ √ √ √
Larutan Cell Pack √ √ √ √
Pewarna Rapid √ √ √ √
Pewarna Ziehl Neelsen √ √ √ √
Pewarna Eosin √ √ √ √
Pewarna BCB √ √ √ √
Pewarna Gram √ √ √ √
Pewarna Methylen Blue √ √ √ √
Metanol √ √ √ √
Alkohol 70% √ √ √ √
Alkohol 96% √ √ √ √

Cikampek, 16 Maret 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 23 Maret 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT √ √ √ √
Reagen SGPT √ √ √ √
Reagen Ureum + Standard √ √ √ √
Reagen Creatinine + Standard √ √ √ √
Reagen Asam Urat + Standard √ √ √ √
Reagen Cholesterol + Standard √ √ √ √
Reagen Trigliserida + Standard √ √ √ √
Reagen HDL-Cholesterol √ √ √ √
Reagen CK-MB √ √ √ √
Reagen Protein Total + Standard √ √ √ √
Reagen Albumin + Standard √ √ √ √
Reagen Gamma GT √ √ √ √
Reagen Alkali Phosphatase √ √ √ √
Reagen Calsium √ √ √ √
Reagen Bilirubin Total √ √ √ √
Reagen Bilirubin direct √ √ √ √
Reagen Sodium sitrat √ √ √ √
Reagen Widal √ √ √ √
Reagen Tubex TF √ √ √ √
Reagen Anti Sera Golongan Darah √ √ √ √

Reagen ASTO √ √ √ √
Reagen CRP √ √ √ √
Reagen RF/ RA √ √ √ √
Rapid Anti HIV √ √ √ √
Rapid HBsAg √ √ √ √
Rapid Anti HBs √ √ √ √
Rapid Anti HAV IgG/ IgM √ √ √ √
Rapid DHF IgG/ IgM √ √ √ √
Rapid NS1 √ √ √ √
Rapid Narkoba Urine √ √ √ √
Rapid Malaria √ √ √ √
Rapid FOB Faeces √ √ √ √
Larutan NaCl 0,86% √ √ √ √
Larutan Na Sitrat 3,8% √ √ √ √
Larutan Hemoglobin C √ √ √ √
Larutan Ammonium Oxalat √ √ √ √
Larutan Turk √ √ √ √
Cairan Pelarut Universal √ √ √ √
Larutan Cleaning √ √ √ √
Larutan Conditioner √ √ √ √
Larutan Cell Clean √ √ √ √
Larutan Stromatolyser √ √ √ √
Larutan Cell Pack √ √ √ √
Pewarna Rapid √ √ √ √
Pewarna Ziehl Neelsen √ √ √ √
Pewarna Eosin √ √ √ √
Pewarna BCB √ √ √ √
Pewarna Gram √ √ √ √
Pewarna Methylen Blue √ √ √ √
Metanol √ √ √ √
Alkohol 70% √ √ √ √
Alkohol 96% √ √ √ √

Cikampek, 23 Maret 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 30 Maret 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT √ √ √ √
Reagen SGPT √ √ √ √
Reagen Ureum + Standard √ √ √ √
Reagen Creatinine + Standard √ √ √ √
Reagen Asam Urat + Standard √ √ √ √
Reagen Cholesterol + Standard √ √ √ √
Reagen Trigliserida + Standard √ √ √ √
Reagen HDL-Cholesterol √ √ √ √
Reagen CK-MB √ √ √ √
Reagen Protein Total + Standard √ √ √ √
Reagen Albumin + Standard √ √ √ √
Reagen Gamma GT √ √ √ √
Reagen Alkali Phosphatase √ √ √ √
Reagen Calsium √ √ √ √
Reagen Bilirubin Total √ √ √ √
Reagen Bilirubin direct √ √ √ √
Reagen Sodium sitrat √ √ √ √
Reagen Widal √ √ √ √
Reagen Tubex TF √ √ √ √
Reagen Anti Sera Golongan Darah √ √ √ √

