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RS.

Premier Bintaro Pathology Service


Jl. MH Thamrin No. 1 Sektor 7 Bintaro Jaya
Tangerang Selatan 15224 - Indonesia
Tel: 62-21 77455 500/600/700, Fax: 74550800

Consultant: Dr. July Kumalawati Widyaharsana SpPK

M.R.N : 00575234 Sex : Female Lab No. : 202009120276


Age : 31 D.O.B : 03-08-1989 Patient Name : Putri Siti Najemah
Location : Drive Thru Clinic Requesting Dr : Dokter Lain

Report to : Dokter Lain

Collection Time & Date Received in Lab Specimens received


22:06 12-09-2020 22:06 12-09-2020 SW,

Cilinical Notes
-
Rujukan
Result Gene E -
Result Gene RdRP Positive
Result Gene N2 Positive
Conclusion SARS COV 2 Positive
CT Gene E .
CT Gene RdRP 16.19
CT Gene N2 15.29

Authorized by : Yesi Margianti


Date : 13-09-2020
Print Time/Date: 17:43 13/09/2020 *** FINAL REPORT ***
Time : 17:43
Page : 1 of 1

LABORATORY / PHARMACY / RADIOLOGY / AMBULANCE 24 HRS


FRM/PPM/LAB/25 Rev.01

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