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HEALTH SCREENING REPORT

Special Health Examination

CONFIDENTIAL
No Lab/No. Med Record : 121020220132/ 054217

PERSONAL DATA
Name : MINDI CLARA HULLY
Birthday/Gender/Emp.ID : 24-05-2004 / 8106026403040008
Address : VILLA CEMARA NO 23 RT001 / RW 003, KEL.KAMPUNG
SERAYA, KEC BT AMPAR

LABORATORY REPORT
Test Name Result Unit Reference Range
MOLECULAR
SARS-CoV-2 RNA (N, ORF1ab Gene)

Specimen
SAR-CoV-2 RNA N Gene : Not Detected Not Detected
SAR-CoV-2 RNA ORF1ab Gene : Not Detected Not Detected
Date Issued : 12-10-2022
Reference Laboratory : MEDILAB, BATAM, INDONESIA

Date of Exam : 12-10-2022

>> Computer Generated Report , No Signature Required <<

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