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CERTIFICATE OF LABORATORY EXAMINATION

Lab Order No : 210311419231 Patient ID : 210325067


Name : Bimantara Wisnu Aji Mahendra Company : Bhakti Vedanta Medical P
Date of Birth : 12/03/1999 - 22 Y.O Doctor : APS
Gender : Male
Drawn Date/Time : 25/03/2021
Address : Jl. Wilis II C No. 6 RT 003/RW 006, Jawa
Timur

Laboratory Testing Result Head Of Lab : dr. Herry Herlambang, Sp.PK


Analyte Results Unit Reference Range
Immuno Serology
Swab Antigen Sars COV -2 Negative Negative

Note
Recommendation:

1.Positive result is recomended to confirm with swab test PCR for SARS-CoV-2.

2.Social/physical distancing.

3.Follow health protocols and self hygiene.

4.Negative result does not mean you are free from the SARS-CoV-2 infection.

Recommendation to retest or do the confirmation test with NAAT, if the pretest probability high

relative, especially if the patient have symptom or contact with a confirmed COVID-19 person.

5.Negative result shows the antigen quantity in the specimen is below the analyzer level detection.

Badung - Bali, March 25 2021, 14 : 57

Authorized by : desak trisna

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