Name:
Sex :
Date of birth (dd.mm.yyyy):
Hungarian Social Security Number:
Passport Number:
ID Card Number:
Current place of residence:
Testing Centre:
Egeszsegert LP
SampleID:
Sample origin:
Test name:
Date and me of the test sample correcon:
Test Manufacturer:
Country:
Magyarország
Name of Issuer: Egeszegert LPNPHMOS / ANTSZ ID: 026572Address: 2400, Dunaújváros, Liget köz 7.Email: info@egeszsegert.hu web: egeszsegert.hu