RSMP/F.Lab.003/Rev.

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LABORATORIUM KLINIK
Supervisor : dr. Katrin Fitria H, SP.PK.,MMRS

LABORATORIUM RESULT
HASIL LABORATORIUM

Clinician : dr. Katrin Fitria Hendranata, Sp. PK Order Date : 11/02/2023 11:41
Dokter Tgl. Pemeriksaan

Lab No : 23019074 Completed Date : 11/02/2023 16:34

No Lab Tgl.Selesai

PID / REG No : A699204 / A230213573 Date of birth : 28-12-1987

RM / No REG Tgl. Lahir

Patient Name : TARNA, Tn Age : 35 YEARS

Nama Pasien Umur

Insurance : RUMAH SAKIT MITRA PLUMBON Ward : Mcu Exe

Penjamin INDRAMAYU Asal

Address : Karangampel - Karangampel - Kab. Indramayu

Alamat

TEST RESULT REFERENCE RANGE METHOD

PEMERIKSAAN HASIL REFERENSI METODE
SARS-CoV-2 Nucleic Acid / Asam nukleat SARS COV-2
N Gene / Gen N - NEG>40 ; POS<40
Orf1ab gene / Gen Orf1ab - NEG>40 ; POS<40 Real Time Polymerase
Conclusion / Kesimpulan (-) Negative Chain Reaction

Catatan : Hasil pemeriksaan hanya menggambarkan kondisi saat pengambilan spesimen.

Notes : Test result only described the condition during specimen collection.

Catatan : Interpretasi hasil pemeriksaan harus dikorelasikan dengan kondisi klinis. Pemeriksaan ulang dapat dilakukan
berdasarkan rekomendasi klinisi.
Notes : Interpretation of test result must be correlated with clinical condition. Repeat testing can be performed based on Clinician
recommendation.

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Validate By,

dr. Katrin Fitria H, SP.PK.,MMRS