DOSSIER 

GEGEVENS LABO DOSSIER INFO
voorschrift: 21/03/22 patiënt: Dochez, Marcel
staalname: 21/03/22 09:55 uw ref: 2737542

ref: 601.469.412
print: 22/03/22 09:26
status: Volledig
ontvangst: 21/03/22 11:38
PATIENT
Dochez, Marcel Dochez Marcel
Droogvennelaan 6
3500 Hasselt Droogvennelaan 6
°13/04/1949  Man  72 Jaar 3500 Hasselt
mut / 490413 321 55

601.469.412
Analyse 21/03/22 Eenheid Referentie

PCR MICROBIOLOGIE
SARS-CoV-2 RNA (RT-PCR) Negatief

COMMENTAAR
Identiteitskaart
EN106047

Origineel aangevraagd door: Triage

Nieuw resultaat: < Elektronisch gevalideerd. pagina: 1/1

Analysen uitgevoerd Met collegiale groeten: L.Creemers, D.Cuypers, B.Moerman, V.Moons, C.Neven, Enkel in zijn totaliteit te kopiëren
door extern labo:°
S.Waegemans.

LKO-LMC - Nijverheidslaan 5150 - 3800 Sint-Truiden - +32 11 70 27 00 - www.lkolmc.be

 FICATE CERTIF ICATE CERTIF CATE ERTIF ATE C RTIFIC
RTIFIC CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE C
ATE C ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF
TE CE ERTIF CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE
RTIFIC ICATE C ICATE CERTIF IC ATE C C ERTIF ICATE CERTIF
A T C E R TIFICA IC A T E E R T IFICAT CERTIF ICATE ERTIF IC CERTIF ICATE
TIFICA E CER T C E R T E IC ATE C ICATE CERTIF
TE CE TIFICA E CER IFICAT C E R T ICATE CERTIF A T E ERTIF CERTIF ICATE
E CER RTIFIC TE CE TIFICA E CER IFICAT C E R T ICATE CERTIF IC A T E
TIFICA ATE C RTIFIC TE CE T IFICAT E CER IF IC A T C E R ICATE CERTIF ICATE CERTIF
TE CE ERTIF A TE CE R TIFICA E CER T IFICAT E C E T IF IC A CERTIF ICATE CERTIF ICATE
IFICAT RTIFIC IC ATE C RTIFIC TE CE TIFICA E CER R T IFICAT T E C ICATE CERTIF ICATE CERTIF
E CER ATE C ERTIF A TE CE RTIFIC T E CER TIFICA E E R T IFICAT C IC CERTIF ICATE
CERTIF T IF ICATE ERTIF IC RTIFIC ATE C TIFICA T E CER C E R T IFICAT E E R T IFICAT A T E ICATE CERTIF
ICATE A T E C E TE CE E CE C E R TIFICA E C E R T IFICAT
ATE C ICATE
FICATE
ICATE
CERTIF
CERTIF
ICATE CERTIF
ERTIF
ICATE ERTIF
RTIFIC
ATE C RTIFIC
TIFICA
TE CE RTIFIC TE CE CERTIF
IC A E CER CERTIFICAT C
CERTIF ICATE CERTIF ICATE CERTIF IC ATE C ERTIF A TE CE RTIFIC A TE CE R TIFICA T E C E T IFICAT E CER
CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF IC ATE C RTIFIC A TE C R TIFICA TE CE R T IFICAT E C TIFICA
ICATE CERTIF ICATE CERTIF IC ATE C ERTIF ATE E RTIFIC TE CE R TIFICA E CER E R T IFICAT
ICATE CERTIF ICATE CERTIF ICATE ERTIF IC ATE C C ERTIF ATE C RTIFIC T E CE TIFICA E CE
CATE CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF ICATE ERTIF ATE C RTIFIC TE CE
CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE C RTIFIC
ERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE ICATE CERTIF ICATE ERTIF AT
ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF CERTIF IC C IC
CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ATE C ERTIF ATE C
ATE C CERTIF ICATE IC C IC A C E IC A C E R ICATE E R T ICATE ER
ERTIF IC ATE C C ERTIF IC ATE C C E RTIFIC A TE CE E R TIFICA T E CER R T IFICAT T E CERTIF T IF ICATE CERTIF IF ICATE C ERTIF
RTIFIC ICATE ERTIF ICATE ERTIF ATE C RTIFIC TE CE TIFICA E CE ICATE CERTIF ICATE CERTIF ICATE
ATE C CERTIF ICATE CERTIF ICATE ERTIF ATE C RTIFIC TE C RTIFIC CERTIF ICATE CERTIF ICATE
ERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE C ERTIF ATE C IC C E ICATE CERT
TE CE ICATE CERTIF IC ATE C C ERTIF IC A TE CE E RTIFIC IC A TE CE E R TIFICA AT E CER R T IFICAT
RTIFIC
ATE C
ICATE
CERTIF
CERTIF
ICATE CERTIF ICATE ERTIF ICATE RTIFIC ATE
CERTIF
RTIFIC TE CE TIFICA E CER CERTIFICAT
TIFICA ICATE CERTIF ICATE CERTIF ICATE CERTIF ATE ATE C RTIFIC TE CE TIFICA E
TE CE ERTIF C IC C E R ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE C RTIFIC TE CE
RTIFIC IC A TE CE E R T IFICAT A T E CER T IF IC C E ICATE CERTIF IC A T C ERTIF IC ATE C E RTIFIC ATE C RTIF
E CER A TE CE RTIFIC E CER TIFICA A T E R T IF ICATE CERTIF ICATE E C ERTIF IC ATE C E RTIFIC ATE C E R TIFICA
TIFICA RTIFIC ATE C TIFICA TE CE CERTIF ICATE ICATE ATE C ERTIF TE C
FICATE TE CE ERTIF TE CE RTIFIC ICATE CERTIF CERTIF ERTIF ICATE
RTIFIC ATE C ICATE ATE C CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF
CERTIF A T E ERTIF RTIFIC IC A C E IC A C E R ICATE CERTIF ICATE CERTIF
CERTIF ICATE CERTIF IC ATE C C E RTIFIC A TE CE E R TIFICA T E CER R T IFICAT T E C E T IFICAT CERTIF ICATE C ERTIF I
ICATE CERTIF ICATE ERTIF ATE C RTIFIC TE CE TIFICA E CE R T IFICAT E CERTIF ICATE CERTIF IC ATE C
CATE CERTIF ICATE CERTIF ICATE ERTIF ATE C RTIFIC TE C RTIFIC E CER IC A C E R ICATE E
CERTIF ICATE CERTIF ICATE C ERTIF IC ATE C E RTIFIC A TE CE E R TIFICA A TE CE T IFICAT T E CERTIF T IF ICATE CERTIF

