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‘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, Alipurduar GOVT. 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, Alipurduar syr7r2021 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. 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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

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