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Name : UCY TRIANDINI Lab.

Number : NMC22010022
Date Of Birth : 14-01-2012 Med. Record : MDN0017853
KTP/Passport : 1207315401120001 Date of Exam : 13-01-2022 11:08
Room Number : - Date of Result : 13-01-2022 16:47
Sex : Female Company : MCI LAB
Nationality : INDONESIA

Penanggung Jawab : dr.Emi Memory Pakpahan,Sp.Pk

LABORATORY RESULT
EXAMINATION RESULT NORMAL RANGE

RT-PCR Test (Swab)

Sample Nasopharyngeal and Oropharyngeal


SARS-COV-2 Negative Negative

Molekular

SARS_CoV-2

Cycle treshold : Gen_Orf1ab & Gen_N = >35.00

Laboratory Result :

Hasil pemeriksaan Negatif tidak menyingkirkan kemungkinan infeksi SARS-COV2(COVID-19),


Kemungkinan penyebab / A Negative result does not rule out the possibility of Covid 19
infection:

a) Tidak terinfeksi SARS-COV2 / Not currently infected with SARS-CoV-2 or Covid-19

b) Tidak ditemukan materi genetic SARS-COV2 pada sample / No Genetic material of Virus SARS-
CoV-2 or Covid-19 was found in the specimen of this patient

Pemeriksa

Buge Mupenane,A.Md.Kes

A laboratory assessment can only be given by a doctor who has patient clinical data. This
laboratory has been verified electronically, no signature required.

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