Name : RUFINA PRAMUDITA SARI Lab.

Number : 7702792
Date Of Birth : 20-06-1997 Med. Record : 202101077702792
KTP/Passport : 3175032006971001 Order Entry : 09-01-2021
Sex : FEMALE Date of Exam : 10-01-2021
Nationality : INDONESIA Company : APS

LABORATORY RESULT
EXAMINATION RESULT NORMAL RANGE
PCR Test (Swab)
Sample Nasopharyngeal and Oropharyngeal
SARS-COV-2 Negative Negative

Molekular
SARS_CoV-2
Cycle threshold : >40 lU/mL

Clinical Analysis :
Hasil pemeriksaan Negatif tidak menyingkirkan kemungkinan infeksi
SARS-COV2(COVID-19), Kemungkinan penyebab / A Negative result does not
rule out the possibility of Covid 19 infection:
a) Tidak terinfeksi SARS-COV2 / Not currently infected with SARS-CoV-2
or Covid-19
b) Tidak ditemukan materi genetic SARS-COV2 pada sample / No Genetic
material of Virus SARS-CoV-2 or Covid-19 was found in the specimen of
this patient

Doctor :

dr.Anne Harun Sp.PK

Verified By : M. Faiz Ardiansyah, Amd.AK

Name : ROMY ALFISYAHRI Lab. Number : 7702793
Date Of Birth : 15-03-1993 Med. Record : 202101077702793
KTP/Passport : 1271091503930001 Order Entry : 09-01-2021
Sex : MALE Date of Exam : 10-01-2021
Nationality : INDONESIA Company : APS

LABORATORY RESULT
EXAMINATION RESULT NORMAL RANGE
PCR Test (Swab)
Sample Nasopharyngeal and Oropharyngeal
SARS-COV-2 Negative Negative

Molekular
SARS_CoV-2
Cycle threshold : >40 lU/mL

Clinical Analysis :
Hasil pemeriksaan Negatif tidak menyingkirkan kemungkinan infeksi
SARS-COV2(COVID-19), Kemungkinan penyebab / A Negative result does not
rule out the possibility of Covid 19 infection:
a) Tidak terinfeksi SARS-COV2 / Not currently infected with SARS-CoV-2
or Covid-19
b) Tidak ditemukan materi genetic SARS-COV2 pada sample / No Genetic
material of Virus SARS-CoV-2 or Covid-19 was found in the specimen of
this patient

Doctor :

dr.Anne Harun Sp.PK

Verified By : M. Faiz Ardiansyah, Amd.AK

Name : MUHAMMAD ARIEF RIYADI Lab. Number : 7702794
Date Of Birth : 02-09-1978 Med. Record : 202101077702794
KTP/Passport : 3275080309780016 Order Entry : 09-01-2021
Sex : MALE Date of Exam : 10-01-2021
Nationality : INDONESIA Company : APS

LABORATORY RESULT
EXAMINATION RESULT NORMAL RANGE
PCR Test (Swab)
Sample Nasopharyngeal and Oropharyngeal
SARS-COV-2 Negative Negative

Molekular
SARS_CoV-2
Cycle threshold : >40 lU/mL

Clinical Analysis :
Hasil pemeriksaan Negatif tidak menyingkirkan kemungkinan infeksi
SARS-COV2(COVID-19), Kemungkinan penyebab / A Negative result does not
rule out the possibility of Covid 19 infection:
a) Tidak terinfeksi SARS-COV2 / Not currently infected with SARS-CoV-2
or Covid-19
b) Tidak ditemukan materi genetic SARS-COV2 pada sample / No Genetic
material of Virus SARS-CoV-2 or Covid-19 was found in the specimen of
this patient

Doctor :

dr.Anne Harun Sp.PK

Verified By : M. Faiz Ardiansyah, Amd.AK