‘GOVT. OF WEST BENGAL
Department of Health & Family Welfare
OFFICE OF THE SUPERINTENDENT
DISTRICT HOSPITAL, ALIPURDUAR
E-mail: alipurduardh@gmail.com
‘Tele: 03564 255085, 03564- 275211.
No. Date:
TO WHOM IT MAY CONCERN
This is to certify that
Clo scsssssssnnageceneennnessssseneettannvonnenenesteey | Hiishher residing of ..--++0-+ere++
Dist: Alipurduer,
P.O:
, West Bengal.
from — Date:....
HelShe work a
_. being COVID-19 duties under Distries Hospitel, Alipurduar.
his is issued for the interest of public service.
Superintendent
District Hospital, AlipurduarGOVT. OF WEST BENGAL
Department of Health & Family Welfare
OFFICE OF THE SUPERINTENDENT
DISTRICT HOSPITAL, (ALIPURDUAR
‘Tele: 03564 255085, 03564- 275211. E-mail: alipurduardh@gmall.com
CERTIFICATE FOR PERSONS ON DISCHARGE. FROM HOME ISOLATION
‘This is to certify that Sri / Smt: ___Age?. years,
Addr Distriet;__>
States, who was admitted at Home Isolation at
On ___/__/2020 and has been discharged today and on being found to be asymptomatic
and fit, He / She is completed his / her Strict Home Isolation till _ _/__/2020.
[N/SWAB test for COVID-19 done through RTPCR/ Rapid Ag Test on — 12020.
‘And Resulted —Negative (-Ve). He is discharged from Home. Jsolation on__/__/ 2020.
He / She is fit to resume his / her regular duty on sf _ 12020.
‘All concerned are requested to extend all possible cooperation to them.
Date:___/__/ 2020
Superintendent
District Hospital, Alipurduarsyr7r2021 covieto
Health & Family Welfare Department
Government of West Bengal
Textdone by WEST BENGAT, Alpurdar OD
‘COVIDIO Test Report
Tes ofthe tering Fg Tonal
SPECIMEN DETANS SENS,
|seF ap.
Due & Tavs of sample collection Son 05.03 20509
Dae & Tins of reve of pscimen a VEDI. 3021-05-05 121029
[Condon OF specimen received Quality on sitive
REPORTING DETANS :
Report 1D 16
vale of ORF It ORFIDININD Gene)
value of RARHIS Gens)
Result
sr No } Sample | Patent Name [sex } Age] specimen Type | Pate of sample testing a
f rare | INDIRATIALDER | F | 30 | Nasopharyngeat swab | 2021-05-03 12.1549 | Antigen Positive
Adie Ne Alport ALIFURDU
Trepored By
i This & computer generated wo signature required.
‘ie! The eval relate only to te specimens tested avd should be corretared with finical finding
Interpretation guidance
+ Testing of referred clinical specimens was considered on the bass of request referral receive from Abrough State Surveillance Officer
UeSO} concerned State Integrated Disease Surveillance programe (IDSPY/ any other health care fei affimdng requirements Of
the case definition’
+ Asingle negative ts result partcutariyf this is from an upper respiratory tract specimen, des not exclude infection
1 Repeat samaling and testing of tower respiratory specimen is strongly recommented in severe or progrensive disease. The repeat
siemens uy be considered after a gap of 2-— 4 days after the collection or he frst specimen for addional etng if requled.*
sPposiive alternate pathogen does not necesaril ale out ether, as litle is et known about the roe or coinfecions.
Feasts had theve revue re not tobe used for any thesis or presentations wr for publication in any Journal without the priar
permission of the Director General, ICMR
« Tihiviraprotsional report. For confirmation please contac the concerned laboratory or concerned Lah,
+ Incase of Covid-19 Positive Report~
Please contact for any information
CORONA CALL CENTRE NUMBER ~ 18003134442.
Telemedicine Help Line Number ~033-23576001
Ambulance Call Center Number ~033-1080-2929
For line nadte video teleconsultation for COVID please download "eSanjeeraniopd” from google play More.
/983-23412600
40,81.75.47:800%NewCovid 18Report aspxn§¢Gor “extetit lone and details please refer www.dicgc.org.in)
BANK SEAMLESSLY THROUGH ALTERNATE CHANNELS - 24X7
Mobile Banking (24x7): Bank on the go with Avis
Mobile App. Ta downlood, visit Google Play Store
or Apple App Stove or SMS MBANK to 5676782
Z| tne ain 247: Nos, onset on
bonking service. log on to wwwexisbank.com
to 8676782
Please ensure sale custody of Possbook to protec! confidentiality the information
For more secure and personclised information register fr e-sttements by sending SMS CTE!
—?
TWansoetions
to 5676782
Phone Bonking (24x71: &
through our IVR, place 46
feedback
Banking A
1800 209 5577
a) SMS Bonking (2447): Petneve Balance ond
HELP
5 For keyword)
:
1800 103 5877 P
|
AXIS BANK LTO
:Savings Account
£911010025125427
839044056
= INDIRA HALDER
Account Type
Account Number
Customer Id
Custoner Kane
Joint Holder 1
Joint Holder 2
Ave Open ate
Branch Address
2M4-05-2011
Address 10/0 INDIRA STORES/NG.1 RATL GATE/SILIGURT
SILIBURT ~ T3400).
Tel Ho (Branch)
swift Code
Hob Ho :¥00(917044089961 NCH Code
es Tel No LFSC Code
Noninat ion
Nowination Nave Phone Banking
Branch Tinings AM. to 09:30 PH(Korking Bays)
feposit, Insurance and Credit Guarantee Corporation (oies2) insurance
+
fin f Ast
Branch Code 9
Branch Name EALIPURDUAR
ALIUROUAR CHOKPOTHY,NEAR A.P.0 WELFAFE OFFIC
BLE ROAD, PO 5: ALTPURDUAR
ALIPURDUAR WEST BENGAL ~ 736121.
AKTSINBBOSS
T2105
zurioe00729
40504199558, 960S005585
over is applicable in all anks? deposits steh 2s GTN:Siete aan
INCOME TAX DEPARTMENT
seater caarrid
GOVT. OF INDIA
pears et
Permanent Account Number Card
BQWPR4879P I Nai - |
aral Name
SUMAN RUDRA
farat aT ara! Father's Name
SWAPAN KUMAR RUDRA
ost Surman Rub a
oat 4/1 crm Dueat wera! Signature
03102017