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LABORATORY

MT. Haryono Street 23, Dalam, Balikpapan 76114


Phoned. (0542) 8862999

BALIKPAPAN Doctor: dr. Rita Dewi Kusumawati, SpPK

Source : OUTPATIENT Clinician : dr. Yuda Arie Dharmawan


Age / Sex : 38Y / Laki-laki Name : AUDI MARTHEN

Birth Date : 09-08-1982 Address : JL. PATRIOT RT. 48 NO. 31/13


Order Date : 23-01-2021 09:21:00
Collection Date : 23-01-2021 09:39:00 Patient ID : 00160700
Result Date : 23-01-2021 15:01 Lab. Number : 21010035
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T E S T RESULT UNIT REFERENCE RANGE

IMUNOLOGI

PCR SARS CoV-2 Positif Negatif


Catatan :
- Hasil pemeriksaan diatas dikerjakan dengan metode Real Time PCR dan
hanya menggambarkan kondisi saat pengambilan spesimen.
- Bila memerlukan pemeriksaan lanjutan dapat dilakukan berdasarkan
rekomendasi dari klinisi.
- Siloam Hospitals Balikpapan sudah termasuk dalam jejaring
laboratorium pemeriksa Covid-19, sesuai dengan Surat Edaran KMK
No. HK.01.07/Menkes/405/2020.

Remarks :
- The test above used Real Time PCR method of testing and described
result on the day of specimen collection.
- Repeated test is performed based on clinician recommendation.
- Siloam Hospitals Balikpapan is included in the network of laboratories
for Covid-19 examination, according to Surat Edaran KMK
No. HK.01.07/Menkes/405/2020.

Authorized By Nanung
Report Date :23-01-2021 15:00:00
The Laboratory results have been electronically authorized. No hand signature needed.

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