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Tuesday, 13th December, 2022

LAPORAN HASIL / Laboratory Result


UC/31/305010/XII/2022

No. Registrasi Lab


Nama Pasien I PUTU ERI
: Lab Registration : 791/UCLAB/131222/A259289
Patient's Name DARMAYASA
Number
Kewarganegaraan
: INDONESIA
Nationality
Pengirim /
Tanggal Lahir Rumah Sakit
: April 25th, 2000 : UNICARE UBUD
Date of Birth Physician /
Hospital
Jenis Kelamin Spesimen NASOPHARYNGEAL &
: MALE :
Gender Specimens OROPHARYNGEAL
No. RM Tanggal SWAB
: - : December 13th, 2022 (02:00 PM)
Medical Record Number SWAB Date
No. Indent.
Tanggal Diterima
Kependudukan : E0441188 : December 13th, 2022
Receive Date
Residence ID Number
BR DINAS KAYANG,
Alamat Cetak Hasil
: DESA KAYUBIHI, : December 13th, 2022
Address Print Out Date
BANGLI

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

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