Contoh PCR

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Pathology Department

Jl. Raya Jatinegara Timur 85-87


Jakarta 13310 - Indonesia
Call Centre: 1500-908, Fax: 021-2800-755

Consultant: Dr. Tjan Sian Hwa SpPK

M.R.N : 01139165 Sex : Male Lab No. : 202101200338


Age : 28 D.O.B : 22-12-1992 Patient Name : Rizki Fadilla
Location : Poli Drive Thru Requesting Dr : Poli Umum

Report to : Poli Umum

Collection Time & Date Received in Lab Specimens received


12 : 13 20-01-2021 12 : 13 20-01-2021 SW,

Cilinical Notes
-
MOLECULAR
BAHAN : 'Nasopharyngeal and oropharyngeal swab
PCR SARS CoV2 : -/Negative

Authorized by : Selina Arvini


Date : 21-01-2021
Print Time/Date: 10:43 21/01/2021 *** FINAL REPORT ***
Time : 09 : 54
Page : 1 of 1

LABORATORY / PHARMACY / RADIOLOGY / AMBULANCE 24 HRS


F/E-II/04 Rev.01

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