LABORATORY RESULT REPORT

Head of Laboratory Department : Prof. dr. Marzuki Suryaatmadja, Sp.PK(K)

Passport No. : - / INDONESIA ID Number : 2104015503980001

Reg. No. : 2106220228A Physician : dr. MCU ENGKOS KOSWARA

Med. Rec. No. : MHJS.0000302723

Patient Name : NURJANAH FIERDAUS Reg. Date : 22-Jun-2021 11:05

DOB / Age : 15-Mar-1998 / 23 Year 3 Month 7 Day Finish Date : 22-Jun-2021 16:06
Gender : Female
Address : Jalan Mampang Prapatan Vii -
Location : POLI

REQUESTED TEST RESULT REFERENCE VALUE UNITS METHOD

IMMUNOLOGY
SILVER PCR PACKAGE C-19
PCR SARS-Cov-2 (Covid-19) Negative Negative RT-PCR
Notes:
- The Negative result = There is not any SARS-CoV-2 viral genetic materials or very little viral load makes it undetected (under the detection level).
- The PCR result is not always parallel with the clinical symptoms.
- Results from One's laboratory can NOT be compared to other laboratories' result due to possible differences in method, analyzer and reagents
Suggestions: It is recommended to continue the clean and healthy life style with good nutrition.
If there are symptoms then it is recommended to get the doctor's consultation.
The diagnosis should be determined based on comprehensive clinical, and diagnostics (laboratory and radiology).
Swab Date 22-Jun-2021
Specimen Nasopharyngeal
and Oropharyngeal

Authorized by,

( dr.Marliana N.L.Gaol, Sp.PA, MH.Kes )

Validated by :
1/ Decimal point is interpreted with dot (.) & thousands with blank space.
2/ The exact interpretation of the results can only be given by the physician who holds all examination data.
3/ The Rapid test are as screening only (temporary) and still need to be confirmed by more established tests.

Printed by : dr.Marliana N.L.Gaol, Sp.PA, MH.Kes Page :1/1