DARLENE CLINIC

Alamat : Jl. Bintaro Utama 9 Blok JA 1 No. 4 – Bintaro Sektor 9

Telp : (021) 74864377. Hp : 087784978811. Email : admin@darleneclinic.com
Izin Dinkes : No.446.2/0892/01-DPMPTSP/OL/2018

RDT ANTIGEN EXAMINATION DOCUMENTS

A. Patient Identity

Patien’s Name Dita Cempaka

NIK 3674036406740004

Date Of Birth June 24, 1974

Gender Female

Citizenship WNI

Address Jl. Kucica Raya JF, 17 No. 11

B. Specimen Examination

Kab. Criteria B

Check Date December 18, 2023

Check up Hours 09.57 WIB

Examination Purpose Screening

Check up Result Negative

Conclusion Not Considered COVID-19

Penanggung Jawab Faskes

Drg. Narita Sripudanty Salu