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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 BARANGAY HALL PALANAN STATION


COIL-021-72238 USBAL LUIS MATUZ 09/15/1945 Male ISABELA PALANAN DICADYUAN PUROK UNOO HOSPITAL 10/09/2021 10/10/2021 10/13/2021 10/14/2021 OPS & NPS 1st Positive B 09678393252
NEAR BARANGAY HALL PALANAN STATION
COIL-021-72239 USBAL LUIS QUILLOPE 07/24/1978 Male ISABELA PALANAN DICADYUAN PUROK UNOO HOSPITAL 10/09/2021 10/10/2021 10/13/2021 10/14/2021 OPS & NPS 1st Positive B 09678393252

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CODA : 2365-211011-0059

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