Client Information
Full Name: MESERT BARKELEGN SEBACHE
Age in year: 30
Nationality: Ethiopian
Phone Number: 0910452471
Residence City/Town: AWASA
Sex: Female
Passport Number: EP4567890
Region: SOUTH
Specimen Information
Specimen Id: 21226366606
Date of Specimen Collection: 2021-12-11
Site of Specimen Collection: ZAK INTERNAL MEDICINE SPECIALITY CLINIC
Sample Collected By: Mahfuz Abebe
Specimen Type: Nasopharyngeal & Oropharyngeal Swab
Time of Specimen Collection: 15:56:00
Specimen Quality: Accepted
Requested By: Self Request
Test Result
Requested Test: SARS-COV-2
Test Method: RT-PCR
RT-PCR test: Negative
Date Result Issued: 2021-12-12
Test Done By: Belete Woldesemayat
Testing Laboratory:
ZAK INTERNAL MEDICINE SPECIALITY CLINIC
Report Authorized and Issued by: Dr Zakaria Abdulhamid
Test protocol/SOP No and Title: SARS-CoV-2 Testing
SARS-CoV-2 IgM test:
Time Result Issued: 23:00:00
Result Reviewed by: Mengistu Yimer
Signature:
Date: 2021-12-12