*¥ Management System 180 9001:2015 | suvams:cmo7e9 SURAT KETERANGAN (LETTER OF STATEMENT) No. : 19909/AESKULAP/BTM/2021 Saya yang bertanda tangan dibawah ini, Dokter Fasilitas Pelayanan Kesehatan AESKULAP HEALTH CENTRE menerangkan dengan sesungguhnya bahwa (The undersigned, Doctor of Health Services Facilities at AESKULAP HEALTH CENTRE actually explain that :) Nama RAHMAT HIDAYAT (Name) NoMedrec 21060062 (Medirec No.) NIK KTP 2171112003019002 (Identity Card Number) ‘Tempat/Tanggal Lahir: BATAM, 20-03-2001 (Piace/Date of Birth) Jenis Kelamin LAKL-LAKI (Gender) Pekerjaan MAHASISWA (Job Tittle) No.Telp P (Phone No.) Alamat TEMBESI LESTARI RT/RW :001/013 SAGULUNG, KOTA BATAM (Address) HASIL PEMERIKSAAN LABORATORIUM (Laboratory Test Result) LABORATORY TEM RESULT REFERANCE IMUNOLOGY Rapid Test Antibody SARS-CoV-2 Covid-19 Ig G Rapid Test NON REAKTIF NON REAKTIF Covid-19 Ig M Rapid Test NON REAKTIF NON REAKTIF ‘Meri/Branch & NIE: TAISHAN INDONESIA COVID-18 IgG/lgM Rapid Test Cassette (WB/SIP), NIE 20303027943 Pada Tanggal 17-06-2021 11:26:02, telah dilakukan Rapid Test Antibody IgG/lgM SARS-CoV-2 dengan hasil "NON REAKTIF" (On 17-06-2021 at 11:25:02, we have done Rapid Antibody SARS-CoV-2 IgG/lgM and the result is "NON REACTIVE’) Demikian surat keterangan ini dibuat untuk dapat dipergunakan sebagaimana mestinya (Thus this letter was made so that t can be used as i should.) Batam, 17-06-2021 Verifikator Dokter Penanggung Jawab q IP :299,11/019-003/SIP. TWDKKIIV2017