Dr. IGA Wiradari T, SP - PK: Laboratorium Klinik Diagnos

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Laboratorium Klinik Diagnos

Jl. Diponegoro No. 147, Dauh Puri Klod, Kec.


Denpasar Bar., Kota Denpasar, Bali 80113

Clinical Pathologist : dr. IGA Wiradari T, Sp.PK

Name : I KADEK DANA HENDRAWAN Order Time : 02-02-2022 16:14


Laboratory number : 2202020320C0 Sampling Time : 02-02-2022 16:30
Customer ID : 0005220200195 Received Time : 02-02-2022 16:42
Identity : 5107042702990003 Referrer : UMUM - DLU DPS
Birth Date / Age : 27-02-1999 / 22 Year(s) 11 Month(s) 3 Day(s) Referrer Address :
Gender : Male Doctor : dr. Ni Wayan Okayeni
Address : JL TUKAD PAKERISAN GG.XX NO.6C - Clinical Information :
Denpasar
Phone / Email : 62895413588111 /

LABORATORY TEST RESULT REFERENCE VALUE UNIT DESCRIPTION


MOLECULAR AND GENOMICS
RT-PCR SARS-CoV-2
Ct Orf-1ab Gene 23.72 Cut Off : 38.00
Ct N Gene 19.64 Cut Off : 38.00
Conclusion Positive Negative

PCR SARS CoV-2 is a molecular test that detect SARS CoV-2 material in received specimen.
PCR SARS CoV-2 merupakan pemeriksaan molekular yang mendeteksi genetik virus SARS CoV-2 dari spesimen.

Sample type : Nasopharyngeal & Oropharyngeal Swab


Method : Real Time RT-PCR nucleic acid amplification test (real time RT-PCR)

*This document has been electronically validated


Validation Time : 03/02/2022 15:30:04 by Dr. I Gusti Ayu Wiradari Tedja, Sp.PK
Result Print Time : 03/02/2022 15:30:08 by Dr. I Gusti Ayu Wiradari Tedja, Sp.PK
Page : 1 / 1

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