TEST RESULT SARS-COV-2 (COVID-19)

CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE C RTIFIC TE CE RTIFIC E CER ICATE CERTIF IC
ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE RTIFIC ATE C TIFICA CERTIF ICATE
ICATE CERTIF ICATE CERTIF ICATE CERTIF ATE C ERTIF T E CE
ATE C
ERTIF
CERTIF
ICATE
ICATE
CERTIF
CERTIF
ICATE CERTIF ICATE CERTIF ICATE C ERTIF
IC
IC ATE C E RTIFIC IC A TE CE R TIFICA IC A T E CER CER
ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ATE C ERTIF ATE C RTIFIC TE CE TIFICA
ERTIF CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF ICATE ERTIF ATE C RTIFIC T
ICATE ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE C
TE CE CERTIF ICATE CERTIF IC C IC C E IC A CERTIF ICATE CERTIF ICATE ERT
RTIFIC IC ATE C CE RTIFIC IC ATE C C E R T IF A TE CE E R T IF A T E CER R T IFICAT T E C ICATE CERTIF IC A T C ERTIF
ATE C ERTIF IC A TE CE R IC A T E CER TIFICA E E R T IFICAT ICATE E C ERTIF IC
RTIFIC
ATE C
ATE C
ERTIF
ERTIF
ICATE ERTIF ICATE RTIFIC
TIFICA
TE CE TIFICA TE C
ERTIF
CERTIF
ICATE E CER CERTIFICAT CERTIF ICATE ATE
ERTIF ICATE CERTIF ICATE CERTIF ATE C RTIFIC TE C ICATE CERTIF TIFICA E CER ICATE CERTIF
E CER ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE C ERTIF C IC TE CE TIFICA C E R
TIFICA CERTIF ICATE CERTIF IC ATE C C ERTIF IC ATE C E RTIFIC IC A TE CE E RTIFIC A T E CER R TIFICA T E CERTIF T IFICAT
TIFICA TE CE ICATE CERTIF ICATE ERTIF ICATE ERTIF ATE RTIFIC ATE C TIFICA TE CE ICATE E
TE CE RTIFIC CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ATE C ERTIF TE CE RTIFIC CERTIF
ATE C ICATE ICATE ATE C

