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RS.

SHEILA MEDIKA
Jl. Letjen Wahono 77-79, By Pass Juanda Sidoarjo.
Telp. +62-82244251088, +62-81231666179, 0319968618

TEST RESULT
LAPORAN HASIL PENGUJIAN

Health Facility / Nama Faskes : RS SHEILA MEDIKA


Contact / Kontak : rssheilamedika@gmail.com
Sender / Pengirim : LIVIA
Sample / Jumlah Sampel : 1
Sample Type / Jenis Sampel : Nasofaring / orofaring Swab
Swab to / Swab ke : 1
Time Of Sampling / Tanggal Pengajuan : 02/07/2021
Time Of Result / Tanggal Pelaksanaan : 02/07/2021

Test Result / Hasil Pengujian

Sample Code / Result / Hasil


Identity / Identitas Information / Keterangan
Kode Sampel SARS Cov-2 Antigen Swab

Name : MOCHAMAD WINARTO


SARS Cov-2 Antigen Swab
Date of birth : 17/05/1995 SWB/02/07/03557 NEGATIF NEGATIF
Gender : MALE
Result interpretation : Genetic Material SARS-Cov-2 Not Detected On Specimen
Interpretasi hasil : Material genetic SARS-Cov-2 Tidak Terdeteksi dalam specimen

Sidoarjo, 02/07/2021
Approved by / Menyetujui
Head Of Sheila Medika Hospital Laboratory
Kepala LaboratoriumPCR RS Sheila Medika

dr.Meiti Muljanti, Sp. PK

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