807107-PKM Katobengke-Baubau-Indonesia 24/02/23 14:39:51

Test Report

Patient ID: 7472066905550001

Patient ID 2: 0128
Sample ID: 230703727821
Test Type: Specimen
Sample Type:

Assay Information
Assay Assay Version Assay Type
Xpert MTB-RIF Assay G4 6 In Vitro Diagnostic

Test Result: MTB NOT DETECTED

-
Analyte Result
Analyte Ct EndPt Analyte Probe
Name Result Check
Result
Probe D 0.0 2 NEG PASS
Probe C 0.0 2 NEG PASS
Probe E 0.0 1 NEG PASS
Probe B 0.0 3 NEG PASS
SPC 23.9 237 PASS PASS
Probe A 0.0 -5 NEG PASS
QC-1 0.0 0 NEG PASS
QC-2 0.0 0 NEG PASS

User: PKM Katobengke

Status: Done Start Time: 24/02/23 10:14:17
Expiration Date*: 27/08/23 End Time: 24/02/23 11:55:39
S/W Version: 4.8 Instrument S/N: 807107
Cartridge S/N*: 5094497689 Module S/N: 210061047
Reagent Lot ID*: 27917 Module Name: B1
Notes: wd. maulidia ( pkm betoambari)

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 4.8 Page 1 of 6

807107-PKM Katobengke-Baubau-Indonesia 24/02/23 14:39:51

Test Report

Error Status: OK
-
Errors
<None>

Tech. Initial/Date Supervisor Initial/Date

* indicates that a particular field is entered using a barcode scanner

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 4.8 Page 2 of 6

807107-PKM Katobengke-Baubau-Indonesia 24/02/23 14:39:51

Test Report

Patient ID: 7472067007950005

Patient ID 2: 0127
Sample ID: 230692878721
Test Type: Specimen
Sample Type:

Assay Information
Assay Assay Version Assay Type
Xpert MTB-RIF Assay G4 6 In Vitro Diagnostic

Test Result: MTB NOT DETECTED

-
Analyte Result
Analyte Ct EndPt Analyte Probe
Name Result Check
Result
Probe D 0.0 -3 NEG PASS
Probe C 0.0 -2 NEG PASS
Probe E 0.0 3 NEG PASS
Probe B 0.0 2 NEG PASS
SPC 31.1 212 PASS PASS
Probe A 0.0 -6 NEG PASS
QC-1 0.0 0 NEG PASS
QC-2 0.0 0 NEG PASS

User: PKM Katobengke

Status: Done Start Time: 24/02/23 09:55:34
Expiration Date*: 27/08/23 End Time: 24/02/23 11:36:37
S/W Version: 4.8 Instrument S/N: 807107
Cartridge S/N*: 5094497706 Module S/N: 210061093
Reagent Lot ID*: 27917 Module Name: B3
Notes: dian nur fadhilah ( pkm betoambari )

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 4.8 Page 3 of 6

807107-PKM Katobengke-Baubau-Indonesia 24/02/23 14:39:51

Test Report

Error Status: OK
-
Errors
<None>

Tech. Initial/Date Supervisor Initial/Date

* indicates that a particular field is entered using a barcode scanner

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 4.8 Page 4 of 6

807107-PKM Katobengke-Baubau-Indonesia 24/02/23 14:39:51

Test Report

Patient ID: 7472060107600039

Patient ID 2: 0126
Sample ID: 230703695121
Test Type: Specimen
Sample Type:

Assay Information
Assay Assay Version Assay Type
Xpert MTB-RIF Assay G4 6 In Vitro Diagnostic

Test Result: MTB NOT DETECTED

-
Analyte Result
Analyte Ct EndPt Analyte Probe
Name Result Check
Result
Probe D 0.0 -2 NEG PASS
Probe C 0.0 -6 NEG PASS
Probe E 0.0 -6 NEG PASS
Probe B 0.0 4 NEG PASS
SPC 23.8 228 PASS PASS
Probe A 0.0 3 NEG PASS
QC-1 0.0 0 NEG PASS
QC-2 0.0 0 NEG PASS

User: PKM Katobengke

Status: Done Start Time: 24/02/23 09:51:54
Expiration Date*: 27/08/23 End Time: 24/02/23 11:33:28
S/W Version: 4.8 Instrument S/N: 807107
Cartridge S/N*: 5094497818 Module S/N: 210068117
Reagent Lot ID*: 27917 Module Name: B2
Notes: samsuria ( PKM Betoambari )

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 4.8 Page 5 of 6

807107-PKM Katobengke-Baubau-Indonesia 24/02/23 14:39:51

Test Report

Error Status: OK
-
Errors
<None>

Tech. Initial/Date Supervisor Initial/Date

* indicates that a particular field is entered using a barcode scanner

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 4.8 Page 6 of 6