Reagen ASTO √ √ √ √
Reagen CRP √ √ √ √
Reagen RF/ RA √ √ √ √
Rapid Anti HIV √ √ √ √
Rapid HBsAg √ √ √ √
Rapid Anti HBs √ √ √ √
Rapid Anti HAV IgG/ IgM √ √ √ √
Rapid DHF IgG/ IgM √ √ √ √
Rapid NS1 √ √ √ √
Rapid Narkoba Urine √ √ √ √
Rapid Malaria √ √ √ √
Rapid FOB Faeces √ √ √ √
Larutan NaCl 0,86% √ √ √ √
Larutan Na Sitrat 3,8% √ √ √ √
Larutan Hemoglobin C √ √ √ √
Larutan Ammonium Oxalat √ √ √ √
Larutan Turk √ √ √ √
Cairan Pelarut Universal √ √ √ √
Larutan Cleaning √ √ √ √
Larutan Conditioner √ √ √ √
Larutan Cell Clean √ √ √ √
Larutan Stromatolyser √ √ √ √
Larutan Cell Pack √ √ √ √
Pewarna Rapid √ √ √ √
Pewarna Ziehl Neelsen √ √ √ √
Pewarna Eosin √ √ √ √
Pewarna BCB √ √ √ √
Pewarna Gram √ √ √ √
Pewarna Methylen Blue √ √ √ √
Metanol √ √ √ √
Alkohol 70% √ √ √ √
Alkohol 96% √ √ √ √

Cikampek, 30 Maret 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 9 Maret 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT √ √ √ √
Reagen SGPT √ √ √ √
Reagen Ureum + Standard √ √ √ √
Reagen Creatinine + Standard √ √ √ √
Reagen Asam Urat + Standard √ √ √ √
Reagen Cholesterol + Standard √ √ √ √
Reagen Trigliserida + Standard √ √ √ √
Reagen HDL-Cholesterol √ √ √ √
Reagen CK-MB √ √ √ √
Reagen Protein Total + Standard √ √ √ √
Reagen Albumin + Standard √ √ √ √
Reagen Gamma GT √ √ √ √
Reagen Alkali Phosphatase √ √ √ √
Reagen Calsium √ √ √ √
Reagen Bilirubin Total √ √ √ √
Reagen Bilirubin direct √ √ √ √
Reagen Sodium sitrat √ √ √ √
Reagen Widal √ √ √ √
Reagen Tubex TF √ √ √ √
Reagen Anti Sera Golongan Darah √ √ √ √

Reagen ASTO √ √ √ √
Reagen CRP √ √ √ √
Reagen RF/ RA √ √ √ √
Rapid Anti HIV √ √ √ √
Rapid HBsAg √ √ √ √
Rapid Anti HBs √ √ √ √
Rapid Anti HAV IgG/ IgM √ √ √ √
Rapid DHF IgG/ IgM √ √ √ √
Rapid NS1 √ √ √ √
Rapid Narkoba Urine √ √ √ √
Rapid Malaria √ √ √ √
Rapid FOB Faeces √ √ √ √
Larutan NaCl 0,86% √ √ √ √
Larutan Na Sitrat 3,8% √ √ √ √
Larutan Hemoglobin C √ √ √ √
Larutan Ammonium Oxalat √ √ √ √
Larutan Turk √ √ √ √
Cairan Pelarut Universal √ √ √ √
Larutan Cleaning √ √ √ √
Larutan Conditioner √ √ √ √
Larutan Cell Clean √ √ √ √
Larutan Stromatolyser √ √ √ √
Larutan Cell Pack √ √ √ √
Pewarna Rapid √ √ √ √
Pewarna Ziehl Neelsen √ √ √ √
Pewarna Eosin √ √ √ √
Pewarna BCB √ √ √ √
Pewarna Gram √ √ √ √
Pewarna Methylen Blue √ √ √ √
Metanol √ √ √ √
Alkohol 70% √ √ √ √
Alkohol 96% √ √ √ √

