Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Penanggung Jawab : dr. Eddi Junaidi, SpOG.,SH.

,Mkes
Alamat : Jl. Pinangranti II /SMA 48 No.1A Jakarta Timur. telp. 021-8098928
www.taradita.com email : klinik_taradita@taradita.com

LAPORAN HASIL SWAB PCR SARS COV-2


LABORATORY RESULT PCR SWAB SARS COV-2
Nama : SALSABIL ALMAS No. Rekam medis : TRD-027379
Name KHAIRANA medical record number

No. Identitas kependudukan : 3275124606970003 Asal sampel : klinik Utama Taradita 48


/ Paspor sample from
residence ID number / Pasport

Tanggal lahir : 06-06-1997 Tanggal swab : 2021-03-11


Date of Birth swab date

Kelamin : Perempuan / Female Validasi hasil : 2021-03-11 20:28:40


Gender Validation date

Kewarganegaraan : Indonesian Cetak hasil : 2021-03-11 22:08:12


nationality Print out result

Alamat : KOMPLEK HUMA AKASIA


Address A.64 RT002/008 PONDOK
MELATI,KOTA BEKASI

JENIS PEMERIKSAAN/Type KODE SAMPLE /


HASIL/Result Keterangan / Other Information
of examination Sample Code

SARS-CoV-2 Real Time PCR C471210311002566 Negative Gen N tidak terdeteksi


Gen ORF1ab tidak terdeteksi
CutOff CT Value >35
Pemeriksaan dilakukan di laboratorium Klinik Utama Taradita 48
The examination is carried out in the laboratory Clinic Utama Taradita 48
Catatan : Jaga Kesehatan Sesuai Protokol covid-19 selama masa Pandemi
Maintain Health in Accordance with Covid -19 Protocol during the Pandemic

Mengetahui / Acknowledged

dr. Maitri Febrianthi, Sp.PK

You might also like