LAB REPORT COVID-19 IN THE O/O DSU, IDSP OFFICE

Patient RT PCR Name Name of Name of Name of Zone Name Age Sex Addres Mobile Name Date of Date of Date of Result Date of Lab ID Month Death Asso Travel
ID App Srf of District CHC/SD PHC s No of the Admissi Sample Dischar Result No. ciated in Last
No. Labort H refferal on Collecti ge Risk 14
ory hospital on Facto Days
(Admitt r
ed
Case)

229857 Atulaya Hisar chc chc Harya SONAL 23 Fem UKLANA 941635 CHC 11/01/2 NEGATI 13/01/20 ACHH7 January No No No
Health uklana uklana na I DO ale MANDI 4456 UKLAN 021 VE 21 846 Chroni Travel
care PUSHA A c History
Pvt. Ltd K Disea
Chd se

Note : 1. If the above report is required for any official/legal purposes then the same may got be verified and duly signed by respective health official/officers.

2. Download eSanjeevani Mobile app from play store to consult your health problem with Doctor online.