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  • Witsanut Aenpanya

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    Purinat Ngambuntham
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    1. The patient, Mr. John Doe, was examined at Phyathai 2 Hospital on January 24, 2022. 2. A SARS-CoV-2 real-time RT-PCR test was performed on a nasopharyngeal and throat swab. 3. The test results were negative for SARS-CoV-2 RNA, indicating the patient does not have a COVID-19 infection.

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    1. The patient, Mr. John Doe, was examined at Phyathai 2 Hospital on January 24, 2022. 2. A SARS-CoV-2 real-time RT-PCR test was performed on a nasopharyngeal and throat swab. 3. The test results were negative for SARS-CoV-2 RNA, indicating the patient does not have a COVID-19 infection.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    8 views2 pages

    Witsanut Aenpanya

    Uploaded by

    Purinat Ngambuntham
    1. The patient, Mr. John Doe, was examined at Phyathai 2 Hospital on January 24, 2022. 2. A SARS-CoV-2 real-time RT-PCR test was performed on a nasopharyngeal and throat swab. 3. The test results were negative for SARS-CoV-2 RNA, indicating the patient does not have a COVID-19 infection.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 2

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    u.uryrlu z
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    ttrurnurar{ryltrn
    943 fl.iluntaiu v{rul1u
    2 PHYATHAI 2 FIOSPITAL
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    943 Phaholyothin Rd., Phpthai, Ph)6thai, Bargkok
    lvrt. oa6i2444lrntr:
    1O4OO Thailand
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    Tel-+ffi17-?444Fax. tff.2f17-24€€

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    nrfi iu nr rntrqhiel nltur (covl D- I g)

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    {uvi (oat"),

    itul{T uru uv{vrtil *nvrtlrarlt (Pnysician) ....1}:.. ntBnr unrnrrynurfir .1uor5g,n


    rhvnouiarifl retnrr:Jro:rd (Meoicat license number) ...... l:1.11.11 lfin:ocdr{ nra{rJrada
    (have examined the patient namely).?rlEl...i.erge,..ffclu!-"Uq-'r........ ... ......... ulJ 1u rns fn fl.J rvr''r t u/ passport

    number...J.570300.08.37.89..........o1q tagel ..?.?.i1......... fl rnrrJ:r{roYr{il,:r (hospital number) ....9.q.9.11{4.?.


    rrroqrdo{'ud (Date of examination) ..... 24t01/2022

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    nr:ifiqftr.irfia,ft covro-rs urnGrfiarnrr li u?o{'aqruu4filfieY.rusi 37.s o{allifirduo icutfualnlr?c:lLvr"rlrfiuurtllq
    otJrr'lnotlr.:uds tfr'urila irl, 4n r{rao urulqrudoa v?ou"u'lcdrLrn hl}rrrrurnrvrtl

    n.rdo (Signeo By)


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    r{r ufir dlr.rtrar ur a/udns{'ru {fuhfu:ol unntl u?o t[fiLn rrn:tt
    (Hospital Staff / Department) (Patient's Name / Client)

    Hease mark "NrA' under the itern thai is not applicable.


    pangercus abbrev,t+ons : 1) U 2) lU 3) OD , O.O., QD, q.d., qd (daaly) 4) O.O.O., ooD, g.o.d, qod , AO . (every olher dav) 5) Trailing zero (X'0 rng)
    rlrul{firrhfilriotli : 6) Lack of leading zero (.X mg) 7) MS. 8) MSO4 and tr4gsga 9) ps
    PMC-FM-MSH82 ; Revision : 0'1 ; lssued Oale: ?9nOnO21 ; PaoE : 1./1
    I

    P]{YATH^AI
    +ro31,fra,L

    *sc Ts+urururawrgr{n
    Laboratory Report
    Phyathai 2 Hospital
    943 Phaholyothin Rd, Samsennai, Phyathai, Bangkok 10400 Tel.(66) 2 617 2444 Fax.(66) 2 619 8554

    Patient Name : ulu ef,qfl rtourliyqr Sex : Male DOB : 13 Jan 1990 Age : 32 Y 11 D
    Lab Episode :720281804
    Hospital Number :68811162 Specimen Received on Date/Time :24 Jan2022 11:24
    Collected Date/Time :24 lan2022 10.'55 Room/Bed :-

    Location : (P2) Clinic Acute Respiratory Treat Inf@tinrpany : Phyathai 2


    Doctor : ury. flfinr ltd{nliuouxfiry Lab Department : Bio - Molecular Laboratory

    Test Name Result Unit Reference Range

    SARS-CoV-2 ReaL-time RT-PCR (COVID-19)

    Method Multiplex Real-time RT-PCR


    Specimen Nasopharyngeal swab + Throat swab
    SARS-CoV-2 RNA. Not detected
    Assay reagent: SANSURE BIOTECH Novel Coronavirus (2019-nCoV) Limit of detection 200
    copies /mL

    Remark,. The SARS-CoV-2 ReaI-time RT-PCR (COVID-19) was reported by National


    Healthcare System Co., Ltd. branch PHYATHAI 2 Hospltal.

    Remark : H = Above reference range, L: Below reference range, (*) ISO 15189 Accredited
    Antimicrobialsusceptibilitytest:S=Susceptible, I:lntermediate,R=Resistant,D=Susceptible-DoseDependent

    Reported by : Sompoj Ch., MT 4425 on24 Jan202215:21 Test to follow : All Test Complete

    Authorised by : ARIYAWAN PAIWAN, MT8005 on24 Jan202215:52 Print Date and Time: 25 Jan 2022 09:22

    Page l/l **** FINAL REPORT. Please File **** t lunyru'rduiun:rlflo t._ 2._3.-
    t l{o,,uvrdfl:-u:ru{lrfin l._--
    1 ldunolr',ruqrlolruila l.- 3.--
    1161........................

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