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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 : 2024-09-19

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
18921	OSAMA AHMAD	SIRNFN			0000-00-00 00:00:00	ALBG	PAYMENT RECEIVED
18922	IZZELDEEN AHAMD	BJEVLA			0000-00-00 00:00:00	ALBG	PAYMENT RECEIVED
18923	SAFAA OMAER ABU KHALAF	UIQSYL			0000-00-00 00:00:00	ALBG	PAYMENT RECEIVED
18924	NAOD TSEGAYE	ZMKSJV			0000-00-00 00:00:00	ALBG	PAYMENT RECEIVED
18925	ETHIOPIA TEKOLA ZENAW	OBTRHH		0994655588	2021-04-30 00:00:00	ALBG	PAYMENT RECEIVED
18926	CHALTU GIRMA GUDETA	MVTSNK		0994655588	0000-00-00 00:00:00	ALBG	PAYMENT RECEIVED
18927	MERCY AUTA	RFVLVP		0936601265	2021-05-03 00:00:00	ALBG	REGISTERED FOR TEST
18928	ABDELKERIM NASIR	VURHAK			0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18929	ABIDULEKRIME DEGIFA	VDDVIH	EQ	0911213435	2021-04-29 00:00:00	ALBG	SAMPLE COLLECTED
18930	ALI MOHAMMED ALSAYED	UCPAGO			2021-04-29 00:00:00	ALBG	SAMPLE COLLECTED
18931	KETEMASH WELDE	ORLUGN		0909262792	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18932	HALA MIRGHANI	RHOLKY		0944109032	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18933	WEI LAI	ORARUJ			2021-04-28 00:00:00	ALBG	SAMPLE COLLECTED
18934	ANDARGE GEDAMU	YJJVHV			2021-04-28 00:00:00	ALBG	SAMPLE COLLECTED
18935	IZZELDEEN AHAMD	AACFYU			2021-04-28 00:00:00	ALBG	SAMPLE COLLECTED
18936	OSAMA AHMAD	HAUGTO			0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18937	SAFAA OMAR	ZCGKDK			0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18938	AMELEWORK NIGUS	CWCRXU		0911118310	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18939	AZARIA GEMECHIS	RAEOKQ			0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18940	MAKONNEN HUNDE	JJPHMZ			0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED

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