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Skripsi Ananda Mikola

This certificate of laboratory examination summarizes the results of an RT-PCR test for SARS-CoV-2 (COVID-19) for patient Luh Made Rahayuni. The test was ordered on May 14, 2021 and the results were enclosed. The attached detailed report provides the patient's identifying information and states that the RT-PCR test result was negative for SARS-CoV-2. The report was authorized on May 15, 2021 at 16:38.

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67 views2 pages

Skripsi Ananda Mikola

This certificate of laboratory examination summarizes the results of an RT-PCR test for SARS-CoV-2 (COVID-19) for patient Luh Made Rahayuni. The test was ordered on May 14, 2021 and the results were enclosed. The attached detailed report provides the patient's identifying information and states that the RT-PCR test result was negative for SARS-CoV-2. The report was authorized on May 15, 2021 at 16:38.

Uploaded by

sastroboyz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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CERTIFICATE OF LABORATORY EXAMINATION

Lab Order No : 210511128591 Patient ID : 210514044


Name : Luh Made Rahayuni, S.P. Company : UMUM
Date of Birth : 23/05/1992 - 28 Y.O Doctor : dr. Sylvester Auryn
Gender : Female
Drawn Date/Time : 14/05/2021
Address : Br. Dinas Munggal, Kukuh, Marga

Laboratory Testing Result Head Of Lab : dr. Herry Herlambang, Sp.PK


Analyte Results Unit Reference Range
Immuno Serology
RT PCR Sars COV 2 Enclosed

Badung - Bali, May 15 2021, 16 : 38

Authorized by : Ida Arya


INSTALASI LABORATORIUM
RUMAH SAKIT DAERAH MANGUSADA
JL. RAYA KAPAL - MENGWI, BADUNG
Tlp. (0361) 9006812, 9006813, Fax. (0361) 4427218
Email : rsudbadung@gmail.com/Website : www.rsudbadung.org

HASIL PEMERIKSAAN RT-PCR SARS-CoV-2 (COVID-19)


RT-PCR SARS-CoV-2(COVID-19) RESULT SUMMARY

Nama/Name : LUH MADE RAHAYUNI, S.P


Tanggal Lahir/Date of Birth : May 23, 1992
Jenis kelamin/Sex : Female
No. Rekam Medik/Medical Record : 386821
No. Identitas/Identity Number : 5107016305920001
No. Telepon/Phone Number : -
Alamat/Address : Banjar Dinas Munggal, Kukuh, Marga
Jenis spesimen/Specimen type : Nasopharingeal swab
No. Spesimen Lab/
Lab Specimen Number : 21036132
Pengirim/Referral Company : ANANTA CLINICAL LABORATORY
Tgl. Spesimen Diterima/
Received Specimen Date : May 15, 2021 (11:26)
Tgl. Hasil Dirilis/Result Date : May 15, 2021 (16:38)
Hasil/Result : NEGATIVE SARS-CoV-2

Divalidasi oleh/Validated by Diotorisasi oleh/Authorized by

Ni Made Dwi Ekayani, S.ST dr. Ida Ayu Wayan Mahayani, Sp.PK

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