110003011-PKM Tarogong-Garut-Jabar 01/12/21 10:50:10

Test Report

Patient ID:
Sample ID: IWA 29TH PKM TRG
Test Type: Specimen
Sample Type:
Assay Information
Assay Assay Version Assay Type
Xpert MTB-RIF Assay G4 6 In Vitro Diagnostic

Test Result: MTB NOT DETECTED

-
Analyte Result
Analyte Ct EndPt Analyte Probe
Name Result Check
Result
Probe D 0.0 1 NEG PASS
Probe C 0.0 -5 NEG PASS
Probe E 0.0 -2 NEG PASS
Probe B 0.0 1 NEG PASS
SPC 29.6 237 PASS PASS
Probe A 0.0 0 NEG PASS
QC-1 0.0 0 NEG PASS
QC-2 0.0 0 NEG PASS

User: Pkm Tarogong

Status: Done Start Time: 01/12/21 08:35:17
Expiration Date*: 12/06/22 End Time: 01/12/21 10:17:07
S/W Version: 6.2 Instrument S/N: 110003011
Cartridge S/N*: 765064544 Module S/N: 210017267
Reagent Lot ID*: 26105 Module Name: B1
Notes:
Error Status: OK
-
Errors
<None>

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 6.2 CONFIDENTIAL Page 1 of 4

110003011-PKM Tarogong-Garut-Jabar 01/12/21 10:50:10

Test Report

Tech. Initial/Date Supervisor Initial/Date

* indicates that a particular field is entered using a barcode scanner

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 6.2 CONFIDENTIAL Page 2 of 4

110003011-PKM Tarogong-Garut-Jabar 01/12/21 10:50:10

Test Report

Patient ID:
Sample ID: AHMAD AMARILIS 3
Test Type: Specimen
Sample Type:
Assay Information
Assay Assay Version Assay Type
Xpert MTB-RIF Assay G4 6 In Vitro Diagnostic

Test Result: MTB NOT DETECTED

-
Analyte Result
Analyte Ct EndPt Analyte Probe
Name Result Check
Result
Probe D 0.0 1 NEG PASS
Probe C 0.0 -5 NEG PASS
Probe E 0.0 -2 NEG PASS
Probe B 0.0 1 NEG PASS
SPC 25.2 247 PASS PASS
Probe A 0.0 1 NEG PASS
QC-1 0.0 0 NEG PASS
QC-2 0.0 0 NEG PASS

User: Pkm Tarogong

Status: Done Start Time: 30/11/21 11:00:01
Expiration Date*: 12/06/22 End Time: 30/11/21 12:42:06
S/W Version: 6.2 Instrument S/N: 110003011
Cartridge S/N*: 765064531 Module S/N: 210017267
Reagent Lot ID*: 26105 Module Name: B1
Notes:
Error Status: OK
-
Errors
<None>

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 6.2 CONFIDENTIAL Page 3 of 4

110003011-PKM Tarogong-Garut-Jabar 01/12/21 10:50:10

Test Report

Tech. Initial/Date Supervisor Initial/Date

* indicates that a particular field is entered using a barcode scanner

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 6.2 CONFIDENTIAL Page 4 of 4