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Siloam Hospitals Semanggi
Specialist Clinic
Health Checks
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Simple Health Check Up
NO |
EXAMINATION / ITEMS |
Packages I |
Packages II |
Packages III |
Rp 150.000,- |
Rp 225.000,- |
Rp 500.000,- |
1 |
Medical History |
√ |
√ |
√ |
2 |
Physical Examination |
√ |
√ |
√ |
3 |
Eye Examination :
Colour Blindness, Refraksi, Tonometry |
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√ |
4 |
EKG |
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√ |
5 |
Chest X - Ray |
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√ |
√ |
6 |
Laboratory : |
√ |
√ |
√ |
| a. Hematology : |
√ |
√ |
√ |
| ~ Hb, Ht, RBC, WBC, Diff, Platelets, ERS |
√ |
√ |
√ |
| b. Glucosa |
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√ |
| c. Renal function : Ureum, Creatinin |
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√ |
| d. Liver function : SGOT, SGPT |
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| e. Lipid profil : Cholesterol Total, Trigliserida |
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| f. HbsAg |
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| g. Urinalysis |
√ |
√ |
√ |
7 |
Medical Report |
√ |
√ |
√ |
Executive Packages
NO |
EXAMINATION / ITEMS |
Executive Packages I |
Executive Packages II |
Executive Packages III |
Executive Packages IV |
Rp 2.200.000,- |
Rp 1.600.000,- |
Rp 1.400.000,- |
Rp 1.250.000,- |
1 |
Medical History |
√ |
√ |
√ |
√ |
2 |
Physical Examination |
√ |
√ |
√ |
√ |
3 |
Dental Examination |
√ |
√ |
√ |
√ |
4 |
Eye Examination : |
√ |
√ |
√ |
√ |
| Autorefractor, Slit Lamp, Colour Blindness, |
√ |
√ |
√ |
√ |
| Tonometry, Funduscopy |
√ |
√ |
√ |
√ |
5 |
ENT Examination + Audiometry |
√ |
√ |
√ |
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6 |
Cardiac Examination : |
√ |
√ |
√ |
√ |
| ~ EKG |
√ |
√ |
√ |
√ |
| ~ Treadmill Exercise Test |
√ |
√ |
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7 |
Chest X - Ray |
√ |
√ |
√ |
√ |
8 |
Panoramic (Dental) X - Ray |
√ |
√ |
√ |
√ |
9 |
USG Examination Abdomen Upper and Lower |
√ |
√ |
√ |
√ |
10 |
Laboratory : |
√ |
√ |
√ |
√ |
| a. Hematology : |
√ |
√ |
√ |
√ |
| ~ Hb, Ht, RBC, WBC, Diff, Platelets, ESR |
√ |
√ |
√ |
√ |
| b. Blood Group & Rhesus |
√ |
√ |
√ |
√ |
| c. Glucosa fasting (if necessary) 2 hour after meal |
√ |
√ |
√ |
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| d. Renal function : Ureum, Creatinin, Uric Acid |
√ |
√ |
√ |
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e. Liver function : SGOT, SGPT, GGT,
ALP |
√ |
√ |
√ |
√ |
| f. Hepatitis panel : |
√ |
√ |
√ |
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| ~ HbsAg |
√ |
√ |
√ |
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| ~ Anti Hbs |
√ |
√ |
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| g. Hepatitis C (Anti HCV) |
√ |
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| h. Lipid profile: Cholesterol total, Trigliserida, HDL, LDL |
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√ |
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| i. Tumor marker: |
√ |
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| ~ CEA, AFP |
√ |
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| j. Thyroid function: |
√ |
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| ~ TSH, T4 |
√ |
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11 |
Urinalysis |
√ |
√ |
√ |
√ |
12 |
Stool Analysis |
√ |
√ |
√ |
√ |
13 |
Pap's Smear (Female) |
√ |
√ |
√ |
√ |
14 |
Meal Set |
√ |
√ |
√ |
√ |
15 |
Medical Report |
√ |
√ |
√ |
√ |
16 |
Medical Consultation |
√ |
√ |
√ |
√ |
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Copyright © 2006 Siloam Hospitals |
Siloam Hospitals world-class healthcare experience |
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