Nomor: FO.III.12/04.00/2019

Certificate of Instrument Calibration

Customer Data

Laboratory / Hospital : Trisensa Diagnostic Center
Address : Jl. Taman AIS Yasin No.5, Embong Kaliasin, Kec. Genteng, Surabaya 60271
Instrument : Clinical Chemistry Analyzer TMS 50i Superior
Serial Number : 5303150816
Date of Calibration : January 09, 2026
Valid Until : January 09, 2027

Required Material

SC Cal

Procedure

Checking Instrument Status, Running Callibartion

Requirement

Deviation must be ≤ 2.0% ; 3 Impedance measurement must be OK; Measurement point must be within range

Results

Calibration Factor

Parameters Reference Value Result
WBC 75 - 125 95.20 Pass
RBC 75 - 125 105.38 Pass
HGB 75 - 125 101.86 Pass
MCV 75 - 125 104.22 Pass
PCT 75 - 125 105.58 Pass
RBC-O 75 - 125 - -
PCT-O 75 - 125 - -
PCT-H 75 - 125 - -

Optical

Parameters Deviation Result
DIFF_FS 0.1 Pass
DIFF_SS 0.8 Pass
DIFF_FC 0.5 Pass
DIFF_PMT N/A Pass
RET_FS - -
RET_SS - -
RET_FC - -
RET_PMT - -

Impedance

Parameters Target 1 2 3 Result
MCV_G 93.1 97.9 92.7 93.3 OK
HGB 4.40 4.75 4.40 4.40 OK

ESR Measurement Point

Parameters Tested Reference Result
Measurement Point (µL) - 135 - 180 -

Conclusion

Instrument Auto Hematology Analyzer BC-760R has been already calibrated. The result of calibration is good.