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    1. This document is a COVID-19 test result from Royal Progress Hospital for a patient named Anromario Nasser. 2. The test performed was an Antigen Covid Rapid test, with a negative result reported. 3. The test was registered on December 20, 2021 and the results were validated electronically by Tiarma Rohana S. on November 23, 2021.

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    1. This document is a COVID-19 test result from Royal Progress Hospital for a patient named Anromario Nasser. 2. The test performed was an Antigen Covid Rapid test, with a negative result reported. 3. The test was registered on December 20, 2021 and the results were validated electronically by Tiarma Rohana S. on November 23, 2021.

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    7 views1 page

    Andro

    Uploaded by

    muhammad alib
    1. This document is a COVID-19 test result from Royal Progress Hospital for a patient named Anromario Nasser. 2. The test performed was an Antigen Covid Rapid test, with a negative result reported. 3. The test was registered on December 20, 2021 and the results were validated electronically by Tiarma Rohana S. on November 23, 2021.

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    of 1

    Kode Lab rujukan COVID-19 KEMENKES : C.

    174

    RUMAH SAKIT
    ROYAL PROGRESS
    Melayani dengan Penh Cinta Kasth

    Penanggung Jawab Laboratorium Patologi Klinik: dr. Dennis Jacobus, SpPK


    Head of Clinical Pathology Laboratory
    Penanggung Jawab Laboratorium Biomolekular : DR. dr. Latre Buntaran, SpMK(K)
    Head of Biomolecular Laboratory

    No. Lab : Nama Pasien : Anromario Nasser


    Lab. Number Patient Name
    Tgl.Registrasi : 20 Dember 2021 Tgl.Lahir/Kelamin : 02 Oktober 1994 /Laki-Laki
    Registration Date Date of birth/Gender Male
    No.Registrasi : 00348727 Identitas : KTP – 3603110210940004
    Registration Number Identity
    No. Rekam Medis :0 Warga Negara : INDONESIA
    Medical Record Number Citizen
    Dokter : Alamat : Pan Rajeg Mas Pratama Blok B2 No39 RT01
    Rw 06
    Doctor Address

    Tangerang Banten
    Hasil Unit Nilai Rujukan Metode
    Test Result Unit Reference Method

    IMMUNOSEROLOGI
    IMMUNOSEROLOGY
    Antigen Covid Rapid Negatif Negatif
    Antigen Covid Rapid Negative Negative

    Cetak : 23 Nov 2021


    Divalidasi oleh (Validated by): Tiarma Rohana S.
    10.22.39 Print
    Hasil pemeriksaan telah diotorisasi secara elektronik (Inspection results have been electronically authorized)
    LABORATORIUM

    (@ so ssgr

    (I9±"9ES:

    Jl. Danau Sunter Utara, Sunter Paradise I, Jakarta 14350 Tlp.(+6221) 6400261 Fax.(+6221) 6400778 www.royalprogress.com

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