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PEMERINTAH KABUPATEN JEMBRANA DINAS KESEHATAN UPTD. RUMAH SAKIT UMUM NEGARA Jalan Wijaya Kusuma No. 17 Negara Telp. (0365) 41006, 42821 FAX (62365) 41006 ‘allrsunegaraball@yahoo.com COVID-19 TEST RESULT SUMMARY Informasi Pasien Informasi Spesimen Patient informasition Specimen Information Nama RR WIDIANTARI PUSPITA DEW! [Tipe Spesimen + Nosopharyngeal Sweb Name [Specimen type Tanggal lahir : 19-10-1994 INo1D Lab. 202110190016 Date of birth lLab 1D No. [lenis kelamin : Perempuan |Nomor Spesimen 191021/RSN/UMUM/012 |sex Female |Number of Specimen Rekam medis p (00-13-57-23 /RGO0813913 | Tgl Pengambilan_ + 19-10-2021/RSU Negara [Medical Record, IDate of collected |No Identitas : '5101015910940007 / C3194501 |Tanggal di orases + 49-20-2021 identity No. |Date of processed Telp./Hp ‘ 087701709486 [Tal Pelaporan 19-10-2021 Telp./Hp |Date of reported |Alamat ‘ BR ANYAR, TEGAL BADENG BARA] Waktu pelaporan 12:43:55 \Address Time of reported : ‘Reverse Transcriptase Real Time PCR SARS-CoV2 Test name Hasit : Negative SARS-CoV2 [Result [catatan z Comments © _SARS-CoV2 adalah agen penyebab COVID-19 SARS-CoV2 isthe causative agent of COVID-19. . Hasl PCR negatif berarti tidak terdeteksinya RNA virus SARS-CoV2 diatas ambang batas deteksi ‘Annegative PCR result means that the SARS-CoV2 RNA virus is not detected above the detection ‘© Tidak terdeteksinya asam nukleat spesifik, belum dapat menyingkirkan penyakit COVID-19 yang, disebablan oleh virus tersebut. The absence of specific nucleic acids has not been able to rule out the COVIO-19 disease caused by the virus. + dika Klinismasih mengarah COVID-19, dapat melakukan tes PCR ulang, 1f the clinic still points to COVID-19, you can do ‘another PCR test. . Hubung!layanan kesehatan terdekat untuk informasi lebih lanjut dan patuhi protokol Kesehatan. Contact the nearest health service for more information and adhere to health protocols. Pemeriksa/Analis ‘examiner Yok PT.YUNI K.AMD.KES

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