Cikampek, 9 Maret 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 16 Maret 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT √ √ √ √
Reagen SGPT √ √ √ √
Reagen Ureum + Standard √ √ √ √
Reagen Creatinine + Standard √ √ √ √
Reagen Asam Urat + Standard √ √ √ √
Reagen Cholesterol + Standard √ √ √ √
Reagen Trigliserida + Standard √ √ √ √
Reagen HDL-Cholesterol √ √ √ √
Reagen CK-MB √ √ √ √
Reagen Protein Total + Standard √ √ √ √
Reagen Albumin + Standard √ √ √ √
Reagen Gamma GT √ √ √ √
Reagen Alkali Phosphatase √ √ √ √
Reagen Calsium √ √ √ √
Reagen Bilirubin Total √ √ √ √
Reagen Bilirubin direct √ √ √ √
Reagen Sodium sitrat √ √ √ √
Reagen Widal √ √ √ √
Reagen Tubex TF √ √ √ √
Reagen Anti Sera Golongan Darah √ √ √ √

Reagen ASTO √ √ √ √
Reagen CRP √ √ √ √
Reagen RF/ RA √ √ √ √
Rapid Anti HIV √ √ √ √
Rapid HBsAg √ √ √ √
Rapid Anti HBs √ √ √ √
Rapid Anti HAV IgG/ IgM √ √ √ √
Rapid DHF IgG/ IgM √ √ √ √
Rapid NS1 √ √ √ √
Rapid Narkoba Urine √ √ √ √
Rapid Malaria √ √ √ √
Rapid FOB Faeces √ √ √ √
Larutan NaCl 0,86% √ √ √ √
Larutan Na Sitrat 3,8% √ √ √ √
Larutan Hemoglobin C √ √ √ √
Larutan Ammonium Oxalat √ √ √ √
Larutan Turk √ √ √ √
Cairan Pelarut Universal √ √ √ √
Larutan Cleaning √ √ √ √
Larutan Conditioner √ √ √ √
Larutan Cell Clean √ √ √ √
Larutan Stromatolyser √ √ √ √
Larutan Cell Pack √ √ √ √
Pewarna Rapid √ √ √ √
Pewarna Ziehl Neelsen √ √ √ √
Pewarna Eosin √ √ √ √
Pewarna BCB √ √ √ √
Pewarna Gram √ √ √ √
Pewarna Methylen Blue √ √ √ √
Metanol √ √ √ √
Alkohol 70% √ √ √ √
Alkohol 96% √ √ √ √

Cikampek, 16 Maret 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 23 Maret 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT √ √ √ √
Reagen SGPT √ √ √ √
Reagen Ureum + Standard √ √ √ √
Reagen Creatinine + Standard √ √ √ √
Reagen Asam Urat + Standard √ √ √ √
Reagen Cholesterol + Standard √ √ √ √
Reagen Trigliserida + Standard √ √ √ √
Reagen HDL-Cholesterol √ √ √ √
Reagen CK-MB √ √ √ √
Reagen Protein Total + Standard √ √ √ √
Reagen Albumin + Standard √ √ √ √
Reagen Gamma GT √ √ √ √
Reagen Alkali Phosphatase √ √ √ √
Reagen Calsium √ √ √ √
Reagen Bilirubin Total √ √ √ √
Reagen Bilirubin direct √ √ √ √
Reagen Sodium sitrat √ √ √ √
Reagen Widal √ √ √ √
Reagen Tubex TF √ √ √ √
Reagen Anti Sera Golongan Darah √ √ √ √

