EXAMINATION RESULT SWAB

Name : ACHMAD SAFITRI

Sex : MALE
Date Of Birth : SEP, 27 1976
Nationality : INDONESIAN
NIK : 3174012709760002
Lab. No : SW004103
Date Received : OKT 03, 2022 Time : 13.15
Date Reported : OKT 03, 2022 Time : 13.38
Date Printed : OKT 03, 2022 Time : 13.39

The result of Examination in the Reference Laboratory for

ANTIGEN SARS CoV-2 : Negative

Doctor in charge

(dr. Endang Woro H.W., Sp.PK)

Disclaimer : A negative Antigen result does not always mean that the patient is not infected
by pathogen, but only shows that the genatic material for the pathogen is not
found in the sampel.
 EXAMINATION RESULT SWAB

Name : FATIH RIZKY RAMADHAN

Sex : MALE
Date Of Birth : 25 AGUST 2011
Nationality : INDONESIAN
NIK : 3172062508111003
Lab. No : SW011305
Date Received : AGST 13, 2022 Time : 07.10
Date Reported : AGST 13, 2022 Time : 07.34

The result of Examination in the Reference Laboratory for

ANTIGEN SARS CoV-2 : Negative

Doctor in charge

(dr. Endang Woro H.W., Sp.PK)

Disclaimer : A negative Antigen result does not always mean that the patient is not infected
by pathogen, but only shows that the genatic material for the pathogen is not
found in the sampel.
 EXAMINATION RESULT SWAB

Name : DEDE ROHADI

Sex : MALE
Date Of Birth : JUN, 14 1980
Nationality : INDONESIAN
NIK : 3175011406800001
Lab. No : SW003328
Date Received : APR 19, 2022 Time : 10.18
Date Reported : APR 19, 2022 Time : 10.47
Date Printed : APR 19, 2022 Time : 10.48

The result of Examination in the Reference Laboratory for

ANTIGEN SARS CoV-2 : Negative

Doctor in charge

(dr. Endang Woro H.W., Sp.PK)

Disclaimer : A negative Antigen result does not always mean that the patient is not infected
by pathogen, but only shows that the genatic material for the pathogen is not
found in the sampel.
 EXAMINATION RESULT SWAB

Name : DIKI JULKARNAEN

Sex : MALE
Date Of Birth : MAR, 19 1990
Nationality : INDONESIAN
NIK : 3201161903900001
Lab. No : SW004101
Date Received : OKT 03, 2022 Time : 13.10
Date Reported : OKT 03, 2022 Time : 13.32
Date Printed : OKT 03, 2022 Time : 13.35

The result of Examination in the Reference Laboratory for

ANTIGEN SARS CoV-2 : Negative

Doctor in charge

(dr. Endang Woro H.W., Sp.PK)

Disclaimer : A negative Antigen result does not always mean that the patient is not infected
by pathogen, but only shows that the genatic material for the pathogen is not
found in the sampel.
 EXAMINATION RESULT SWAB

Name : MUSLIM JODIM

Sex : MALE
Date Of Birth : DES, 27 1989
Nationality : INDONESIAN
NIK : 3602142712890004
Lab. No : SW003331
Date Received : APR 19, 2022 Time : 10.25
Date Reported : APR 19, 2022 Time : 10.55
Date Printed : APR 19, 2022 Time : 10.56

The result of Examination in the Reference Laboratory for

ANTIGEN SARS CoV-2 : Negative

Doctor in charge

(dr. Endang Woro H.W., Sp.PK)

Disclaimer : A negative Antigen result does not always mean that the patient is not infected
by pathogen, but only shows that the genatic material for the pathogen is not
found in the sampel.
 EXAMINATION RESULT SWAB

Name : NUR HIDAYATULLAH IBRAHIM

Sex : MALE
Date Of Birth : JAN, 02 1998
Nationality : INDONESIAN
NIK : 3214100201980006
Lab. No : SW003332
Date Received : APR 19, 2022 Time : 10.27
Date Reported : APR 19, 2022 Time : 10.58
Date Printed : APR 19, 2022 Time : 10.59

The result of Examination in the Reference Laboratory for

ANTIGEN SARS CoV-2 : Negative

Doctor in charge

(dr. Endang Woro H.W., Sp.PK)

Disclaimer : A negative Antigen result does not always mean that the patient is not infected
by pathogen, but only shows that the genatic material for the pathogen is not
found in the sampel.
 EXAMINATION RESULT SWAB

Name : ACEP PEBRIYANA

Sex : MALE
Date Of Birth : FEB, 09 1994
Nationality : INDONESIAN
NIK : 3214100902940001
Lab. No : SW003333
Date Received : OKT 03, 2022 Time : 13.13
Date Reported : OKT 03, 2022 Time : 13.35
Date Printed : OKT 03, 2022 Time : 13.36

