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Patient Information - Appointment Reservation Code : ZMWKBA

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

Delete Old Photo?
Select Photo

Delete Old Passport?
Select Passport

Sample Information

ARC : ZMWKBA

Passport Number : 566965079

Patient : MEKETE BEGASHAW ZELEKE

Sex : MALE

Date of Birth : 1979-01-20 : 45 Yr

Nationality : AMERICAN

Travel Date :

Destination :

Appointment Date : 2024-10-30

Sample Code : ALBG-22021350002

Collected By : Eyerusalem Mebrahtu

Collection Time : 2022-01-21 09:35:20

Location : Alborg Medical Laboratories

Patient List

#	Full Name	App Code	Passport #	Telephone	Appointment Date	Medical Center	Status
18981	ALY FATHY ALY	UNEAAI			0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18982	ASCHALEW GEBRESILASE	GZENLV			2021-04-24 00:00:00	ALBG	SAMPLE COLLECTED
18983	ESLAM MAHMOUD MAHAMOUD	BUNPCV	A21859957		0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18984	ASRAT SAHILU TEFERA	QWCEPB	590873859	09357440003	2021-04-23 00:00:00	ALBG	SAMPLE COLLECTED
18985	TESFALEM GEBRAMEDHIN KIDANE	POFBDL		0902424525	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18986	MUNIRA MOHAMMEDZEN	RIYECX	EP4563351	0924815042	2021-04-22 00:00:00	ALBG	SAMPLE COLLECTED
18987	KIDST ZEGEYE	DHCWUD	EP4781293		0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18988	JAWARE ABATEMAM ABAFITA	TNWMDZ	EP6285696	0954843884	2021-04-21 00:00:00	ALBG	SAMPLE COLLECTED
18989	BONTU ZELEKE DABA	LAMWFY	EP4568300	0994666134	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18990	SHEGE MEKONNEN LEMA	FSMHLX	EP 4369053	0968472061	2021-04-21 00:00:00	ALBG	SAMPLE COLLECTED
18991	SANJEEV SHARMA	WMVPXO		0911522410	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18992	WESINE GETACHEWE	HBCNVI		0911510119	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18993	MUNIER MOHAMMED	ZNQHBR			2021-04-20 00:00:00	ALBG	SAMPLE COLLECTED
18994	FASIKA ALEMU	VXYPQR	W/23	0924913892	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18995	LI.DEJUN	XXNJCM	EH0204516		0000-00-00 00:00:00	ALBG	REGISTERED FOR TEST
18996	TSEYON AYALEW TADESSE	NQEQSO	EP 4284891	0911855876	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18997	MINTIWAB ABERA AREDO	PNQIUF	EP 5444764	0919547266	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
18998	OSAMAH AHMED	MDQMTI			0000-00-00 00:00:00	ALBG	REGISTERED FOR TEST
18999	OSAMAH AHMED	EWLJGS			0000-00-00 00:00:00	ALBG	PAYMENT RECEIVED
19000	AHMED AMEEN	OTZLTF	10214270	0911919858	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED

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