No. Lab : 2202120207 Dokter : dr.

Raka Aldy Nugraha

Laboratory Number Physician's name
No. MR : 00067285 Tgl Transaksi : 12-02-2022 15:02:05
Medical Record Number Transaction Date
Nama : SANTI PATMAWATI. NN Tgl Bahan Diterima : 12-02-2022 15:20:36
Patient Full Name Specimen Collection Date
Tanggal Lahir/ Umur : 01-05-1999 / 22 tahun 9 bulan 11 hari Tgl Hasil Selesai : 12-02-2022 18:52:06
Date of Birth/ Age 22 years 9 months 11 days Result Date
Jenis Kelamin : Perempuan Diagnosa :-
Sex Female Diagnosis
NIK / Passport : 3602154105990001 / - Halaman :1/1
Identity No. / Passport Page
Alamat/ Ruangan :-
Address/ Clinic

Microbiology Test Result

Microbiology

RT PCR SARS CoV-2

Kode Label Rujukan .
Referral Code Batch
Spesimen Swab Nasofaring & Orofaring
Specimen Nasopharyngeal & Oropharyngeal Swabs
Swab ke 3
Swab Number 3
Pemeriksaan SARS-COV 2 Negatif
PCR Sars-Cov-2 Result Negative
Keterangan : Hasil tersebut hanya menggambarkan kondisi pada saat pengambilan
spesimen.
Hasil negatif belum menyingkirkan kemungkinan infeksi.
Bila timbul gejala klinis atau kontak dengan pasien terinfeksi
setelah pemeriksaan, silahkan hubungi dokter atau fasilitas
kesehatan terdekat.
pemeriksaan ulang dapat dilakukan sesuai rekomendasi dokter.
Interpretations & Advice The aforementioned result only represents the circumstances during
specimen collection.
Negative result does not always rule out your possibility of having
SARS-CoV-2 infection.
If you develop symptoms or have any form of contact with infected
patients after the test was performed, please consult your physicians
or seek medical advice in nearby healthcare facilities. Repeat tests
may be performed upon physician's request.

This is computer generated report, no signature is required. Penanggung Jawab : dr. Ardiana Kusumaningrum, SpMK
Otorisasi Oleh : dr. Dimas Seto Prasetyo, Sp.MK(K) Clinical Supervisor
Authorised by Tgl Cetak : 13-02-2022 08:24:16
Printed on
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