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Patient Information - Appointment Reservation Code : SQLVEJ

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 : SQLVEJ

Passport Number : EP6635900

Patient : ELFNESH TADESE BEKELE

Sex : FEMALE

Date of Birth : 1986-03-11 : 38 Yr

Nationality : ETHIOPIAN

Travel Date :

Destination :

Appointment Date : 2024-07-08

Sample Code : ALBG-22070350017

Collected By : Silas Kiros G/kidan

Collection Time : 2022-03-11 12:40:21

Location : Alborg Medical Laboratories

Patient List

#	Full Name	App Code	Passport #	Telephone	Appointment Date	Medical Center	Status
19021	MINTIWAB ABERA	WLDZDR			2021-04-14 00:00:00	ALBG	SAMPLE COLLECTED
19022	JAWARE ABATEMAM	JFZXCL	EP6285696		0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
19023	YIMENASHE SIYUM	KQQQGZ	EP6254640		2021-04-14 00:00:00	ALBG	SAMPLE COLLECTED
19024	FERIDA JEMAL	EUYADV	EP5908481	0917213434	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED
19025	NESRU ABAZINA	UHXVYX	EP6071121	0965731590	2021-04-14 00:00:00	ALBG	SAMPLE COLLECTED
19026	RAMADAN SHENBA	JAWEPR	E63/228/16A	0930338833	2021-04-14 00:00:00	ALBG	SAMPLE COLLECTED
19027	ASNAKECH KEBEDE	FPFKEP	EP6228588	0915988742	2021-04-14 00:00:00	ALBG	SAMPLE COLLECTED
19028	ASNAKECH KEBEDE	KYAVCE			0000-00-00 00:00:00	ALBG	REGISTERED FOR TEST
19029	TSGEREDA ABYO BREBO	OCASSH	EP6274621	0925073360	2021-04-13 00:00:00	ALBG	SAMPLE COLLECTED
19030	HIWOT TAYE	HQHJCU	EP 5896630	0913868454	2021-04-12 00:00:00	ALBG	SAMPLE COLLECTED
19031	TAYE	LLNBYE		0913868454	0000-00-00 00:00:00	ALBG	REGISTERED FOR TEST
19032	HABTAMU TEGEGN	BHCSFS	EP4355767		2021-04-12 00:00:00	ALBG	SAMPLE COLLECTED
19033	MERIAMA HASEN	BFWQGG	EP6301005	0906326174	2021-04-12 00:00:00	ALBG	SAMPLE COLLECTED
19034	FATIMA	PZHOYL	EP5198409	0972548201	2021-04-12 00:00:00	ALBG	SAMPLE COLLECTED
19035	HANA HAGOS	EHLHNS		0911527117	2021-04-12 00:00:00	ALBG	SAMPLE COLLECTED
19036	SAMSON ASSEFA	WKHWSF	EP4993728	0912073410	2021-04-12 00:00:00	ALBG	REGISTERED FOR TEST
19037	SAMSON ASSEFA	YAUROB			0000-00-00 00:00:00	ALBG	PAYMENT RECEIVED
19038	SHROUK ELSAYED ABDELFATAH	ZURXSX		0944053496	0000-00-00 00:00:00	ALBG	REGISTERED FOR TEST
19039	BASHADU KEDIR	ZHOUHL	EP6388724	0913920417	0000-00-00 00:00:00	ALBG	REGISTERED FOR TEST
19040	BASHADU KEDIR	MNIIMS	EP6388724	0913920417	0000-00-00 00:00:00	ALBG	SAMPLE COLLECTED

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