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 JAYA UTAMA 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