LAPORAN HASIL / Laboratory Result

Nama Pasien No. Registrasi Lab

: BENJAMIN B AHN : 22042021/HCG/2236
Patient's Name Lab Registration Number

Tanggal Lahir : OCTOBER 04th 1980 Pengirim / Rumah Sakit HYDROMEDICAL

:
Date of Birth Physician / Hospital CANGGU

Jenis Kelamin Spesimen NASOPHARYNGEAL

: MALE
Gender Specimens : & OROPHARYNGEAL
SWAB

No RM Tanggal SWAB APRIL 22nd 2021

: 15.00.49 :
Medical Record Number SWAB Date (06.00 PM)

No. Ident. Kependudukan : 566130703 Tanggal Diterima : APRIL 22nd 2021

Residence ID Number Receiving Date

Alamat Cetak Hasil

: - : APRIL 23rd 2021
Address Print Out Date

JENIS PEMERIKSAAN HASIL KETERANGAN

Type of Examination Result Other Information
Real Time PCR SARS-CoV2 NEGATIVE -

Dokter Penanggung Jawab,

Doctor in Charge

dr. I Wy Agus Gd Manik Saputra, M.Ked.Klin,Sp.MK

(Dokter Spesialis Mikrobiologi Klinik / Clinical Microbiologist)