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Jl. Pulo Mas Timur K No.2 RT4/RW.14, Kayu Pu H, Kec. Pulo Gadung, Kota Jakarta Timur, Daerah Khusus Ibukota Jakarta 13210

This document contains laboratory test results for a patient named Andre Gusti Pratama. [1] The results show that a sample taken from his naso-oropharyngeal swab on June 12th tested positive for SARS-CoV-2 via PCR testing. [2] The ORF1ab and CT GEN N PCR tests detected the virus with CT values of 19.3 and 20.21 respectively. [3] The laboratory is located in Jakarta and is part of the COVID-19 service network of Kartika Pulomas Hospital.

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Adhitya Kurnia Sari
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40 views1 page

Jl. Pulo Mas Timur K No.2 RT4/RW.14, Kayu Pu H, Kec. Pulo Gadung, Kota Jakarta Timur, Daerah Khusus Ibukota Jakarta 13210

This document contains laboratory test results for a patient named Andre Gusti Pratama. [1] The results show that a sample taken from his naso-oropharyngeal swab on June 12th tested positive for SARS-CoV-2 via PCR testing. [2] The ORF1ab and CT GEN N PCR tests detected the virus with CT values of 19.3 and 20.21 respectively. [3] The laboratory is located in Jakarta and is part of the COVID-19 service network of Kartika Pulomas Hospital.

Uploaded by

Adhitya Kurnia Sari
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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KARTIKA PULOMAS HOSPITAL

Jl. Pulo Mas Timur K No.2 RT4/RW.14, Kayu Putih, Kec. Pulo Gadung, Kota
Jakarta Timur,Daerah Khusus Ibukota Jakarta 13210

RINCIAN INFORMASI LABORATORIUM


LABORATORY INFORMATION

Nama / Name ANDRE GUSTI PRATAMA


Jenis Kelamin / Gender L / Male
Kewarganegaraan / Nationality Indonesia
Nomor Identitas / Passport Number 3172043008970007
Tanggal Lahir / Date of Birth 30 August 1997 / 23 Th (Year)
Alamat / Address -

Sampel : C.229.120621000473 Date Received : 12 June 2021

Source : Swab, Naso-Oropharyngeal


Date Reported : 12 June 2021
Date Collected : 12 June 2021

Test Result Normal Range Methode


PCR SARS-CoV-2 Positive Negative Polymerase Chain Reaction
ORF1ab Detection / 19.3 Undetection / CT > 38 Polymerase Chain Reaction
CT GEN N Detection / 20.21 Undetection / CT > 38 Polymerase Chain Reaction

Penanggung Jawab Laboratorium : dr. Dwi Utomo N, Sp. PK

Kartika Pulomas Hospital merupakan Jejaring Pelayanan COVID-19 di Rumah Sakit

Pemberi Layanan Non Rujukan Penyakit Infeksi Emerging DKI Jakarta

No.4042/-1.773 tanggal 22/04/2020, Rekomendasi Kemenkes No:


SR.01.07/II/3257/2020

Jakarta, 12 June 2021

dr. Dwi Utomo N, Sp. PK


(General Practitioner)

Dicetak Pada Tanggal : 12 Jun 2021 20:19:25

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