KLINIK

PARAMITRA MEDIKA 2
Jl. Bayan 1 No. 120 Mustika Jaya Kota Bekasi Kode Pos ( 17150 )
Telp : (021) 22114061email : paramitramedika2bekasi@gmail.com

LABORATORIUM KLINIK
Asal /Ruang ( Origin / Room ) : Bebas
No. Registrasi ( Registration number ) :
NIK ( IdentityNumber ) 3101011608010003
No. RM ( Medical record number ) :
Nama Pasien ( Name ) : NUGRAHA AJI WIBAWA (L)
Umur ( Age ) : 20 thn
Perusahaan ( Company ) : UMUM
Alamat ( Address ) : PULAU PRAMUKA 003/004

No. Lab. ( Laboratory number ) : LAB.2826453453.0092

Dokter Pengirim ( Doctor) : dr. ESNA ARTINA TUMANGGOR
Tgl Periksa ( Checkdate ) : 11 April 2022
Tgl Selesai ( Finisheddate ) : 11 April 2022

HASIL PEMERIKSAAN
Laboratory examination results Page 1 of 1

NAMA PEMERIKSAAN HASIL SATUAN NILAI NORMAL KET

( Examination Name ) (Result) ( Unit ) ( Normal Range) ( Note)

RAPID TEST
Antigen SARS-CoV-2 Negatif Negatif

Catatan Bekasi, 11/04/2022 21:00:30

( Note ) Petugas : MARIYAH

Dokter : dr. ESNA ARTINA

SIP : 440/159.1/DU/SDK/2017