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  • LAPORAN HASIL / Laboratory Result: Patient's Name Lab Registration Number

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    Ryan Solihin
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    This document is a laboratory result from Unicare Ubud for a patient named Hary Suseno. It shows that a nasopharyngeal and oropharyngeal swab was taken from the patient on February 19th, 2022 and tested for SARS-CoV2 via RT-PCR. The result was negative, with a ct value of 33 which is below the cutoff of 40. The report was printed on February 19th, 2022 and signed by the doctor in charge, Dr. I Wayan Duta Krisna, a clinical microbiologist.

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    Unicare Certificate HARY SUSENO-Negatif

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    This document is a laboratory result from Unicare Ubud for a patient named Hary Suseno. It shows that a nasopharyngeal and oropharyngeal swab was taken from the patient on February 19th, 2022 and tested for SARS-CoV2 via RT-PCR. The result was negative, with a ct value of 33 which is below the cutoff of 40. The report was printed on February 19th, 2022 and signed by the doctor in charge, Dr. I Wayan Duta Krisna, a clinical microbiologist.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    7 views1 page

    LAPORAN HASIL / Laboratory Result: Patient's Name Lab Registration Number

    Uploaded by

    Ryan Solihin
    This document is a laboratory result from Unicare Ubud for a patient named Hary Suseno. It shows that a nasopharyngeal and oropharyngeal swab was taken from the patient on February 19th, 2022 and tested for SARS-CoV2 via RT-PCR. The result was negative, with a ct value of 33 which is below the cutoff of 40. The report was printed on February 19th, 2022 and signed by the doctor in charge, Dr. I Wayan Duta Krisna, a clinical microbiologist.

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    © All Rights Reserved
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    of 1

    Saturday, 19th February, 2022

    LAPORAN HASIL / Laboratory Result


    UC/31/224350/II/2022

    No. Registrasi
    Nama Pasien Lab
    : HARY SUSENO Lab : 791/UCLAB/190222/A164352
    Patient's Name
    Registration
    Number
    Kewarganegaraan
    : INDONESIA
    Nationality
    Pengirim /
    Tanggal Lahir Rumah Sakit
    : May 18th, 1978 : UNICARE UBUD
    Date of Birth Physician /
    Hospital
    Jenis Kelamin Spesimen NASOPHARYNGEAL &
    : MALE :
    Gender Specimens OROPHARYNGEAL
    No. RM Tanggal SWAB th
    Medical Record : - : February 19 , 2022 (05:00 PM)
    SWAB Date
    Number
    No. Indent. Tanggal
    Kependudukan : 3672071805780003 Diterima : February 19th, 2022
    Residence ID Number Receive Date
    JL.GN.BROMO XI B NO 20,
    Alamat PANCA KERTHA RT 0 RW NULL Cetak Hasil
    : : February 19th, 2022
    Address TEGAL KERTHA DENPASAR Print Out Date
    BARAT KOTA DENPASAR BALI

    JENIS PEMERIKSAAN Hasil KETERANGAN


    Type of Examination Result Other Information

    RT-PCR SARS-CoV2 NEGATIF ct 33 cut off 40

    Dokter Penanggung Jawab,

    Doctor in charge

    dr. I Wayan Duta Krisna, Sp.MK

    (Dokter Spesialis Mikrobiologi Klinik / Clinical Microbiologist)

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