HASIL PEMERIKSAAN LABORATORIUM

LABORATORY TEST RESULT

No. Reg/Reg. No. : SP032806202115131716117 Instansi/Institution : Speedlab Umum

Nama/Name
Tanggal Lahir/DOB
Jenis Kelamin/Sex
Waktu Sampling/Date Collected :
Waktu Periksa/Date Received
Waktu Selesai/Date Reported
Jenis Sample/Sample Type
1. Orofaring & Nasofaring
2. Sputum
3. Saliva
PEMERIKSAAN/TEST
SARS-CoV-2
2019-nCoV
VIC / N gene
FAM / ORF1ab
: FARIDA NIK/ID No. : 3303055002840002
: Feb, 10 1984 No. Passport/Passport No. :
: Female Kewarganegaraan/Nationality. : Indonesia
Jun, 28 2021 Alamat/Address : Kanwil DJP jakarta timur Bidang KBP Pulomas
: Jun, 28 2021 Office Lt. 7 Jl. Pulomas Timur No.2, Kayu
Putih, Pulogadung, Jakarta Timur 13210
: Jun, 29 2021
Faskes Asal/Health Facility : Speedlab Indonesia
Kota/City : South Jakarta
DALAM KISARAN DILUAR KISARAN NILAI
RUJUKAN/VALUES RUJUKAN/VALUE RUJUKAN/NORMAL METODE/METHOD
WITHIN RANGE OUTSIDE RANGE RANGE
Positive Negative Real Time RT-PCR
Detection (14.79) Undetection / Ct>=35 Real Time RT-PCR
Detection (17.37) Undetection / Ct>=35 Real Time RT-PCR

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 PCR tidak dapat dibandingkan antar alat dan gen yang berbeda.

Note :
- These results only describe the conditions at which the specimen was collected, if clinical symptoms 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.
- PCR Results cannot be compared between different instruments and genes.

Petugas Pemeriksa/Investigator : MITHUN SINAGA , 29 Juni 2021

QRCODE RESULT Dokter Pemeriksa/Physician Examiner

dr. Donatila Mano S, SpMK