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Patient Information - Appointment Reservation Code : ACEIGA

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 : ACEIGA

Passport Number : P00667743

Patient : MAHAD MOHAMUD HUSSEIN

Sex : MALE

Date of Birth : 1971-11-05 : 52 Yr

Nationality : SOMALI

Travel Date : 2021-11-05

Destination :

Appointment Date : 2024-05-11

Sample Code : ALBG-21309350037

Collected By : Semhar solomon bahta

Collection Time : 2021-11-05 12:27:10

Location : Alborg Medical Laboratories

Patient List

#	Full Name	App Code	Passport #	Telephone	Appointment Date	Medical Center	Status
19041	ASHIA ABARESHAD	QUKDUR	EP5448810	0938317368	2021-04-10 00:00:00	ALBG	SAMPLE COLLECTED
19042	HERCELCS LIWEAGE GENTLY	QNSUBC		0911221485	0000-00-00 00:00:00	ALBG	RESULT APPROVED
19043	FTIYA NASIRE	QWTPTG	EP5018133	0910719889	0000-00-00 00:00:00	ALBG	RESULT APPROVED
19044	FTIYA NASIRE	FSIJFA	EP5018133	0910719889	0000-00-00 00:00:00	ALBG	PAYMENT RECEIVED
19045	SALAHEDIN HAMZA GAFAR	DKLDEL	B00017898	0923793721	0000-00-00 00:00:00	ALBG	PAYMENT RECEIVED
19046	OMDURMAN HAMZA GAFAR	ERZZLI	B00017898	0923793721	0000-00-00 00:00:00	ALBG	REGISTERED FOR TEST
19047	ABDLRAHMAN ABDLGAFFAR OSMAN	DHANAM	B00021347	0923793721	0000-00-00 00:00:00	ALBG	PAYMENT RECEIVED
19048	TILAL GAAFAR ELYAS	MKFAVR	P03064210	0923793721	0000-00-00 00:00:00	ALBG	RESULT APPROVED
19049	TILAL GAAFAR ELYAS	BUCTOA	P03064210	0923793721	0000-00-00 00:00:00	ALBG	REGISTERED FOR TEST
19050	SAMPLE SAMPLE2	TDBSFC	EP25	0945687	0000-00-00 00:00:00	ALBG	REGISTERED FOR TEST
19051	SAMPLE SAMPLE2	AVNXWS	EP25	0945687	0000-00-00 00:00:00	ALBG	REGISTERED FOR TEST
19052	SAMPLE SAMPLE2	ZLKGHD	EP25	0945687	0000-00-00 00:00:00	ALBG	REGISTERED FOR TEST
19053	SAMPLE SAMM	ETMAHO		01234	0000-00-00 00:00:00	ALBG	RESULT APPROVED
19054	SAMPLE SAMPLE	KSSHNE	EP2710813	0902346518	0000-00-00 00:00:00	ALBG	RESULT APPROVED

<< < Male Count : 10,386 Female Count : 8,668 Total Count : 19,054