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Name : NIE LIP SING Lab.

Number : NMC22040032
Date Of Birth : 22 Apr 1945 Med. Record : SBY0058961
KTP/Passport : - Date of Exam : 10 Apr 2022 12:00
Room Number : - Date of Result : 10 Apr 2022 17:00
Sex : Male Company : SWAB EXPRESS INDONESIA
Nationality : INDONESIA

Penanggung Jawab : dr. Rina Normanita, M.Ked.klin, Sp.MK

LABORATORY RESULT
EXAMINATION RESULT NORMAL RANGE

RT-PCR Test (Swab)

Sample Nasopharyngeal and Oropharyngeal


SARS-COV-2 Negative Negative

Molekular

SARS_CoV-2

Cycle treshold : Gen_Rdrp & Gen_N = >40.00

Laboratory Result :

Hasil pemeriksaan Negatif tidak menyingkirkan kemungkinan infeksi SARS-COV2(COVID-19),


Kemungkinan penyebab / A Negative result does not rule out the possibility of Covid 19
infection:

a) Tidak terinfeksi SARS-COV2 / Not currently infected with SARS-CoV-2 or Covid-19

b) Tidak ditemukan materi genetic SARS-COV2 pada sample / No Genetic material of Virus SARS-
CoV-2 or Covid-19 was found in the specimen of this patient

Pemeriksa

Shofiyatul Muyassaroh, A.Md.Ak

A laboratory assessment can only be given by a doctor who has patient clinical data. This
laboratory has been verified electronically, no signature required.

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