Name : GADIS KARESA Lab.

Number : 7702643
Date Of Birth : 20-11-1938 Med. Record : 202101077702643
KTP/Passport : 3171036011880008 Order Entry : 07-01-2021
Sex : FEMALE Date of Exam : 08-01-2021
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 : HANNY PUTRY DESTIANY Lab. Number : 7702644
Date Of Birth : 11-12-1994 Med. Record : 202101077702644
KTP/Passport : 3271055312940002 Order Entry : 07-01-2021
Sex : FEMALE Date of Exam : 08-01-2021
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 : ZIHAN ZULAIKA SE Lab. Number : 7702645
Date Of Birth : 26-09-1980 Med. Record : 202101077702645
KTP/Passport : 327603660980006 Order Entry : 07-01-2021
Sex : FEMALE Date of Exam : 08-01-2021
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 : TRI KARINA Lab. Number : 7702646
Date Of Birth : 13-09-1997 Med. Record : 202101077702646
KTP/Passport : 3305205309970001 Order Entry : 07-01-2021
Sex : FEMALE Date of Exam : 08-01-2021
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 : SANDI JANUAR PRIBADI Lab. Number : 7702647
Date Of Birth : 18-01-1976 Med. Record : 202101077702647
KTP/Passport : 3175071801760004 Order Entry : 07-01-2021
Sex : MALE Date of Exam : 08-01-2021
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 : KRIS WANTO Lab. Number : 7702648
Date Of Birth : 28-11-1994 Med. Record : 202101077702648
KTP/Passport : 1805112911950002 Order Entry : 07-01-2021
Sex : MALE Date of Exam : 08-01-2021
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 : SAUT SEJALI SAUHUR HUTAPEA Lab. Number : 7702649
Date Of Birth : 19-06-1996 Med. Record : 202101077702649
KTP/Passport : 1208121906960001 Order Entry : 07-01-2021
Sex : MALE Date of Exam : 08-01-2021
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 : JATMIKO ANGGARI Lab. Number : 7702650
Date Of Birth : 18-01-1977 Med. Record : 202101077702650
KTP/Passport : 3175061801770011 Order Entry : 07-01-2021
Sex : MALE Date of Exam : 08-01-2021
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 : SUCI RIZQI NELDA Lab. Number : 7702651
Date Of Birth : 15-11-1993 Med. Record : 202101077702651
KTP/Passport : 3311125511930007 Order Entry : 07-01-2021
Sex : FEMALE Date of Exam : 08-01-2021
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 : YUSI MARLIYANI Lab. Number : 7702652
Date Of Birth : 23-12-1978 Med. Record : 202101077702652
KTP/Passport : 3201226312780002 Order Entry : 07-01-2021
Sex : FEMALE Date of Exam : 08-01-2021
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