Name : AGUS FAHMI Lab.

Number : NMC22050002
Date Of Birth : 05 Agst 2000 Med. Record : TGL0001042
KTP/Passport : 3328020508000012 Date of Exam : 17 Mei 2022 16:00
Room Number : - Date of Result : 18 Mei 2022 10:30
Sex : Male Company : RS HAWARI ESSA
Nationality : INDONESIA

Penanggung Jawab : dr. Jono Ulomo 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_Rdrp & Gen_N = >40.00

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

dr. Jono Ulomo Sp.PK

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