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Patient Patient Patient PatientStreet Specimen DateOnset DateSpecimen DateSpecimen DateResult Specimen Specimen Patient

SpecimenID LastName FirstName MiddleName BirthDate Sex Results Remarks


Province CityMunicipality Barangay HouseNumber HealthFacility OfIllness Collection Received Released Type Number Contact Number

NEAR CATHOLIC CHURCH


DICABISAGAN WEST DICABISAGAN WEST, PUROK PALANAN STATION
DONATO JOSEPHINE MATUZ 01/30/1994 Female ISABELA PALANAN (POB.) 2 HOSPITAL 01/05/2022 1st E 09366467123

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-22
Co
65
23
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I AL
Co
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TC
BA

CODA : 2365-220106-0087

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