15/10/1997 P 89562351883
29/07/1966 P 81371665627
16/02/1994 L 82170273639
20/09/1981 P 811750894
19/07/1971 P 85365692424
21/04/1999 L
16/08/2005 L 082384529887
19/08/1998 P 082283845452
26/06/1981 P 85355444955
Jenis Spesimen
Alamat KTP Alamat Domisili (Swab/Sputum ke
berapa)