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ANISHA NUR YATIM

201521D024

Employed ID : -
Company : PRIVATE
Dept / Sec : -

MCU Date : September 3, 2021 / Package PRIVATE RAPID Antigen


Gender / sec : Female
MCU Site : Cibis Nine Building
Valid Until : September 17, 2021
LABORATORY TEST
Name : Anisha Nur Yatim MCU Date : 09 / 3 / 2021 MR Number : 2005800171
Company : PRIVATE Sex : Female, 23 Years MCU Number : 201521D024
Test Item Result Normal Value
Serology/Immunology
Antigen SARS-CoV-2 (COVID-19)
Antigen Swab Test Positive (+) Positive (+)

Pathologist : dr. Sumanto Simon, SP.PK

The above mention patient has been done Antigen Rapid Swab Test Covid-19 once at
Global Assistance & Healthcare.

Name : Anisha Nur Yatim


Date of birth : 22 September 1997
Job title :-
No. Handphone : 081292263103
Company :-
Address : Komp.Tulus Rejo RT.03/03 No.76, Bogor Selatan – Kota Bogor

Based on the results of the Covid-19 antigen swab test on 3 September 2021.
The result is :

“POSITIVE”

This statement was actually compiled to be used information and used properly.

Jakarta / 03 September 2020

The Attending Physician

Dr. Hindiyati Nuriah. Sp.Ok

Global Assistance and Healthcare

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