21/03/2022
CERTIF RTIFIC E IC A C E R IC A T CERTIF ICATE CERTIF ERTIF RTIFIC I
A TE CE R TIFICA T E CER T IFICAT E CERTIF ICATE CERTIF ICATE C ERTIF IC ATE C C E RTIFIC A T E CE E R TIFICA
ICATE RTIFIC TE CE TIFICA E CER ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE C RTIFIC TE C
FICATE CERTIF ATE C RTIFIC T E CE TIFICA C E IC A C E ICATE CERTIF ICATE ERTIF ATE C
CERTIF IC ATE C E A TE CE R T E CER R T T E R T IFICAT ICATE C ERTIF IC E RTIFIC
ICATE ERTIF
RTIFIC
RTIFIC
TIFICA
TIFICA
IFICAT
E CER CERTIF E CER CERTIFICAT ICATE ATE C
TO WHOM IT MAY CONCERN:
CERTIF ICATE ATE C TE CE ICATE E CER CERTIF ERTIF
ICATE CERTIF ERTIF ATE C RTIFIC TE CE TIFICA CERTIF TIFICA ICATE CERTIF ICATE
ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE C RTIFIC TE C IC TE CE TIFICA C E R ICATE CE
ICATE CERTIF IC ATE C C ERTIF IC ATE C E RTIFIC A TE C E R TIFICA A T E CER R T IFICAT T E T IF ICATE CERTIF
ERTIF
CERTIF
ICATE CERTIF ICATE ERTIF ICATE ERTIF
IC ATE C ERTIF
IC TE CE TIFICA E CER CERTIFICAT C E R T ICA
ICATE CERTIF ICATE CERTIF ATE C E RTIFIC A TE CE RTIFIC T E CER TIFICA E IFICAT
• Last name: Dochez
ICATE CERTIF CERTIF ICATE ERTIF ATE RTIFIC ATE C TIFICA TE CE CERTIF E CER
CATE CERTIF ICATE CERTIF ICATE ICATE CERTIF ATE C ERTIF TE CE RTIFIC ICATE
CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE ATE C CERTIF
IC C E IC A C E R IC A T CERTIF ICATE CERTIF ICATE ERTIF RTIFIC ICAT
RTIFIC ATE C R TIFICA T E CER T IFICAT E CERTIF ICATE CERTIF ICATE CERTIF IC ATE C C ERTIF A TE CE E RTIFIC
• First name(s):
ICATE
ATE C
ATE C
ERTIF
IC
ERTIF
ATE C
ICATE
C Marcel
ERTIF
TE CE
RTIFIC
A
TIFICA
TE CE
TE CE
R
E CER
TIFICA
T E CER
ICATE
C E R TIFICA
CERTIF
IC A T E
ICATE
C E R T
CERTIF
IFICAT
ICATE
ICATE
CERTIF
ERTIF
ICATE
ICATE
C ERTIF
CERTIF
IC
RTIFIC
ATE C
E
ATE C
RTIFIC
ERT
TIFICA
ERTIF
ICATE ERTIF ICATE RTIFIC
TIFICA
T E CE TIFICA TE CE CERTIF
IC A E CER CERTIFICAT CERTIF ICATE ATE C
ERTIF ATE
IC C ERTIF A RTIFIC T R TIFICA T E CER T E CERTIF ICATE
• Date of birth:
CERTIF ATE C TE CE E CER IFICAT ICATE
E CER CERTIFICAT
TE
E CER CERTIFICAT
TIFICA E CER
ICATE
CERTIF °13/04/1949
ERTIF
ICATE
ICATE
ICATE
CERTIF
CERTIF
ICATE
RTIFIC
ATE C
ATE C
ERTIF
ERTIF
ICATE
TIFICA
TE C
TE C
ERTIF
ERTIF
ICATE
TIFICA
TE CE
RTIFIC
TIFICA
TE CE
E CER
TIFICA
CERTIF
ICATE
ICATE
C
CERTIF
CERTI
ICATE
IFICAT T E CER T IF IC C ICATE CERTIF IC ATE C C ERTIF IC ATE C C E RTIFIC A TE CE R TIFICA T E E R T IFICAT
A E C
• Sex:
T R T E R
M
E CER TIFICA E CERTIF IF ICATE CERTIF ICATE ERTIF IC ATE E RTIFIC ATE C R TIFICA TE CE T IFICAT E CERTIF
CERTIF TIFICA TE CE ICATE CERTIF ICATE CERTIF ICATE CERTIF ATE C ERTIF TE CE RTIFIC E CER
T E CE RTIFIC CERTIF ICATE CERTIF ICATE CE ICATE ERTIF ICATE RTIFIC ATE C TIFICA
FICATE
ICATE
CERTIF
RTIFIC
ATE C
ATE C
ERTIF ICATE CERTIF ICATE CERTIF RTIFICATE CERTIF ICATE
C
CERTIF
IC
ATE C
E
ERTIF
IC TE C
• National Insurance number: 490413 321 55 ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE C RTIFIC A TE CE
CERTIF ICATE ERTIF C IC C E IC A C E ICATE CERTIF ICATE ERTIF ATE C RTIFIC
CERTIF IC ATE C C ERTIF IC A T E CE E RTIFIC A T E CER R TIFICA T E R T IFICAT ICATE CERTIF IC E RTIFIC
ICATE ERTIF ICATE RTIFIC ATE C TIFICA TE CE CERTIF
ICATE E CER CERTIFICAT CERTIF ICATE ATE C
ERTIF ATE C
CATE CERTIF ICATE CERTIF ATE C ERTIF TE CE RTIFIC TIFICA E CER ICATE CERTIF ICATE E
• Passport number/ID: ICATE ATE CERTIF
EN106047
CERTIF ICATE CERTIF ICATE ERTIF RTIFIC C IC TE CE TIFICA C E R ICATE CERTIF
ICATE CERTIF ICATE CERTIF IC ATE C C ERTIF A TE C E RTIFIC A T E CER R TIFICA T E C E T IFICAT CERTIF ICA
ERTIF CERTIF ICATE CERTIF ICATE ERTIF IC ATE C E RTIFIC A TE CE TIFICA T E CER R T IFICAT E C ICATE
ICATE ICATE CERTIF IC ATE C ERTIF ATE C RTIFIC TE CE TIFICA E CER E R T IFICAT
ATE C
ERTIF
CERTIF
ICATE
ICATE
CERTIF
CERTIF
ICATE CERTIF ICATE ERTIF ICATE ERTIF
ICATE ATE C RTIFIC TE CE TIFICA E CER CER
ICATE ATE C TE CE

