KARTIKA PULOMAS HOSPITAL

Jl. Pulo Mas Timur K No.2 RT4/RW.14, Kayu Putih, Kec. Pulo Gadung, Kota
Jakarta Timur,Daerah Khusus Ibukota Jakarta 13210

RINCIAN INFORMASI LABORATORIUM

LABORATORY INFORMATION

Nama / Name Eka febriyanti

Jenis Kelamin / Gender P / Female
Kewarganegaraan / Nationality Indonesia
Nomor Identitas / Passport Number 1607194202961001
Tanggal Lahir / Date of Birth 2 February 1996 / 25 Th (Year)
Alamat / Address Jln. H piih rt/rw 11/08 kampung priyang

Sampel : C.229.030721000003 Date Received : 30 June 2021

Source : Swab, Naso-Oropharyngeal

Date Reported : 2 July 2021
Date Collected : 30 June 2021

Test Result Normal Range Methode

PCR SARS-CoV-2 Positive Negative Polymerase Chain Reaction
ORF1ab Detection / 24.06 Undetection / CT > 40 Polymerase Chain Reaction
CT GEN N Detection / 27.03 Undetection / CT > 40 Polymerase Chain Reaction

Penanggung Jawab Laboratorium : dr. DWI UTOMO NUSANTARA, Sp.PK

Catatan /Note :

Hasil di atas
hanya menggambarkan kondisi saat spesimen diambil. Bila timbul gejala klinis atau kontak
dengan pasien terinfeksi setelah pemeriksaan, silahkan
menghubungi fasilitas Kesehatan
terdekat. Berdasarkan rekomendasi Dokter, maka pemeriksaan dapat dilakukan.

The Result above describe it current condition of the specials were taken. When clinical symptoms
occur or contact with an infected patient after an examination,
please contact the nearest health
facility. According to the doctor’s recommendation , then it can be re-examination.

Jakarta, 2 July 2021

Dicetak Pada Tanggal : 03 Jul 2021 00:22:48

dr. DWI UTOMO NUSANTARA, Sp.PK
(General Practitioner)