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

Patient ID 46765
RT PCR App Srf No. 0661900164944
Name of Labortory SHKM
Name of District

Name of CHC/SDH

Name of PHC

Zone

Name HARISH KUMAR


Age 29
Sex Male
Address KATESRA PALWAL
Mobile No 7015490493
Name of the refferal hospital (Admitted
Case)
Date of Admission

Date of Sample Collection 27/05/2021


Date of Discharge

Result NEGATIVE
Date of Result 29/05/2021
Lab ID No.

Month

Death

Associated Risk Factor

Travel in Last 14 Days

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.

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