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HASIL PEMERIKSAAN LABORATORIUM

LABORATORY TEST RESULT

No Reg/ Reg No : LAB20210711058 Instansi/ Institution : Zglow Clinic, CPT


Name : Eko Kurniawan NIK/ ID No : 3578041707810010
Tanggal Lahir/ DOB : 1981-07-17 Kewarganegaraan/Nationality : Indonesia
Jenis Kelamin/Gender :M Alamat/ Address : Jalak utama no 18
Waktu Sampling/ Data Collected : 2021-07-12 10:30:03 Kota/ City : Tangsel
waktu Pemeriksaan/ Data Received : 2021-07-12 10:59:37
Waktu Selesai/ Data Finished : 2021-07-12 14:15:20
Jenis Sample/ Sample Type : Swab Antigen
1. SWAB Nasopharynx

Pemeriksaan/test DALAM KISARAN RUJUKAN/ NILAI RUJUKAN/NORMAL METODE/METHODE


VALUES WITHIN RANGE RANGE

ANTIGEN SARS-COV 2 Negative Negative SWAB Nasopharynx


Undetection / Ct>35
Undetection / Ct>35

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 Swab Antigen tidak dapat di bandingkan antar alat dan gen yang berbeda.

note
● This result only describe the conditions at which the specimen was collected, If Clinical symptomps 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.
● Antigent result cannot be compared between different instrument and genes.

Petugas Pemeriksa/Investigator : Nurse Jakarta, 12 July 2021


Dokter Pemeriksa/Physician Examiner

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