COVID-19 Test Certificate

Name :
SALEH SAAD ALSALEH DOB : 20/06/1972 Gender : Male

Age : 49 Yr 25 Days Nationality : Saudi

Clinic : ER CLINIC Doctor :

Patient ID : 3417793 Report Date : 18/07/2021 11:22

Identification Type : NationalityID Identification ID : 1002729430

Passport Number : U135993 Accession Number : T2106112931

TO WHOM IT MAY CONCERN

This is to certify that the above mentioned patient has undergone testing for 2019 – nCov at Dr. Sulaiman Al
Habib Hospital utilizing the state of the art specific and sensitive Nucleic Acid Amplification Techniques;
NAAT/ Real Time Polymerase Chain Reaction; RT-PCR. The sample was collected using a nasopharyngeal swab
and viral RNA was extracted and subjected for testing to confirm the presence of the known gene
sequence/s of SARS –CoV -2 Virus in the designated samples.

The hospital Laboratory after performing the necessary analysis on the collected sample hereby certifies the
authenticity of the below mentioned swab date, time and result for the above mentioned patient.

Collection Date / Time 18/07/2021 22:45 Kindly scan the QR code to

validate this report
Test Result Negative

Takhasussi Hospital