21/03/2022
ICATE CERTIF ICATE CERTIF ICATE CERTIF CERTIF ERTIF RTIFIC TIFICA
RTIFIC C IC C E IC A C E R ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE C RTIFIC T
ATE C E R TIFICA A TE CE R T IFICAT T E CER T IF IC A C E ICATE CERTIF IC A T C ERTIF IC ATE C E RTIFIC ATE C
TE CE ERTIF TE CE R TIFICA E CER TIFICA T E C R T IF IC CERTIF ICATE E C ERTIF IC A T E RTIFIC ATE C ERT
RTIFIC IC ATE C RTIFIC TE CE TIFICA T E CER E R T IFICAT A T E ICATE CERTIF ICATE E C ERTIF ATE C E RTIFIC
ERTIF ATE C RTIFIC T E CE TIFICA E CE CERTIF ICATE CERTIF ICATE ERTIF ATE
ATE C CERTIF
THE ABOVE-MENTIONED HAS UNDERGONE TESTING FOR
TIFICA ERTIF ICATE ERTIF ATE C RTIFIC TE CE RTIFIC ICATE ICATE CERTIF ICATE
TE CE ICATE CERTIF ICATE ERTIF ATE C RTIFIC ATE C CERTIF ICATE CERTIF ICATE CERTIF
E CER RTIFIC C IC E A E R IC A T C E R T IC A T E CERTIF
ATE C CERTIF IC A T E ERTIF ATE C RTIFIC TE C TIFICA E CER IFICAT C E R ICATE CERTIF
TIFICA ICATE CERTIF IC ATE C ERTIF A TE C E RTIFIC TE CE TIFICA E T IFICAT ICATE
TE ERTIF ICATE E RTIFIC TE CE CERTIF E CER CERTIFICAT
THE PRESENCE OF SARS-COV-2 (COVID-19) BY RT-PCR:
CERTIF ICATE ERTIF ATE C
IFICAT
E CER CERTIFICAT
ICATE
CERTIF ICATE CERTIF ICATE CERTIF RTIFICATE ERTIF ATE C RTIFIC ICATE
CERTIF TIFICA E CER
CERTIF TIFICA E CER IC A CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE C IC TE CE TIFIC
TE CE T IFICAT T E CERTIF ICATE CERTIF ICATE CERTIF IC ATE C C ERTIF IC A TE CE E RTIFIC A T E CER R TIFICA
ICATE RTIFIC E CER IC C E IC CERTIF ICATE ERTIF ICATE RTIFIC ATE C TIFICA TE C
FICATE CERTIF A A T R T A T E IC C E T E CE
NEGATIVE
TE CE TIFICA E CER IFICAT ICATE CERTIF ERTIF ATE C RTIFIC
• RESULT:
CERTIF ICATE RTIFIC TE CE TIFICA E CER CERTIF ATE C ICATE ERTIF ATE C RTIFIC
CERTIF ICATE CERTIF ATE C RTIFIC TE CE TIFICA ICATE CERTIF ICATE ERTIF ICATE ERTIF A
ICATE ATE C TE C CERTIF ICATE CERTIF ICATE CERTIF ICATE
ICATE CERTIF ERTIF RTIFIC E IC C E R IC A CERTIF ICATE CERTIF
CATE CERTIF IC A T C E RTIFIC IC ATE C E R T IF A TE CE R TIFICA A T E CER T IFICAT T E C E ICATE CERTIF IC ATE C CE
E
• Sample ID:
IC
601.469.412
ICATE CERTIF ATE C ERTIF A T E CE R T E CER TIFICA E R T IFICAT ICATE ERTIF
ERTIF
CERTIF
ICATE CERTIF ICATE ERTIF ICATE RTIFIC
TIFICA
TE C TIFICA TE CE CERTIF
ICATE E CER CERTIFICAT CERTIF ICAT
ICATE CERTIF ICATE CERTIF ICATE CERTIF ATE ERTIF TE CE RTIFIC CERTIF TIFICA E CER ICATE
CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE RTIFIC ATE C IC TE CE TIFICA C ER
ATE C IC C IC C ERTIF A E RTIFIC A T R TIFICA T E
• Sample type:
ERTIF ATE C TE CE E CER
Nasopharyngeal swab
ERTIF ICATE CERTIF ICATE CERTIF ATE C ICATE ICATE ATE C TE CE CERTIF
ICATE CERTIF ICATE CERTIF ICATE ERTIF ERTIF RTIFIC TIFICA RTIFIC ICATE
RTIFIC CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ATE C ERTIF TE CE
ATE C CERTIF ICATE CERTIF ICATE CE ICATE C ERTIF IC ATE C E RTIFIC IC ATE C R TIFICA A T E CER
T E CE ERTIF ICATE ICATE CERTIF RTIFICATE CERTIF ICATE ERTIF ATE C ERTIF T E CE T
• Sample reception date:
ICATE CERTIF
TIFICA
RTIFIC
ATE C
ICATE
CERTIF 21/03/2022 11:38
CERTIF
ICATE CERTIF ICATE
C
CERTIF
IC
ICATE
C
CERTIF
IC A
ICATE
C E
CERTIF
ICATE
ICATE
CERTIF
ERTIF
ICATE
ICATE
CERTIF
RTIFIC
ATE
SCAN FOR SECURITY CHECK
ERTIF IC ATE C C E RTIFIC IC A TE CE E R TIFICA A T E CE E R TIFICA T E C R T IFICAT CERTIF ICATE C ERTIF IC ATE C
TE CE ICATE ERTIF ATE C RTIFIC TE CE R TIFICA T E CER E R T IFICAT E ICATE CERTIF IC ATE C ERTIF
E CER RTIFIC CERTIF ICATE ERTIF ATE C RTIFIC TE CE TIFICA E CER CERTIF ICATE ERTIF
TIFICA ATE C CERTIF ICATE ERTIF ATE RTIFIC TE CE TIFICA ICATE CERTIF ICATE
TE CE ERTIF ICATE ICATE CERTIF ATE C TE CE CERTIF ICATE CERTIF
FICATE R ICATE CERTIF ICATE CERTIF RTIFIC IC A C E R IC A T C
T IFICAT ICATE CERTIF IC C ERTIF IC ATE C E RTIFIC A TE CE R TIFICA T E CER T IFICAT E
CERTIF
CERTIF
ICATE E CER CERTIFICAT CERTIF ICATE ATE C
ERTIF ICATE ERTIF ATE C RTIFIC TE CE TIFICA E CER CERTIF
I
ICATE CERTIF TIFICA E CER IC A T CERTIF ICATE CERTIF ICATE ERTIF ATE C RTIFIC TE CE TIFICA
ICATE T E CER T IFICAT E CERTIF ICATE CERTIF IC ATE C C ERTIF IC ATE C E RTIFIC A TE CE R TIFICA T E CE
CERTIF

