Rizka Putri Anggraeni, NN - 2906210285

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Jl.

Letjen Soeprapto kav XIII Cempaka Putih,


Jakarta Pusat 10510
Phone (021) 80618618
Fax (021) 80618619
www.rsyarsi.co.id

LABORATORY RESULT
Name : LAURENCE CHANDRAWAN, TN Request Lab :
Medical Record : W-000001 Doctor : dr. Sayang Rahmadini
BirthDate/Age : 01/06/1992 (29Y) Location : Laboratorium
Gender : Male Payer : Pribadi - Dokter
Addreess : JL DURI I NO.09 DURI PULO RT.009/002 Order Time : 28/06/2021
Phone / Email : 081287600346 Page : 1/1
LABORATORY TEST RESULT UNIT REFERENCE RANGE

MOLEKULAR
PCR Corporate Positive
(CT: 31.8/31.16)
Notes:
This result is based on the conditions
when taking the specimen.
If you experience clinical symptoms or
having contact with an infected patient,
please contact the nearest doctor or health
care.
Re-examination/ check-up can be done
based on doctor`s recommendation.
_______________________________________________________
Tanggal Sampling :28/06/2021 Jam Sampling :15.08 Jam Selesai :15.08 Jakarta 30/06/2021 11.39.25

Clinical Pathologist :
Validated by : *(do not need sign) 30/06/2111:39
002/FRM/LAB/RSY/Rev0/II/2020

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