DAFTAR HASIL PENGUJIAN

SPESIMEN COVID 19
Tanggal Penerimaan Spesimen : 19 Juli 2021 Jumlah Spesimen : 34 LABORATORIUM RSUD SULTAN
THAHA SAIFUDDIN TEBO
Umur Tanggal
No Jenis Swab Tanggal
No. Sampel Lab Nama No. KTP Tanggal Lahir Alamat Jenis Spesimen Terima Hasil Uji
. Tahun Bulan Kelamin Ke Pengujian
Spesimen

PULAU TEMIANG RT. 1/1 TEBO Swab Naso

1 C.648.21.00464 RINALDI 1509030806740001 6/8/1974 46 11 LK 1 19/07/2021 20/07/2021 Negatif
ULU Orofaring

JL. ROTAN KEL. SUMBER AGUNG Swab Naso

2 C.648.21.00465 WARIJEM 1509085510540001 10/15/1954 66 6 PR 2 19/07/2021 20/07/2021 Negatif
KEC. RIMBO ILIR Orofaring

JL. PURWOKERTORT 12/5 Swab Naso

3 C.648.21.00466 SRI HANDAYANI 1509086501790001 1/25/1979 42 4 PR 1 19/07/2021 20/07/2021 Negatif
GIRIWINANGUN RIMBO ILIR Orofaring

JL. ELANG RT 10/4 SAPTA MULIA Swab Naso

4 C.648.21.00467 IRTONI 1509042612770004 12/26/1977 43 4 LK 2 19/07/2021 20/07/2021 Negatif
RIMBO BUJANG Orofaring

JL. SEMARANG RT.4/3 Swab Naso

5 C.648.21.00468 SRI SUPATMI 1509085705630002 5/17/1963 58 0 PR 1 19/07/2021 20/07/2021 Negatif
GIRIWINANGUN RIMBO ILIR Orofaring

ISHMA JL. SEMARANG RT.4/3 Swab Naso

6 C.648.21.00469 1509085706100001 6/17/2010 10 11 PR 1 19/07/2021 20/07/2021 Negatif
ZAAKIYATUNNUFUUS GIRIWINANGUN RIMBO ILIR Orofaring

CAHYA DWI DEVO JL. CILACAP RT.14/6 Swab Naso

7 C.648.21.00470 1509085312090003 12/13/2009 11 5 PR 1 19/07/2021 20/07/2021 Negatif
INSANI GIRIWINANGUN RIMBO ILIR Orofaring

JL. PURWOKERTO RT.12/5 Swab Naso

8 C.648.21.00471 ATIKA PUTRI RAMADANI 1509085007130001 7/10/2013 7 10 PR 1 19/07/2021 20/07/2021 Negatif
GIRIWINANGUN RIMBO ILIR Orofaring

JL. PURWOKERTO RT.12/5 Swab Naso

9 C.648.21.00472 BAGAS PRAYOGO 1509082105010001 5/21/2001 20 0 LK 1 19/07/2021 20/07/2021 Negatif
GIRIWINANGUN RIMBO ILIR Orofaring
 JL. PURWOKERTO RT.12/5 Swab Naso
10 C.648.21.00473 KARDI 1509080410630001 10/4/1963 57 7 LK 1 19/07/2021 20/07/2021 Negatif
GIRIWINANGUN RIMBO ILIR Orofaring

JL. PURWOKERTO RT.12/5 Swab Naso

11 C.648.21.00474 SUMINEM 1509084205420002 5/2/1942 79 0 PR 1 19/07/2021 20/07/2021 Negatif
GIRIWINANGUN RIMBO ILIR Orofaring

JL. PURWOKERTO RT.12/5 Swab Naso

12 C.648.21.00475 UNING SETIANINGTIAS 1509081509000001 9/15/2000 20 8 PR 1 19/07/2021 20/07/2021 Negatif
GIRIWINANGUN RIMBO ILIR Orofaring

JL. PURWOKERTO RT.12/5 Swab Naso

13 C.648.21.00476 KARSI 1509085507710003 7/15/1971 49 10 PR 1 19/07/2021 20/07/2021 POSITIF
GIRIWINANGUN RIMBO ILIR Orofaring

JL. PURWOKERTO RT.12/5 Swab Naso

14 C.648.21.00477 MISRAN 1509081204630002 4/12/1963 58 1 LK 1 19/07/2021 20/07/2021 Negatif
GIRIWINANGUN RIMBO ILIR Orofaring

JL. PURWOKERTO RT.12/5 Swab Naso

15 C.648.21.00478 KEENAN AL GHIFARI 1509080810190001 10/8/2019 1 7 LK 1 19/07/2021 20/07/2021 Negatif
GIRIWINANGUN RIMBO ILIR Orofaring

JL. PURWOKERTO RT.12/5 Swab Naso

16 C.648.21.00479 REZA SEPTIANA 1509084109940003 9/1/1994 26 8 PR 1 19/07/2021 20/07/2021 Negatif
GIRIWINANGUN RIMBO ILIR Orofaring

