Penanggung Jawab : dr. Eddi Junaidi, SpOG.,SH.

,Mkes
Alamat : Jl. Pinangranti II /SMA 48 No.1A Jakarta Timur. telp. 021-8098928
www.taradita.com email : klinik_taradita@taradita.com

LAPORAN HASIL SWAB PCR SARS COV-2

LABORATORY RESULT PCR SWAB SARS COV-2
Nama : Mega Chris Sedela No. Rekam medis : TRD-086308
Name medical record number

No. Identitas kependudukan : 3174094106980003 Asal sampel : Klinik Utama Taradita 48

/ Paspor sample from
residence ID number / Pasport

Tanggal lahir : 01-06-1998 Tanggal swab : 2022-02-07 10:23:15

Date of Birth swab date

Kelamin : Perempuan/ Female Validasi hasil : 2022-02-07 20:00:05

Gender Validation date

Kewarganegaraan : Indonesian Cetak hasil : 2022-02-07 20:00:05

nationality Print out result

Alamat : JL, SYUKUR NO 54 A

Address RT/002 RW/008

JENIS PEMERIKSAAN/Type KODE SAMPLE /

HASIL/Result Keterangan / Other Information
of examination Sample Code

SARS-CoV-2 Real Time PCR C471210605000386 Negative Gen E/N tidak terdeteksi
Gen ORF1ab tidak terdeteksi
CutOff CT Value ≥ 40
Pemeriksaan dilakukan di laboratorium Klinik Utama Taradita 48
The examination is carried out in the laboratory Clinic Utama Taradita 48
Catatan : Jaga Kesehatan Sesuai Protokol covid-19 selama masa Pandemi
Maintain Health in Accordance with Covid -19 Protocol during the Pandemic

Mengetahui / Acknowledged

dr. Maitri Febrianthi, Sp.PK