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medicum

AS MedicumTervishoiuteenused

Medical Certificate - SARS-CoV-2PCRtesting result

This is to certify that / Kinnitame, et / HacTOflii^MM yflocTOBepaeTCfl, 4TO


Name / Nimi / MMfl/(DaMM/iMfl VIKTORIA SISASK

ID code / Isikukood / /IM^HBIM KOA49010020312

ID-Document number / Isikut toendava dokumendi number / HoMep flOKyM eHTa,


YAOCTOBepfliou^ero/iM^HOCTb KE0609966

Has undergone a coronavirus SARS-CoV-2 test from nasopharynx / thorat material

on (sampling date) / On labinud koroonaviiruse SARS-Cov-2 testimise ninaneelu-/

kurgumaterjalist (prooviandmise kuupaevja kellaaeg) / Dpouje/i TecTMpoBaHMe Ha

KOpO HaBMpyc Ma30K MB HOCOMOTKM/npo6a MB poTor/ioTKM (flaTa B3flTMfl npo6bi)


7/20/202110:35:00 AM

The following diagnostic test was used real-time PCR (Polymerase chain reaction) /

Testimismetoodika / Mcc/iefloeaHMe npoBefleHO c Mcno/ib30BaHMeM MeTOflMKM real-

time PCR (Polymerase chain reaction)

Test result / Testi tulemus / Pesy/ibTaT TecTa: pos: neg:_X_

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^^u E^Vso{u' onJuly21,2021
Signature and stamp -'<(OOD143^

AS Medicum Tervishoiuteenused Telefon 6050770


Punane61 Faks 605 0774
13619 Tallinn E-post: medicum@medicum.ee
Registrikood 14335034 www. medicum. ee
IBAN EE421010220265079222,SEB Pank

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