Name : ROBERT TAUFAN Lab.

Number : SBB2107306
Date Of Birth : 09/10/1970 Med. Record : BNP15000306
KTP/Passport : B4808876 Date Of Exam : 06/07/2021 01:09 WIB
Room Number : 311 Date of Result: 06/07/2021 12:35 WIB
Sex : MALE Company : BNPB
Nationality : INDONESIA

Penanggung Jawab: dr. Petty Atmadja, Sp.Pk

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

Molekular
SARS_CoV-2
Cycle treshold : Gen_Rdrp & Gen_N = >40.00

Laboratory Result :
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
Pemeriksa

Lis Wardhany Amd.Ak

A laboratory assessment can only be given by a doctor who has patient clinical data.
This laboratory has been verified electronically, no signature required
Name : YULHENI Lab. Number : SBB2107307
Date Of Birth : 28/05/1964 Med. Record : BNP15000307
KTP/Passport : C7157520 Date Of Exam : 06/07/2021 01:16 WIB
Room Number : 327 Date of Result: 06/07/2021 12:35 WIB
Sex : FEMALE Company : BNPB
Nationality : INDONESIA

Penanggung Jawab: dr. Petty Atmadja, Sp.Pk

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

Molekular
SARS_CoV-2
Cycle treshold : Gen_Rdrp & Gen_N = >40.00

Laboratory Result :
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
Pemeriksa

Lis Wardhany Amd.Ak

A laboratory assessment can only be given by a doctor who has patient clinical data.
This laboratory has been verified electronically, no signature required
Name : JOHN ELMER ERVIN Lab. Number : SBB2107308
Date Of Birth : 28/12/1947 Med. Record : BNP15000308
KTP/Passport : 565613008 Date Of Exam : 06/07/2021 01:28 WIB
Room Number : 628 Date of Result: 06/07/2021 12:35 WIB
Sex : MALE Company : BNPB
Nationality : AMERICAN

Penanggung Jawab: dr. Petty Atmadja, Sp.Pk

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

Molekular
SARS_CoV-2
Cycle treshold : Gen_Rdrp & Gen_N = >40.00

Laboratory Result :
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
Pemeriksa

Lis Wardhany Amd.Ak

A laboratory assessment can only be given by a doctor who has patient clinical data.
This laboratory has been verified electronically, no signature required
Name : BRANDON FIJO ZIDANE Lab. Number : SBB2107309
Date Of Birth : 16/07/2004 Med. Record : BNP15000309
KTP/Passport : C3372225 Date Of Exam : 06/07/2021 01:25 WIB
Room Number : 628 Date of Result: 06/07/2021 12:35 WIB
Sex : MALE Company : BNPB
Nationality : INDONESIA

Penanggung Jawab: dr. Petty Atmadja, Sp.Pk

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

Molekular
SARS_CoV-2
Cycle treshold : Gen_Rdrp & Gen_N = >40.00

Laboratory Result :
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
Pemeriksa

Lis Wardhany Amd.Ak

A laboratory assessment can only be given by a doctor who has patient clinical data.
This laboratory has been verified electronically, no signature required