JL. PURWOKERTO RT.12/5 Swab Naso

17 C.648.21.00480 WAHYUDI 1509080705930001 5/7/1993 28 0 LK 1 19/07/2021 20/07/2021 Negatif
GIRIWINANGUN RIMBO ILIR Orofaring

ROLLIYANA RISKA JL. PURWOKERTO RT.12/5 Swab Naso

18 C.648.21.00481 1509085312010002 12/13/2001 19 5 PR 1 19/07/2021 20/07/2021 Negatif
MAHILDA GIRIWINANGUN RIMBO ILIR Orofaring

JL. PURWOKERTO RT.12/5 Swab Naso

19 C.648.21.00482 SULARNO 1509080809650002 9/8/1965 55 8 LK 1 19/07/2021 20/07/2021 Negatif
GIRIWINANGUN RIMBO ILIR Orofaring

PERUM PERMATA CITRA BLOK F

Swab Naso
20 C.648.21.00483 IWAN HERMAWAN 1509011501810001 1/5/1981 40 4 LK 8, RT 3/3 TEBING TINGGI TEBO 1 19/07/2021 20/07/2021 POSITIF
Orofaring
TENGAH
PERUM PERMATA CITRA BLOK F
Swab Naso
21 C.648.21.00484 RENI MARTINI 1509014803850002 3/8/1985 36 2 PR 8, RT 3/3 TEBING TINGGI TEBO 1 19/07/2021 20/07/2021 POSITIF
Orofaring
TENGAH
 DSN. TELUK LANCAR, SEI. KERUH Swab Naso
22 C.648.21.00485 ERA AVIONIKA HASBI 1509015702980001 2/17/1998 23 3 PR 1 19/07/2021 20/07/2021 Negatif
TEBO TENGAH Orofaring

DSN. TELUK LANCAR, SEI. KERUH Swab Naso

23 C.648.21.00486 GEO VENUSSA HASBI 1509010906930002 6/9/1993 27 11 LK 2 19/07/2021 20/07/2021 POSITIF
TEBO TENGAH Orofaring

BTN GRIYA TEBO INDAH RT 5/2 Swab Naso

24 C.648.21.00487 ISMAROZA 1509015910890001 10/19/1989 31 7 PR 1 19/07/2021 20/07/2021 Negatif
TEBO TENGAH Orofaring

BTN GRIYA TEBO INDAH RT 5/2 Swab Naso

25 C.648.21.00488 IFI JUWANAR 1509041206860004 6/12/1986 34 11 LK 1 19/07/2021 20/07/2021 POSITIF
TEBO TENGAH Orofaring

MARGODADI, TELUK Swab Naso

26 C.648.21.00489 RITA 1509055803860001 3/18/1986 35 2 PR 1 19/07/2021 20/07/2021 Negatif
SINGKAWANG SUMAY Orofaring

PASAR TERUSAN, MUARA Swab Naso

27 C.648.21.00490 SHOLIHIN 1509011005870003 5/10/1987 34 0 LK 1 19/07/2021 20/07/2021 POSITIF
BULIAN, BATANGHARI Orofaring

KOMPLEK RUMAH DINAS

NATHALY GRACE Swab Naso
28 C.648.21.00491 1501086512730002 12/25/1973 47 5 PR PEMDA TEBOTEBING TINGGI 1 19/07/2021 20/07/2021 Negatif
PASARIBU Orofaring
TEBO
BUNGKAL RT.001/004 MUARA
Swab Naso
29 C.648.21.00492 ADE MASTA 1509011108030002 11/08/2003 18 2 LK TEBO 1 19/07/2021 20/07/2021 Negatif
Orofaring

DESA BARU RT.001/005 TEBO Swab Naso

30 C.648.21.00493 HERMALINA 1509015502870002 2/15/1987 34 3 PR 1 19/07/2021 20/07/2021 Negatif
TENGAH Orofaring

BUNGKAL RT.001/004 MUARA Swab Naso

31 C.648.21.00494 EKO RAMADONI 1509012203930001 3/22/1993 28 2 LK 1 19/07/2021 20/07/2021 Negatif
TEBO Orofaring

TUGUREJO , Kel. BEDARO

Swab Naso
32 C.648.21.00495 M. YANI 1509011003840001 10/03/1984 37 1 LK RAMPAK , Kec. TEBO TENGAH , 1 19/07/2021 20/07/2021 POSITIF
Orofaring
TEBO , JAMBI

SIMPANG NIAM RT. 010 Swab Naso

33 C.648.21.00496 PURWANTO 1509090205660001 5/2/1966 55 0 LK 1 19/07/2021 20/07/2021 Negatif
MENGUPEH Orofaring
 NANANG ALDY JL. TURI RT.002 RW.004 KEC. Swab Naso
34 C.648.21.00497 1509082003050001 20/03/2005 16 2 LK 1 19/07/2021 20/07/2021 POSITIF
PRATAMA RIMBO BUJANG Orofaring

Pada Tanggal : 05 Mei 2021

an. Direktur RSUD Sultan Thaha Saifuddin (STS) Tebo

dr. Kurnia Sari Dewi, M.Ked (ClinPath) Sp.PK

NIP. 19741229 200604 2 011