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Name : AYUDYA ARUMSARI S.AK Lab.

Number : 7702795
Date Of Birth : 27-06-1995 Med. Record : 202101077702795
KTP/Passport : 7271036706950001 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 : YENI WATI Lab. Number : 7702796
Date Of Birth : 01-07-1968 Med. Record : 202101077702796
KTP/Passport : 3274014107680028 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 : SUDAR Lab. Number : 7702797
Date Of Birth : 06-07-1966 Med. Record : 202101077702797
KTP/Passport : 3603170607660002 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 : YUGO FEBRIYANTO Lab. Number : 7702798
Date Of Birth : 14-02-1977 Med. Record : 202101077702798
KTP/Passport : 3174061402770007 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 : CAHYA ILYASSA PUTRA Lab. Number : 7702799
Date Of Birth : 12-06-1995 Med. Record : 202101077702799
KTP/Passport : 3471041206950001 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

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