The result of Examination in the Reference Laboratory for

ANTIGEN SARS CoV-2 : Negative

Doctor in charge

(dr. Endang Woro H.W., Sp.PK)

Disclaimer : A negative Antigen result does not always mean that the patient is not infected
by pathogen, but only shows that the genatic material for the pathogen is not
found in the sampel.
 EXAMINATION RESULT SWAB

Name : ACHMAD SAFITRI

Sex : MALE
Date Of Birth : SEPT, 27 1976
Nationality : INDONESIAN
NIK : 3174012709760002
Lab. No : SW0034108
Date Received : MEI 12, 2022 Time : 08.17
Date Reported : MEI 12, 2022 Time : 08.48
Date Printed : MEI 12, 2022 Time : 08.49

The result of Examination in the Reference Laboratory for

ANTIGEN SARS CoV-2 : Negative

Doctor in charge

(dr. Endang Woro H.W., Sp.PK)

Disclaimer : A negative Antigen result does not always mean that the patient is not infected
by pathogen, but only shows that the genatic material for the pathogen is not
found in the sampel.
 EXAMINATION RESULT SWAB

Name : ACHMAD RIDWAN

Sex : MALE
Date Of Birth : DES, 15 1992
Nationality : INDONESIAN
NIK : 3175031512920004
Lab. No : SW004104
Date Received : OKT 03, 2022 Time : 13.18
Date Reported : OKT 03, 2022 Time : 13.40
Date Printed : OKT 03, 2022 Time : 13.41

The result of Examination in the Reference Laboratory for

ANTIGEN SARS CoV-2 : Negative

Doctor in charge

(dr. Endang Woro H.W., Sp.PK)

Disclaimer : A negative Antigen result does not always mean that the patient is not infected
by pathogen, but only shows that the genatic material for the pathogen is not
found in the sampel.
 EXAMINATION RESULT SWAB

Name : DENI SATRIA

Sex : MALE
Date Of Birth : DES, 13 2004
Nationality : INDONESIAN
NIK : 3201151312040006
Lab. No : SW00501
Date Received : JAN 17, 2023 Time : 12.25
Date Reported : JAN 17, 2023 Time : 12.42
Date Printed : JAN 17, 2023 Time : 12.43

The result of Examination in the Reference Laboratory for

ANTIGEN SARS CoV-2 : Negative

Doctor in charge

(dr. Endang Woro H.W., Sp.PK)

Disclaimer : A negative Antigen result does not always mean that the patient is not infected
by pathogen, but only shows that the genatic material for the pathogen is not
found in the sampel.
 EXAMINATION RESULT SWAB

Name : MUHAMMAD DAFFA AFNI

Sex : MALE
Date Of Birth : DES, 13 2004
Nationality : INDONESIAN
NIK : 3201151312040006
Lab. No : SW00501
Date Received : JAN 23, 2023 Time : 08.10
Date Reported : JAN 23, 2023 Time : 08.28
Date Printed : JAN 23, 2023 Time : 08.29

The result of Examination in the Reference Laboratory for

ANTIGEN SARS CoV-2 : Negative

Doctor in charge

(dr. Endang Woro H.W., Sp.PK)

Disclaimer : A negative Antigen result does not always mean that the patient is not infected
by pathogen, but only shows that the genatic material for the pathogen is not
found in the sampel.
 EXAMINATION RESULT SWAB

Name : NURJAYA
Sex : MALE
Date Of Birth : JUL, 15 1975
Nationality : INDONESIAN
NIK : 3201151507750016
Lab. No : SW00502
Date Received : JAN 23, 2023 Time : 08.12
Date Reported : JAN 23, 2023 Time : 08.30
Date Printed : JAN 23, 2023 Time : 08.31

The result of Examination in the Reference Laboratory for

ANTIGEN SARS CoV-2 : Negative

Doctor in charge

(dr. Endang Woro H.W., Sp.PK)

Disclaimer : A negative Antigen result does not always mean that the patient is not infected
by pathogen, but only shows that the genatic material for the pathogen is not
found in the sampel.
 EXAMINATION RESULT SWAB

Name : SARBINI
Sex : MALE
Date Of Birth : APR, 04 1980
Nationality : INDONESIAN
NIK : 3201150404800008
Lab. No : SW00503
Date Received : JAN 23, 2023 Time : 08.14
Date Reported : JAN 23, 2023 Time : 08.34
Date Printed : JAN 23, 2023 Time : 08.35

The result of Examination in the Reference Laboratory for

ANTIGEN SARS CoV-2 : Negative

Doctor in charge

(dr. Endang Woro H.W., Sp.PK)

Disclaimer : A negative Antigen result does not always mean that the patient is not infected
by pathogen, but only shows that the genatic material for the pathogen is not
found in the sampel.