Pemeriksa/Investigator : Beni Amd.

Ak
Dokter/Doctor
No. Reg/Reg. No
space gaes
Nama/Name
NIK/ID No.
Tanggal Lahir/DOB
Jenis Kelamin/Sex
Waktu Sampling/Date Collected
Waktu Periksa/Check Date
Waktu Selesai/Result Date
Alamat / Address
dffffffffffffffffffffffffffffffff
: dr. Andi Ahmad Tarau, Sp.PK
: 1092767 dffffffffffffffffffffffffffffffff
: ABSYAR RAFFASYA RAFI dffffffffffffffffffffffffffffffff
: 9104010110180001
Kewarganegaraan/Nationality : INDONESIA
: 2018-10-01
No. Passport / Passport No : -
: Laki-laki/Male
Faskes Asal / Health Facility : Quicktest Makassar
: 13 February 2022
Kota / City : Makassar
: 13 February 2022
Instansi / Institution : KLINIK SHAFIA
: 13 February 2022
: Jl. Pipit Nabarua Atas

Pemeriksaan/Test Hasil/Result Batas Normal / Normal Range Metode / Method

PCR SARS-CoV-2

2019-nCoV
FAM / ORF 1 AB Negative Negative (Cut off CT value 40) RT-PCR
VIC / N GEN Negative Negative (Cut off CT value 40) RT-PCR
ROX / S GEN Negative Negative (Cut off CT value 40) RT-PCR
Interpretasi Negative

Disclaimers :

Catatan:
1. Hasil pemeriksaan dikerjakan dengan metode RT-PCR dan hanya menggambarkan kondisi saat pengambilan spesimen.
2. Hasil PCR Negatif tidak selalu berarti pasien tidak terinfeksi oleh pathogen, namun hanya menunjukan bahwa material genetik pathogen tidak
ditemukan di dalam sample
3. Jika hasil PCR positif atau timbul gejala klinis setelah pemeriksaan, silahkan hubungi dokter atau fasilitas kesehatan terdekat.
4. Hasil PCR tidak dapat dibandingkan antar satu laboratorium dengan laboratorium lain, karena perbedaan alat dan target gen yang digunakan.
5. Surat ini dikirim dan ditandatangani secara elektronik

Note :
1. The above examination results were carried out using the RT-PCR method and only described then condition at the time of specimen
collection
2. A negative PCR result does not necessarly mean that the patien is not infected with the pathogen, but only indicates that phatogenic genetic
material is not pressent in the sample
3. If the PCR result is positive or clinical symptoms appear after the examination, please contact the doctor or the nearst health facility.
4. PCR results cannot be compared between one laboratory and another, due to differences in then tools and target genes used.
5. The letter is sent and signed electronicaly

Absyar Raffasya Rafi Makassar, 13 February 2022

Dokter Pemeriksa / Physician Examiner

dr. Andi Ahmad Tarau, Sp.PK

info@quicktest.id
021-2138999(for result)
https://quicktest.id
Jl. Pengayoman no 10, Ruko Cornelian Makassar, Sulawesi Selatan 90231