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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
18941	AHMED MAHFOZ	QOAGQK			2021-04-28 00:00:00	ALBG	SAMPLE COLLECTED
18942	MOHAMMED SAID ABDELKWI	AEDXUP			0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18943	BOKE HASSEN ADEM	OWWAGW	EP4302784		0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18944	TIGIST KASA TUFA	SNEUYX		0915795508	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18945	TSEHANESH TAMRAT	CPGOBJ	EP6343606	0992240472	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18946	JUKI GIRMA	AITBVP		0911720476	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18947	SAREM ABEBE ABSHIR	IEZEFY		0987738694	2021-04-28 00:00:00	ALBG	SAMPLE COLLECTED
18948	WUBSHET BIRHANU	NOZWRL		0910500200	0000-00-00 00:00:00	ALBG	PAYMENT RECEIVED
18949	ABIYOT LULAYEHU	WASWLJ		0930931583	0000-00-00 00:00:00	ALBG	PAYMENT RECEIVED
18950	AHMED ABDELGHANY ABDELWAHAB	XFHTLU			2021-04-27 00:00:00	ALBG	SAMPLE COLLECTED
18951	CHRISTELLE LAETITIA	PDZSUC			0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18952	WESENYELESH ABERA	COGYBE		0911358079	2021-04-28 00:00:00	ALBG	SAMPLE COLLECTED
18953	MOHAMMED ADEM	IZQCJS		0944314301	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18954	MICHELE CANNIZZARO	XZGRQN		0911207729	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18955	YESURU SEYYID	HEBDCJ		0912214548	2021-04-27 00:00:00	ALBG	PAYMENT RECEIVED
18956	WESENYELESH ABERA	VGKVGG		0919360501	2021-04-27 00:00:00	ALBG	SAMPLE COLLECTED
18957	LOLIS AURELIOB IOAN	EXGXDJ		0930101010	2021-04-27 00:00:00	ALBG	PAYMENT RECEIVED
18958	AYELE	LEMFSQ	EP1234		2021-04-27 00:00:00	ALBG	REGISTERED FOR TEST
18959	WESENYELESH ABERA	PWWKLS			2021-04-27 00:00:00	ALBG	SAMPLE COLLECTED
18960	AHMED HURRE	TSPTTP			0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED

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