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)
270404 0607000 GCHP Panchku DAL 49 Male J22 925732 26/04/20 26/04/2 Positive 27/04/20 N7060
77 261566 la CHAND GHS92 1678 21 021 21
SECTO
R 20

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.