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    Ibik Prismatama
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    This document is a medical test result from PT. Inti Bios Juanda Sejahtera for a patient named IBIK PRISMATAM. It shows that a RT-PCR test for SARS-CoV-2 was performed on a sample taken on March 3, 2022 and the result was negative. The test was examined on March 3, 2022 and the result was validated on March 5, 2022.

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    This document is a medical test result from PT. Inti Bios Juanda Sejahtera for a patient named IBIK PRISMATAM. It shows that a RT-PCR test for SARS-CoV-2 was performed on a sample taken on March 3, 2022 and the result was negative. The test was examined on March 3, 2022 and the result was validated on March 5, 2022.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    5 views1 page

    Soft File Swab

    Uploaded by

    Ibik Prismatama
    This document is a medical test result from PT. Inti Bios Juanda Sejahtera for a patient named IBIK PRISMATAM. It shows that a RT-PCR test for SARS-CoV-2 was performed on a sample taken on March 3, 2022 and the result was negative. The test was examined on March 3, 2022 and the result was validated on March 5, 2022.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    PT.

    Inti Bios Juanda Sejahtera


    JL. RAYA BY PASS JUANDA NO. 83
    KEL.SEDATI GEDE KEC.SEDATI,
    KAB. SIDOARJO, JAWA TIMUR 61253

    Tel: 62 - 81252801050 Email: intibios.sidoarjo@gmail.com

    Nama : IBIK PRISMATAM Faskes/ dr Pengirim :


    Name A Referrance / Sender

    Nomor Sampel : C.693.22.02000342 Tanggal Penerimaan : 03/08/2022 11:49


    Sample ID Receipt Date

    Tanggal Lahir : 09/11/2001 Tanggal Pemeriksa an : 03/08/2022 17:30


    Date of Birth Examination Date

    Nomor Identitas : 3506130911010006 Tanggal Valida si Hasil : 03/05/2022 21:16


    ID number Validation Date

    Jenis Kelamin : Laki-laki Tanggal Cetak Hasil : 03/08/2022 21:16


    Gender Male Print Out Date

    Nomor Telepon : 081804296182


    Phone number

    Alamat : KEDIRI
    Address

    Pemeriksaan Satuan Hasil Metode Status


    Type of Examination Unit Result Method Status

    RT-PCR SARS-CoV-2 - NEGATIVE RT-PCR Final

    N : 11.68
    CT Value gen : 15.1
    ORF1AB

    Internal Control : 26.34

    Catatan Pemeriksaan RT-PCR SARS-CoV-2 dilakukan pada spesimen swab nasofaring dan orofaring. Hasil pemeriksaan hanya Notes menggambarkan kondisi saat pengambilan spesimen.
    SARS-CoV-2 RT-PCR test was performed on nasopharyngeal and oropharyngeal swab. Test result only described the condition during specimen collection.

    Telah dr. Ratna Kusumawati Mked.Klin.SpMK diverifikasi oleh


    Verified by

    Penanggung jawab,

    dr Ratna kusumawati. M.Ked.Klin.Sp.MK

    No. SIP: -

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