RSU Bunda Jakarta

Jl. Teuku Cik Ditiro No. 21

Menteng - Jakarta Pusat 10350
Indonesia
Call Center : 1-500-799

Clinical Pathologist :
Prof. dr. Siti Boedina, Sp.PK(K)
dr. Dennis Jacobus, Sp.PK
Name : WAHYU PURNAMA A. SE, AKT Order Time : 27-06-2022 09:35
Laboratory number : 2206270224AI Sampling Time : 27-06-2022 09:18
Customer ID : 0011220600736 Received Time : 27-06-2022 09:39
Identity : 3175080203680013 Referrer : Diagnos Padang
Birth Date / Age : 02-03-1968 / 54 Year(s) 3 Month(s) 25 Day(s) Referrer Address :
Gender : Male Doctor : dr. Meri Ponda Sari, SpPK
Address : RSU BUNDA BMC - Clinical Information :
Phone / Email : /

LABORATORY TEST RESULT REFERENCE VALUE UNIT DESCRIPTION

MOLECULAR AND GENOMICS

SARS-CoV 2 Rapid Molecular Assay
Conclusion Negative Negative

Sample type : Nasopharyngeal & Oropharyngeal Swab

Method : Real Time RT-PCR nucleic acid amplification test (real time RT-PCR)

*This document has been electronically validated Dot (.) is used as decimal separator for numeric test results.
Validation Time : 27/06/2022 10:46:49 by Andi Trisnandi, S.Si, M.Si
Result Print Time : 27/06/2022 10:48:14 by Nur Sepdwinda Antikalini
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