certificate

Patient data

Name:

Dr. Kemény János

Sex :

Male

Date of birth (dd.mm.yyyy):

February 2, 2022

Hungarian Social Security Number:

123456789

Passport Number:

987654321

ID Card Number:

56473

Current place of residence:

Kishegyes, iboja utca 6
Data of examination results

Current place of residence:

Sars_CoV 2 Rapid Antigen Test

Current place of residence:

Positive

Testing Centre:

Egeszsegert LP

Name of Heath Professional:

Dr. Doctor Doctor

Code of Heath Professional:

123456789
Sample Data

SampleID:

987ij

Sample origin:

nasal

Test name:

Sars_CoV 2 Rapid Angen Test Kit

Date and me of the test sample correcon:

February 3, 2022 11:02

Test Manufacturer:

Hangzhou Clongene Biotech Co., Ltd.

Country:

Magyarország

Issuer data

Name of Issuer: Egeszegert LP
NPHMOS / ANTSZ ID: 026572
Address: 2400, Dunaújváros, Liget köz 7.
Email: info@egeszsegert.hu  web: egeszsegert.hu