H

ASI
LPEMERI
KSAANLAB
ORATORI
UM
L
ABORATORYTESTRESUL
T
N
o.R
eg/
Reg
.No
. : S
PC2
506
202
1048
4 I
ns
tan
si
/I
ns
ti
tu
ti
on : K
LI
NI
KI
BUK
UKE
LAP
AGADI
NG
N
ama
/Na
me : H
ANAYU
KIAME
LI
A N
IK/
I
DNo
. : 3
17407
6909
000001
Tan
gga
lLah
ir
/DOB : 2
9-09
-2000 N
o.P
assp
ort
/Pa
sspor
tNo
. :
Je
ni
sKel
ami
n/Sex : F
emal
e K
ewar
gan
egar
aan/
Nati
on
al
it
y. : I
nd
one
si
a
Wa
ktuS
amp
li
ng
/Da
teCo
ll
ec
ted : S
ela
sa,06
-07
-202
1 Al
ama
t/Ad
dre
ss : K
P.CI
DOK
OM.CI
DOK
OM,GU
NUN
GSI
NDU
R
Wa
ktuP
eri
ks
a/Da
teR
ece
iv
ed : S
ela
sa,06
-07
-202
1 F
ask
esAs
al
/H
eal
t
hFa
ci
li
t
y : S
pee
dl
abI
nd
one
si
a
Wakt
uSel
es
ai
/Dat
eRep
ort
ed : R
abu
,07
-07
-202
1 K
ota
/Ci
t
y : S
out
hJa
kar
ta
Je
ni
sSamp
le
/Sampl
eTy
pe
1
.Or
ofa
ri
ng
&Na
sof
ari
ng
.S
2 p
utu
m
.S
3 a
li
va
DAL
AMK I
SAR
AN DI
LUARKI
SARAN N
ILAIR
UJUK
AN/
NOR
MAL
P
EME
RIK
SAAN
/TE
ST RUJ
UKAN/
VALUE
SWI
THI
N RUJUK
AN/VALUE RANGE ME
TODE
/ME
THOD
RANGE OUTSI
DERANGE
S
ARS-
CoV-2
201
9-n
CoV N
ega
ti
ve N
ega
ti
ve R
eal
Time
RT-
PCR
VI
C/Ng
ene U
nde
tec
ti
on U
nde
tec
ti
on
/Ct
>=3
5 R
eal
Time
RT-
PCR
F
AM/ORF1
ab U
nde
tec
ti
on U
nde
tec
ti
on
/Ct
>=3
5 R
eal
Time
RT-
PCR

Cat
ata
n:
-Has
il
in
ihan
yamengg
ambar
kankond
is
isaa
tp e
ngambi
l
ans
pes
imen
,Ji
kat
i
mbu
lGe
jal
akl
i
ni
sat
auk
ont
akd
eng
anp
asi
ent
eri
nd
ik
asi
set
el
ahp
eme
ri
ks
aan
,si
l
ahk
anme
ngh
ubu
ngi
Dok
ter
/Fa
si
li
t
asK
ese
hat
ant
erd
eka
t.P
eme
ri
ks
aanUl
an
gda
patd
il
ak
uka
n
be
rda
sar
kanrek
omen
dasi
dokt
er.
-Has
il
PCRti
dakda
patdi
ban
di
ngkanan
taral
atdange
nyan
gberb
eda.

Not
e:
-Thes
ere
sul
tson
lyde
scr
ibeth
econ
di
ti
onsatwhi
chth
especi
menwasc
ol
le
cte
d,i
fcl
i
ni
ca
lsy
mpt
omso
rpa
ti
en
tco
nta
cto
ccu
rr
edi
nd
ic
ate
daf
tert
hee
xami
na
ti
on
,pl
ea
sec
ont
actt
hen
ear
estd
oct
or/
hea
lt
hfa
ci
li
t
y.R
e-c
hec
ki
ngc
anb
edo
neo
nth
e
r
ecommen
dati
onofadoc
tor.
-PCRRes
ul
tscan
notbecompar
edb
etwe
e ndi
f
fer
enti
nst
ru
mentsan
dgen
es.

P
etu
gasP
eme
ri
ks
a/I
nv
est
i
gat
or:MI
THU
NSI
NAGA R
abu
,07J
ul
i2
021

Do
kte
rPe
mer
i
ksa
/Ph
ysi
ci
anE
xami
ne
r

d
r.Do
nat
i
laMa
noS
,Sp
MK