HASIL PEMERIKSAAN LABORATORIUM

LABORATORY TEST RESULT

No. Reg/Reg. No. : SP0806202109375911 Instansi/Institution : Speedlab Umum

Nama/Name : MAMAN RUSMAN NIK/ID No. : 3301130905640003
Tanggal Lahir/DOB : May, 09 1964 No. Passport/Passport No. :
Jenis Kelamin/Sex : Male Kewarganegaraan/Nationality. : Indonesia
Waktu Sampling/Date Collected : Jun, 08 2021 Alamat/Address : Baliview c8 no.4 cirendeu
Waktu Periksa/Date Received : Jun, 08 2021 Faskes Asal/Health Facility : Speedlab Indonesia
Waktu Selesai/Date Reported : Jun, 08 2021 Kota/City : South Jakarta
Jenis Sample/Sample Type
1. Orofaring & Nasofaring
2. Sputum
3. Saliva
DALAM KISARAN DILUAR KISARAN NILAI
PEMERIKSAAN/TEST RUJUKAN/VALUES RUJUKAN/VALUE RUJUKAN/NORMAL METODE/METHOD
WITHIN RANGE OUTSIDE RANGE RANGE
SARS-CoV-2
2019-nCoV Negative Negative Real Time RT-PCR
VIC / N gene Undetection Undetection / Ct>=35 Real Time RT-PCR
FAM / ORF1ab Undetection Undetection / Ct>=35 Real Time RT-PCR

Catatan:
- Hasil ini hanya menggambarkan kondisi saat pengambilan spesimen, Jika timbul Gejala klinis atau kontak dengan pasien terindikasi setelah pemeriksaan, silahkan menghubungi Dokter / Fasilitas
Kesehatan terdekat. Pemeriksaan Ulang dapat dilakukan berdasarkan rekomendasi dokter.
- Hasil PCR tidak dapat dibandingkan antar alat dan gen yang berbeda.

Note :
- These results only describe the conditions at which the specimen was collected, if clinical symptoms or patient contact occurred indicated after the examination, please contact the nearest doctor /
health facility. Re-checking can be done on the recommendation of a doctor.
- PCR Results cannot be compared between different instruments and genes.

Petugas Pemeriksa/Investigator : MITHUN SINAGA South Jakarta, 08 Juni 2021

QRCODE RESULT Dokter Pemeriksa/Physician Examiner

dr. Donatila Mano S, SpMK