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Name : ANDI DERMAWAN Lab.

Number : NMC21080099
Date Of Birth : 09-06-1985 Med. Record : MKS0001328
KTP/Passport : '3209360906850003 Date of Exam : 24-08-2021 10:26
Room Number : Date of Result : 24-08-2021 20:00
Sex : Male Company : KEMENAG
Nationality : Indonesia

Penanggung Jawab : dr Petty Atmadja, 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

Sri Rahayu, S.Tr. 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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