COVID-19 RNA/PCR TEST RESULT:

NEGATIVE

Patient Name: Specimen Collection Date:

jean suzanne rance 03-DEC-2021 09:57 EDT
03-DEC-2021 15:57 CEST
Date of Birth: Sex: Phone:
22-SEP-1959 Female 4167357588 Report Date:
07-DEC-2021 22:10 EDT
Nationality: Passport Number:
08-DEC-2021 04:10 CEST
Canadian hk365905
Test Type:
Address: RT-PCR - Bilateral Anterior Swab (BAS)
20808 Warden Avenue, East Gwillimbury, ON, CA, L0G 1R0

Laboratory: Ordering Physician:

UNIVERSITY HEALTH NETWORK NP. Samdarshi Mehta
MOUNT SINAI HOSPITAL
JOSEPH AND WOLF LEBOVIC HEALTH COMPLEX NP. Samdarshi Mehta
Department of Microbiology
600 University Avenue
Toronto, ON M5G 1X5
ISO: 15189
This test hasCertified Laboratory
been authorized by Health Canada for Emergency Use Access (EUA).

4230 Sherwoodtowne Blvd., Unit 200

Mississauga, ON L4Z 2G6
1-888-966-6531