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Kingdom of Saudi Arabia

DAR AFIA MEDICAL COMPANY

COVID-19 PCR Test Result Certificate

Based on the laboratory results, Dar Afia Medical Company


certifies that the person in this report does not currently have
an active Covid-19 infection

The medical center, hereby, acknowledges that the data and


information provided and contained in this report are complete
and accurate and the medical center bears full responsibility if it
appears otherwise.

‫ﺭﻗﻢ ﺍﻟﺘﻘﺮﻳﺮ ﺍﻟﺘﺴﻠﺴﻠﻲ‬


Report Serial No OP29042100150

‫ﺭﻗﻢ ﺟﻮﺍﺯ ﺍﻟﺴﻔﺮ‬


Passport No. H192140

‫ ﺍﻹﻗـﺎﻣـﺔ‬/ ‫ﺭﻗﻢ ﺍﻟﻬﻮﻳﺔ‬


National ID/Iqama 2478426907

Full Name Mr. HAMZA BORNI 21-06-1990 DOB

‫ﺍﻟﺠﻨﺴﻴــﺔ‬
Nationality Tunisia

‫ﻏـﻴـﺮ ﻣﺼـﺎﺏ‬ ‫ﻧﺘﻴﺠـﺔ ﺍﻟﻔﺤـﺺ‬


Test Result Not Infected

‫ﺗﺎﺭﻳﺦ ﺍﻟﻔﺤﺺ‬
Test Date 29-04-2021 18:45

‫ﺗﺎﺭﻳﺦ ﻧﺘﻴﺠـﺔ ﺍﻟﻔﺤﺺ‬


Result Date 29-04-2021

‫ﺍﻟﺠﻬﺔ ﺍﻟﻤﺤﻮﻟﺔ‬
Referring Institution DAR AFIA MEDICAL COMPANY

Mobile No ‫ﺭﻗﻢ ﺍﻟﺠﻮﺍﻝ‬


Email NA@DARAFIA.COM +966570328335

‫ﺷﺮﻛﺔ ﺩﺍﺭ ﻋﺎﻓﻴﺔ ﺍﻟﻄﺒﻴﺔ‬ ‫ﺍﺳﻢ ﺍﻟﻤﺆﺳﺴـﺔ ﺍﻟﻄﺒﻴـﺔ‬


Medical Center Name DAR AFIA MEDICAL COMPANY

Technique used : RT-PCR (NAAT)

Printed on: 29-04-2021 06:46 PM


Printed by: patient
http://portal.darafia.com/instahms/public/DiagnosticReportsDocket.do?visit_id=OP29042100150&schema=damco&passcode=373593

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