21/03/2022
ICATE CERTIF TIFICA E CER ICATE CE ICATE ERTIF ICATE ERTIF ATE C RTIFIC TE CE
CERTIF
CERTIF
ICATE
ICATE
CERTIF ICATE TE CE
RTIFIC
TIFICA
T E CE CERTIF RTIFICATE CERTIF ICATE
CERTIF
CERTIF
ICATE
ICATE
CERTIF
ERTIF
ICATE
ATE C
ERTIF
RTIFIC
ICATE C ERTIF IC ATE C C ER A TE CE R T IC A T E CE C E R T IFICAT IC A T E IC C ERTIF IC A
ICATE TIFICA IFICAT RTIFIC CERTIF ICATE CERTIF ATE C ICATE TE CE
CATE CERTIF ERTIF TE CE RTIFIC E CE E CER ICATE CERTIF ICATE ERTIF R
CERTIF ICATE CERTIF ICATE RTIFIC ATE C RTIFIC ATE C TIFICA CERTIF ICATE CERTIF ICATE CERTIF
ERTIF ICATE CERTIF ICATE CERTIF ATE C ERTIF ATE C ERTIF TE CE IC C E IC A CERTIF ICAT
ICATE CERTIF ICATE C ERTIF IC ATE C E RTIFIC IC ATE E RTIFIC IC A TE CE R TIFICA A T E CER R T IFICAT T E C E ICATE
CERTIF ICATE CERTIF IC ATE C ERTIF ATE C ERTIF A TE CE RTIFIC T E CER TIFICA E CERTIF R T IF ICATE CERT

