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Silvia - PCR Result

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GSI Lab

Registered Office: Graha Mitra, 4th Floor, Jl. Jend. Gatot Subroto Kav. 21, Jakarta 12930, Indonesia
Lab Address: Jl. RA Kartini No 34, Cilandak Jakarta 12430, Indonesia
Instagram : @gsilab.id Email : helpline@gsilab.id
www.gsilab.id
Keputusan Direktur Jenderal Pelayanan Kesehatan 24/7 Helpline +62-21-8086 6080 & WA +62-82
Brought to you by
Nomor: HK.02.02/I/2932/2020 1-2233-6080

Patient: SILVIA ANANDA Provider:


KP BOJONG KULUR, RT 2 RW 2, DESA PRAKTEK DOKTER - DR PUTRI ROSINTAN JULIANE, KLINIK Q
BOJONG KULUR, KEC. GUNUNG PUTRI
BOGOR
Corporate:
PRAKTEK DOKTER - DR PUTRI ROSINTAN JULIANE,
Passport / NIK : 3201025605020011
KLINIK QQ MP
Date of Birth : 16-May-2002

Telephone : 0811912343

Email : aestheticcnc@gmail.com

Gender : Female

Nationality : INDONESIA

Customer Reference # :

Sample # : 100-099-4108 (933434) Date Received : 07-February-2022


Source : Swab Nasopharyngeal and Oropharyngeal Date Reported : 07-February-2022
Date Collected : 06-Feb-2022 16:00 GMT +7

Test Result Normal Range Date Approved

RT-PCR SARS-CoV-2 Negative Negative 07-Feb-2022


E Gene Negative Negative
E Gene Ct -
ORF1ab Gene Negative Negative
ORF1ab Gene Ct -

Note
1. Pemeriksaan menggunakan metode qRT-PCR dan hanya menggambarkan kondisi saat pengambilan spesimen. The above examination result was carried out using
qRT PCR method and only describes the condition of the specimen examined.

2. Pemeriksaan qRT-PCR yang dilakukan merupakan pemeriksaan yang mendeteksi materi genetik virus, tanpa membedakan viabilitas virus (hidup atau mati). qRT
PCR assay only detects genetic materials of virus, without the ability to distinguish viability of virus.

3. Penentuan status infeksi maupun selesainya masa isolasi individu tidak dapat didasarkan hanya pada hasil qRT-PCR; melainkan membutuhkan pertimbangan kondisi
klinis, riwayat penyakit dan pemeriksaan penunjang lainnya. Infection status or end of isolation time cannot be solely determined from RT-PCR result; combination of
data related to clinical manifestation, course of disease and other supporting examinations are required.

4. Hasil qRT-PCR serta nilai Ct tidak dapat dibandingkan antara satu laboratorium dengan laboratorium lain; mengingat adanya variasi nilai Ct untuk alat, metode, reagen
yang digunakan serta gen target yang diperiksa. qRT-PCR result nor Ct value should not be compared between laboratories since a wide variety of Ct values have been
reported due to tools, methods, reagents and targeted genes used.

Approved By : dr. Louisa M. Sp.PK

07-February-2022

Page 1 of 1 Print Date: 07-Feb-2022

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