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    1) The document contains laboratory test results from Paramitra Medika 2 clinic in Bekasi for 5 patients tested for SARS-CoV-2 antigen on July 16, 2021. 2) All 5 patients - Lilis, Anariyanto, Abdillah Fariz, Abdul Kholil, and Anggi Setiawan - tested negative for SARS-CoV-2 antigen. 3) The laboratory tests were conducted by dr. Esna Artina Tumanggor and the results were printed on July 16, 2021.

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    PRINT PT SABLON

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    1) The document contains laboratory test results from Paramitra Medika 2 clinic in Bekasi for 5 patients tested for SARS-CoV-2 antigen on July 16, 2021. 2) All 5 patients - Lilis, Anariyanto, Abdillah Fariz, Abdul Kholil, and Anggi Setiawan - tested negative for SARS-CoV-2 antigen. 3) The laboratory tests were conducted by dr. Esna Artina Tumanggor and the results were printed on July 16, 2021.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    8 views29 pages

    Print PT Sablon

    Uploaded by

    oktaviana
    1) The document contains laboratory test results from Paramitra Medika 2 clinic in Bekasi for 5 patients tested for SARS-CoV-2 antigen on July 16, 2021. 2) All 5 patients - Lilis, Anariyanto, Abdillah Fariz, Abdul Kholil, and Anggi Setiawan - tested negative for SARS-CoV-2 antigen. 3) The laboratory tests were conducted by dr. Esna Artina Tumanggor and the results were printed on July 16, 2021.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 29

    KLINIK

    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : LILIS (P)
    Umur ( Age ) : 40 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : KP JATI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0035


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : ANARIYANTO (L)
    Umur ( Age ) : 33 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0045


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : ABDILLAH FARIZ (L)
    Umur ( Age ) : 39 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0051


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : ABDUL KHOLIL (L)
    Umur ( Age ) : 32 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : KP CIBENING 04/08

    No. Lab. ( Laboratory number ) : LAB.1626453453.0043


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : ANGGI SETIAWAN (L)
    Umur ( Age ) : 27 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0052


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : NENTRA (L)
    Umur ( Age ) : 30 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0048


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : ABDUL WAHAB (L)
    Umur ( Age ) : 32 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0045


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : ABDUL MUCHAROM (L)
    Umur ( Age ) : 32 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0059


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : ANTON (L)
    Umur ( Age ) : 32 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0053


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : IIS SUKAESIH (P)
    Umur ( Age ) : 36 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : KP PEKOPEN COBRA RT 06/05

    No. Lab. ( Laboratory number ) : LAB.1626453453.0037


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : IPAH (P)
    Umur ( Age ) : 38 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : KP CIKETING 004/008

    No. Lab. ( Laboratory number ) : LAB.1626453453.0044


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : IMAS SARI (P)
    Umur ( Age ) : 25 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BANTAR GEBANG UTARA RT 001/003

    No. Lab. ( Laboratory number ) : LAB.1626453453.0035


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : JAINURIL (L)
    Umur ( Age ) : 29 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0057


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : KOMARIAH (P)
    Umur ( Age ) : 34 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0045


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : JENAH (P)
    Umur ( Age ) : 31 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : KP RAWA SEMUT RT 03/12

    No. Lab. ( Laboratory number ) : LAB.1626453453.0038


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Positif* Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : KUSNIA (P)
    Umur ( Age ) : 34 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : KP JATI MULYA RT 007/006

    No. Lab. ( Laboratory number ) : LAB.1626453453.0039


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : MARWAN (L)
    Umur ( Age ) : 39 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0050


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : AMELIA (P)
    Umur ( Age ) : 31 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0038


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : LUTFI (L)
    Umur ( Age ) : 30 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0054


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : NOVI (P)
    Umur ( Age ) : 33 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : KP JATI MULYA RT 004/002

    No. Lab. ( Laboratory number ) : LAB.1626453453.0041


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : NURROHIM (L)
    Umur ( Age ) : 33 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0046


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : NYAI MISNAH (P)
    Umur ( Age ) : 40 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : KP JATI MULYA RT 001/006

    No. Lab. ( Laboratory number ) : LAB.1626453453.0040


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : ROSITA SARI (P)
    Umur ( Age ) : 39 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0038


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : SITI MARIAM B (P)
    Umur ( Age ) : 41 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0045


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : RULIYANTO (L)
    Umur ( Age ) : 28 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0049


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : SITI MARIAM A (P)
    Umur ( Age ) : 26 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : JL BOJONG ASIH 12

    No. Lab. ( Laboratory number ) : LAB.1626453453.0042


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : TARSIM (L)
    Umur ( Age ) : 32 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0056


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : TEDI SUPRIYADI (L)
    Umur ( Age ) : 31 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0047


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48


    KLINIK
    PARAMITRA MEDIKA 2
    Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
    Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

    LABORATORIUM KLINIK
    Asal /Ruang ( Origin / Room ) : Bebas
    No. Registrasi ( Registration number ) :
    NIK ( Identity Number ) :
    No. RM ( Medical record number ) :
    Nama Pasien ( Name ) : YAKUB (L)
    Umur ( Age ) : 37 thn
    Perusahaan ( Company ) : PT UTAMA JAYA SABLON
    Alamat ( Address ) : BEKASI

    No. Lab. ( Laboratory number ) : LAB.1626453453.0055


    Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
    Tgl Periksa ( Check date ) : 16 July 2021
    Tgl Selesai ( Finished date ) : 16 July 2021

    HASIL PEMERIKSAAN
    Laboratory examination results Page 1 of 1

    NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET


    ( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

    RAPID TEST
    Antigen SARS-CoV-2 Negatif Negatif

    Catatan Bekasi, 16/07/2021 10:30:33


    ( Note ) Petugas : MARIYAH

    Dokter : dr. ESNA ARTINA


    SIP : 440/159.1/DU/SDK/2017

    Dicetak tanggal ( Print Date) : 16/07/2021 20.01.48

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