Reagen ASTO √ √ √ √
Reagen CRP √ √ √ √
Reagen RF/ RA √ √ √ √
Rapid Anti HIV √ √ √ √
Rapid HBsAg √ √ √ √
Rapid Anti HBs √ √ √ √
Rapid Anti HAV IgG/ IgM √ √ √ √
Rapid DHF IgG/ IgM √ √ √ √
Rapid NS1 √ √ √ √
Rapid Narkoba Urine √ √ √ √
Rapid Malaria √ √ √ √
Rapid FOB Faeces √ √ √ √
Larutan NaCl 0,86% √ √ √ √
Larutan Na Sitrat 3,8% √ √ √ √
Larutan Hemoglobin C √ √ √ √
Larutan Ammonium Oxalat √ √ √ √
Larutan Turk √ √ √ √
Cairan Pelarut Universal √ √ √ √
Larutan Cleaning √ √ √ √
Larutan Conditioner √ √ √ √
Larutan Cell Clean √ √ √ √
Larutan Stromatolyser √ √ √ √
Larutan Cell Pack √ √ √ √
Pewarna Rapid √ √ √ √
Pewarna Ziehl Neelsen √ √ √ √
Pewarna Eosin √ √ √ √
Pewarna BCB √ √ √ √
Pewarna Gram √ √ √ √
Pewarna Methylen Blue √ √ √ √
Metanol √ √ √ √
Alkohol 70% √ √ √ √
Alkohol 96% √ √ √ √

Cikampek, 23 Maret 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK

 FORM AUDIT REAGENSIA
INSTALASI LABORATORIUM RSU SARASWATI
Tanggal : 30 Maret 2015

Reagensia Penyimpanan Label Kadaluarsa Fisik Keterangan

Reagen SGOT √ √ √ √
Reagen SGPT √ √ √ √
Reagen Ureum + Standard √ √ √ √
Reagen Creatinine + Standard √ √ √ √
Reagen Asam Urat + Standard √ √ √ √
Reagen Cholesterol + Standard √ √ √ √
Reagen Trigliserida + Standard √ √ √ √
Reagen HDL-Cholesterol √ √ √ √
Reagen CK-MB √ √ √ √
Reagen Protein Total + Standard √ √ √ √
Reagen Albumin + Standard √ √ √ √
Reagen Gamma GT √ √ √ √
Reagen Alkali Phosphatase √ √ √ √
Reagen Calsium √ √ √ √
Reagen Bilirubin Total √ √ √ √
Reagen Bilirubin direct √ √ √ √
Reagen Sodium sitrat √ √ √ √
Reagen Widal √ √ √ √
Reagen Tubex TF √ √ √ √
Reagen Anti Sera Golongan Darah √ √ √ √

Reagen ASTO √ √ √ √
Reagen CRP √ √ √ √
Reagen RF/ RA √ √ √ √
Rapid Anti HIV √ √ √ √
Rapid HBsAg √ √ √ √
Rapid Anti HBs √ √ √ √
Rapid Anti HAV IgG/ IgM √ √ √ √
Rapid DHF IgG/ IgM √ √ √ √
Rapid NS1 √ √ √ √
Rapid Narkoba Urine √ √ √ √
Rapid Malaria √ √ √ √
Rapid FOB Faeces √ √ √ √
Larutan NaCl 0,86% √ √ √ √
Larutan Na Sitrat 3,8% √ √ √ √
Larutan Hemoglobin C √ √ √ √
Larutan Ammonium Oxalat √ √ √ √
Larutan Turk √ √ √ √
Cairan Pelarut Universal √ √ √ √
Larutan Cleaning √ √ √ √
Larutan Conditioner √ √ √ √
Larutan Cell Clean √ √ √ √
Larutan Stromatolyser √ √ √ √
Larutan Cell Pack √ √ √ √
Pewarna Rapid √ √ √ √
Pewarna Ziehl Neelsen √ √ √ √
Pewarna Eosin √ √ √ √
Pewarna BCB √ √ √ √
Pewarna Gram √ √ √ √
Pewarna Methylen Blue √ √ √ √
Metanol √ √ √ √
Alkohol 70% √ √ √ √
Alkohol 96% √ √ √ √

Cikampek, 30 Maret 2015

PJ. Instalasi Laboratorium

Nur Fadhillah, Amd. AK