PT.
BAKTIPARAMITA PUTRASAMA
Penanggung Jawab Laboratorium
Dr. George A. Mantiri, MLM (UWA), Sp PK
Konsulen Patologi Klinik
Prof. Dr. Suzanna Immanuel, SpPK (K)
JI. Gatot Subroto Ka v. 59 Jakarta 12950
Telp.: 5210200 (Hunting 22 Sai), Fax. : 5210 184 MEDISTRA DR. Dr. Tonny Loho, DMM SpPK (K)
Patient Name :DARMEDI
Ward : MCU-
DOB : 04-03- 1965
HIS No. ; CLB/20210114/00053
SEX ; Female
PID : 00-56-67-38
Lab No. : 20059799
Add ress : Jl. Tanah Pasir Dalam Order Date ; 14-01-2021 08:47: 00
Clinician : LITA SONDAKH,Dr. Report Date ; 14-01-2021 20:50: 00
Test Name Result Reference Range Unit Plethod
MOLECULER
RT-PCR SARS-
CoV2 Nasofaring-Orofaring
Specimen Negative Negative
RT-PCR SARS-CoV2 Note:
Complete interpretation
need clinical data and
supportive data.
Negative PCR result only
shows that the
pathogenic genetic
material in question is not
found in the specimen
.
.
RU. [Link] - Rev.I. 18