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PT.

Sinergi Kinan Medika

Jl. Kalibaru Barat No.3 Jakarta

LABORATORY RESULT

Name DANDY RAHMATULLAH Sample # gOTh6891220914001

ID/NIK 3175070512991001 Clinic ID 0538d273046d4ed85b5c8ac2a4c0afe4033b1572

Date of 1999-12-05 Lab ID

Birth

Phone +6281223146891 Date 14 Sep 2022 17:01:48

Collected

Email dandyrachmatullah99@gmail.com Date

Received

Gender Male Date 14 Sep 2022

Reported

Test Specimen Result Normal Range

Antigen SARS CoV-2 Nasopharyngeal Negative Negative

Approved By Dr. Tuty Rizkianti, Sp. PK

14 Sep 2022 17:20:15

Print Date 14 Sep 2022

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