You are on page 1of 1

Tuesday, 13th December, 2022

LAPORAN HASIL / Laboratory Result


UC/31/305011/XII/2022

No. Registrasi
Nama Pasien Lab
: I KADEK SUPARTA : 791/UCLAB/131222/A259290
Patient's Name Lab Registration
Number
Kewarganegaraan
: INDONESIA
Nationality
Pengirim /
Tanggal Lahir Rumah Sakit
: June 11th, 2002 : UNICARE UBUD
Date of Birth Physician /
Hospital
Jenis Kelamin Spesimen NASOPHARYNGEAL &
: MALE :
Gender Specimens OROPHARYNGEAL
No. RM
Tanggal SWAB
Medical Record : - : December 13th, 2022 (02:00 PM)
SWAB Date
Number
No. Indent.
Tanggal Diterima
Kependudukan : E0441217 : December 13th, 2022
Receive Date
Residence ID Number
BR DINAS MANIKAJI,
Alamat Cetak Hasil
: DESA BAN,KUBU, : December 13th, 2022
Address Print Out Date
KARANGASEM

JENIS PEMERIKSAAN Hasil KETERANGAN


Type of Examination Result Other Information

RT-PCR SARS-CoV2 NEGATIVE

Dokter Penanggung Jawab,

Doctor in charge

dr. I Wayan Duta Krisna, Sp.MK

You might also like