certificate
Patient data
Name:
Molnár Balázs
Sex :
Male
Date of birth (dd.mm.yyyy):
January 29, 2022
Hungarian Social Security Number:
542-763-738
Passport Number:
132412341234
ID Card Number:
143123ffr
Current place of residence:
Dunaújváros, Kossuth 35. 4/2
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. Kemény János
Code of Heath Professional:
27503
Sample Data
SampleID:
2431432id
Sample origin:
nasal
Test name:
Sars_CoV 2 Rapid Angen Test Kit
Date and me of the test sample correcon:
January 12, 2022 09:01
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