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    49. YULISA HASLINDA ASPIHANI

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    4 views1 page

    Yulisa Haslinda Aspihani

    Uploaded by

    Mawardi

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    BIOLOGY MOLECULLAR LABORATORY

    LETTER OF STATEMENT
    NO. 20033768/RS.BCM/2022

    Signed below, on behalf of RS. Borneo Citra Medika's Doctors, we declare that :

    Name : YULISA HASLINDA ASPIHANI

    LC Number/ Passport : 6372054209830001

    Place, Date Of Birth : BANJARMASIN, 1983-SEPTEMBER-26

    Gender : FEMALE

    Occupation :-

    Address : KOMP. GRIYA ANGGREK MERAH BLOK B-6 RT/RW 007/005 KEL. SEKUMPUL KEC. MARTAPURA KAB. BANJAR 70614
    UKALIMANTAN SELATAN

    Inspection Material : NASOPHARYNX / OROPHARINX SWAB

    Method : PCR (POLYMERASE CHAIN REACTION)

    INSPECTION REFERENCE
    SAMPLE TIME EXAMINATION DATE RESULT TIME RESULT GEN RDRP
    PARAMETERS VALUE

    23 June 2022 23 June 2022 23 June 2022 SWAB Test SARS-COV 2 Negatif - > 38.0

    This letter of statement should be made of used accordingly and properly.

    Date, 23 June 2022


    Examiner Doctor of RS. Borneo Citra Medika

    dr. Windu Nafika, Sp.PK


    No. SIP : 503/048/SIPD/DPM-PTSP/VIII/2020

    2022-06-23 10.00 Printed By : septa Page 1 of 1

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