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Patient Information - Appointment Reservation Code : N/A

Testing Package

Surname

Given Name

Full name

Sex

Date of Birth Yrs

Country of Birth

Place of Birth

Residence City

Region - AA

Zone/Sub-City - LD

Woreda - WOREDA_15

House Number

Telephone

Nationality

Passport #

Is Traveller?
Is Urgent? SARS-CoV-2 IgM Antibody, Included?

Payment Method

Travel Date

Destination

Have you Traveled Recently?

TIN

Are you a Health Care Worker?

Are you Vaccinated?

Participated in Mass Gathering?

Appointment Date

Appointment Time

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Sample Information

ARC : N/A

Passport Number : EP7966801

Patient : KELIFA FANOS ASABEL

Sex : MALE

Date of Birth : 1994-06-14 : 30 Yr

Nationality : ETHIOPIAN

Travel Date :

Destination :

Appointment Date : 2024-09-20

Sample Code : -22057350014

Collected By :

Collection Time : 2022-02-26 10:18:10

Location :

Patient List

#	Full Name	App Code	Passport #	Telephone	Appointment Date	Medical Center	Status
18901	GENET BEKELE ABATE	UQEMWT	EP4821482	0947761673	0000-00-00 00:00:00	ALBG	RESULT APPROVED
18902	GETACHEW KUMERA WAKJIRA	ZJGDRO	EP4371054	0911447766	0000-00-00 00:00:00	ALBG	RESULT APPROVED
18903	LIYA MUCHIE BELAY	TIXOKZ	EP5781458	0985538151	0000-00-00 00:00:00	ALBG	RESULT APPROVED
18904	NOBE TEKLAY WOLDEMARIAM	UXWGRE	EP5903402	0985538151	0000-00-00 00:00:00	ALBG	RESULT APPROVED
18905	GENA ABDI USUMAN	TYARKC	EP5215673	0982942908	0000-00-00 00:00:00	ALBG	RESULT APPROVED
18906	ZURAB DAVLISHIVIL	ZBSWFD		0923093191	2021-06-11 00:00:00	ALBG	RESULT APPROVED
18907	BROOK WORKNEH ASSEFA	UCRXDE		0926309157	2021-06-11 00:00:00	ALBG	RESULT APPROVED
18908	ANWAR TAMAM	WXVSYD			0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18909	MOHAMMED AMIIN	MYYXXY			0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18910	SARON TAYE	MJLDLP			0000-00-00 00:00:00	ALBG	PAYMENT RECEIVED
18911	SANAY GODEFA	YCMHPR			0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18912	TOFIK ABDREHMAN SIRAJ	DFJLQC	EP5998105		0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18913	SARA MERGHANI SULIMAN	LLLMCI		0944019032	2021-05-01 00:00:00	ALBG	SAMPLE COLLECTED
18914	BERHE BELAY	UWCHAY		0911420314	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18915	SAAD SAEED	CNBXNA			0000-00-00 00:00:00	ALBG	PAYMENT RECEIVED
18916	FASIL ABATE	PWSXUP			0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18917	ZELALEM SHIFARAW	ERXIKE		0911142274	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18918	ASRAT SAHILU	EBJLLM			0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18919	HIWOT HAILE	IBZBOG			0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18920	SHEMSUDIN TAHIR HASSEN	HJIJBG		0989555555	0000-00-00 00:00:00	ALBG	PAYMENT RECEIVED

<< < > >> Male Count : 10,389 Female Count : 8,669 Total Count : 19,058