Suparti DKK

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840031-Puskesmas Siko-Ternate-Maluku Utara-IDN 29/06/24 09:00:25

Test Report

Patient ID: USMAN HI SENGI


Patient ID 2: 8204170602730002
Sample ID: 597
Test Type: Specimen
Sample Type:

Assay Information
Assay Assay Version Assay Type
Xpert MTB-RIF Ultra 4 In Vitro Diagnostic

Test Result: MTB NOT DETECTED


-
Analyte Result
Analyte Ct EndPt Analyte Probe
Name Result Check
Result
SPC 23.9 164 PASS PASS
IS1081- 0.0 5 FAIL PASS
IS6110
rpoB1 0.0 -7 INVALID PASS
rpoB2 0.0 3 INVALID PASS
rpoB3 0.0 11 INVALID PASS
rpoB4 0.0 10 INVALID PASS

User: Ranumjan
Status: Done Start Time: 26/06/24 08:16:36
Expiration Date*: 04/05/25 End Time: 26/06/24 09:20:45
S/W Version: 5.1 Instrument S/N: 840031
Cartridge S/N*: 928562862 Module S/N: 616845
Reagent Lot ID*: 55711 Module Name: B3
Notes: PKM KALUMPANG
Error Status: OK
-
Errors
<None>

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 5.1 Page 1 of 6


840031-Puskesmas Siko-Ternate-Maluku Utara-IDN 29/06/24 09:00:25

Test Report

Tech. Initial/Date Supervisor Initial/Date


* indicates that a particular field is entered using a barcode scanner

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 5.1 Page 2 of 6


840031-Puskesmas Siko-Ternate-Maluku Utara-IDN 29/06/24 09:00:25

Test Report

Patient ID: ROSINA KA


Patient ID 2: 8271064606620002
Sample ID: 596
Test Type: Specimen
Sample Type:

Assay Information
Assay Assay Version Assay Type
Xpert MTB-RIF Ultra 4 In Vitro Diagnostic

Test Result: MTB NOT DETECTED


-
Analyte Result
Analyte Ct EndPt Analyte Probe
Name Result Check
Result
SPC 25.9 163 PASS PASS
IS1081- 0.0 0 FAIL PASS
IS6110
rpoB1 0.0 -9 INVALID PASS
rpoB2 0.0 1 INVALID PASS
rpoB3 0.0 5 INVALID PASS
rpoB4 0.0 6 INVALID PASS

User: Ranumjan
Status: Done Start Time: 26/06/24 08:15:32
Expiration Date*: 04/05/25 End Time: 26/06/24 09:19:52
S/W Version: 5.1 Instrument S/N: 840031
Cartridge S/N*: 928562894 Module S/N: 793173
Reagent Lot ID*: 55711 Module Name: B2
Notes: PKM KALUMPANG/ 082293547066
Error Status: OK
-
Errors
<None>

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 5.1 Page 3 of 6


840031-Puskesmas Siko-Ternate-Maluku Utara-IDN 29/06/24 09:00:25

Test Report

Tech. Initial/Date Supervisor Initial/Date


* indicates that a particular field is entered using a barcode scanner

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 5.1 Page 4 of 6


840031-Puskesmas Siko-Ternate-Maluku Utara-IDN 29/06/24 09:00:25

Test Report

Patient ID: SUPARTI IBRAHIM


Patient ID 2: 8271036102640001
Sample ID: 595
Test Type: Specimen
Sample Type:

Assay Information
Assay Assay Version Assay Type
Xpert MTB-RIF Ultra 4 In Vitro Diagnostic

Test Result: MTB NOT DETECTED


-
Analyte Result
Analyte Ct EndPt Analyte Probe
Name Result Check
Result
SPC 24.5 174 PASS PASS
IS1081- 0.0 9 FAIL PASS
IS6110
rpoB1 0.0 6 INVALID PASS
rpoB2 0.0 1 INVALID PASS
rpoB3 0.0 2 INVALID PASS
rpoB4 0.0 4 INVALID PASS

User: Ranumjan
Status: Done Start Time: 26/06/24 08:14:19
Expiration Date*: 04/05/25 End Time: 26/06/24 09:18:24
S/W Version: 5.1 Instrument S/N: 840031
Cartridge S/N*: 928562865 Module S/N: 793268
Reagent Lot ID*: 55711 Module Name: B4
Notes: PKM KALUMPANG/ 081242371422
Error Status: OK
-
Errors
<None>

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 5.1 Page 5 of 6


840031-Puskesmas Siko-Ternate-Maluku Utara-IDN 29/06/24 09:00:25

Test Report

Tech. Initial/Date Supervisor Initial/Date


* indicates that a particular field is entered using a barcode scanner

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 5.1 Page 6 of 6

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