Pemeriksa/Investigator : Pahmi Firmansyah, A.Md.

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Dokter/Doctor : dr. Indah Susanti W,Sp.PK
No. Reg/Reg. No : 214967 dffffffffffffffffffffffffffffffff
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Nama/Name : TENRI AJENG ANDI ECCE dffffffffffffffffffffffffffffffff
NIK/ID No. : 3671135709820004
Kewarganegaraan/Nationality : INDONESIA
Tanggal Lahir/DOB : 1982-09-17
No. Passport / Passport No : -
Jenis Kelamin/Sex : Perempuan/Female
Faskes Asal / Health Facility : Quicktest Pusat
Waktu Sampling/Date Collected : 01 July 2021 00:00
Kota / City : South Jakarta
Waktu Periksa/Check Date : 01 July 2021 00:00
Instansi / Institution : General
Waktu Selesai/Result Date : 01 July 2021 21:22
Alamat / Address :

Pemeriksaan/Test Hasil/Result Batas Normal / Normal Range Metode / Method

PCR SARS-CoV-2

2019-nCoV
ORF 1 AB Negative Negative (Cut off CT value 40) RT-PCR
GEN N Negative Negative (Cut off CT value 40) RT-PCR
GEN E Negative Negative (Cut off CT value 40) RT-PCR
Interpretasi Result RT-PCR SARS-CoV-2 : Negative
Rekomendasi

Disclaimer

Catatan:
1. Hasil pemeriksaan dikerjakan dengan metode RT-PCR dan hanya menggambarkan kondisi saat pengambilan spesimen.
2. Hasil PCR Negatif tidak selalu berarti pasien tidak terinfeksi oleh pathogen, namun hanya menunjukan bahwa material genetik pathogen tidak
ditemukan di dalam sample
3. Jika hasil PCR positif atau timbul gejala klinis setelah pemeriksaan, silahkan hubungi dokter atau fasilitas kesehatan terdekat.
4. Hasil PCR tidak dapat dibandingkan antar satu laboratorium dengan laboratorium lain, karena perbedaan alat dan target gen yang digunakan.
5. Surat ini dikirim dan ditandatangani secara elektronik

Note :
1. The above examination results were carried out using the RT-PCR method and only described then condition at the time of specimen
collection
2. A negative PCR result does not necessarly mean that the patien is not infected with the pathogen, but only indicates that phatogenic genetic
material is not pressent in the sample
3. If the PCR result is positive or clinical symptoms appear after the examination, please contact the doctor or the nearst health facility.
4. PCR results cannot be compared between one laboratory and another, due to differences in then tools and target genes used.
5. The letter is sent and signed electronicaly

Tenri Ajeng Andi Ecce South Jakarta, 01 July 2021

Dokter Pemeriksa / Physician Examiner

dr. Indah Susanti W,Sp.PK

info@quicktest.id
021-2138999 (for result)
https://quicktest.id
Jln. Prof Dr. Soepomo 33 A, Tebet, Jakarta Selatan