certificate

Patient data

Name:

Teszt Elek

Sex :

Male

Date of birth (dd.mm.yyyy):

January 31, 2022

Hungarian Social Security Number:

123456789

Passport Number:

987654321

ID Card Number:

123456AB

Current place of residence:

otthon
Data of examination results

Current place of residence:

Sars_CoV 2 Rapid Antigen Test

Current place of residence:

Negative

Testing Centre:

Egeszsegert LP

Name of Heath Professional:

Orvos Doctor teszt név

Code of Heath Professional:

24153676427
Sample Data

SampleID:

0123456789öüó

Sample origin:

nasal

Test name:

Sars_CoV 2 Rapid Angen Test Kit

Date and me of the test sample correcon:

January 31, 2022 10:01

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