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  • Unicare - Certificate - I WAYAN SUGIARTA

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    Unicare Drivethru
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    I Wayan Sugiarta from Indonesia had nasopharyngeal and oropharyngeal swabs collected on December 13, 2022 and tested for SARS-CoV2 via RT-PCR. The test results were negative. The report was issued on December 13, 2022 by Dr. I Wayan Duta Krisna of Unicare Ubud hospital.

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    unicare_certificate_I WAYAN SUGIARTA

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    I Wayan Sugiarta from Indonesia had nasopharyngeal and oropharyngeal swabs collected on December 13, 2022 and tested for SARS-CoV2 via RT-PCR. The test results were negative. The report was issued on December 13, 2022 by Dr. I Wayan Duta Krisna of Unicare Ubud hospital.

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    5 views1 page

    Unicare - Certificate - I WAYAN SUGIARTA

    Uploaded by

    Unicare Drivethru
    I Wayan Sugiarta from Indonesia had nasopharyngeal and oropharyngeal swabs collected on December 13, 2022 and tested for SARS-CoV2 via RT-PCR. The test results were negative. The report was issued on December 13, 2022 by Dr. I Wayan Duta Krisna of Unicare Ubud hospital.

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    of 1

    Tuesday, 13th December, 2022

    LAPORAN HASIL / Laboratory Result


    UC/31/305009/XII/2022

    No. Registrasi Lab


    Nama Pasien
    : I WAYAN SUGIARTA Lab Registration : 791/UCLAB/131222/A259288
    Patient's Name
    Number
    Kewarganegaraan
    : INDONESIA
    Nationality
    Pengirim / Rumah
    Tanggal Lahir Sakit
    : April 5th, 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 : E0441190 : 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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