| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 1281 | Toxo IgM | Rp203.000 | Laboratorium |
| 1282 | HAV | Rp390.000 | Laboratorium |
| 1283 | HAV IgM | Rp190.000 | Laboratorium |
| 1284 | Urine Esbach | Rp20.000 | Laboratorium |
| 1285 | Uji Kehamilan (PP test ) | Rp28.000 | Laboratorium |
| 1286 | Urine Bence Jones | Rp20.000 | Laboratorium |
| 1287 | Feses Benzidin | Rp20.000 | Laboratorium |
| 1288 | Feses Stercobilin | Rp20.000 | Laboratorium |
| 1289 | Feses Amoeba | Rp20.000 | Laboratorium |
| 1290 | Feses Rutin | Rp52.000 | Laboratorium |