21/03/2022
ATE C CERTIF ICATE ERTIF ICATE CE ICATE RTIFIC ATE C TIFICA TE CE
ERTIF
ICATE
ICATE
CERTIF ICATE CERTIF ICATE CERTIF RTIFICATE CERTIF ATE C ERTIF
ICATE TE CE RTIFIC
ATE C
ICATE
CERTIF
CERTIF
ICATE
RTIFIC CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF RTIFIC E IC A
ATE C ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE C ERTIF IC ATE C C E RTIFIC A TE CE R TIFICA T E CER
E CER ERTIF CERTIF ICATE CERTIF ICATE CE ICATE CERTIF ICATE ERTIF ATE C RTIFIC TE CE TI
TIFICA ICATE
CERTIF ICATE CERTIF ICATE CERTIF RTIFICATE CERTIF ICATE
CERTIF
CERTIF
ICATE
ICATE
CERTIF
ERTIF
ICATE
ATE C
ERTIF
RTIFIC
ATE
TIFICA T E CE IC C E IC A C E R IC A T C E R T IC A T E IC C IC
TE CE
CERTIF RTIFIC Dr. Waegemans S., M.D.
RTIFIC
ATE C
ATE C
ATE C
ERTIF
ERTIF
ICATE
RTIFIC
A TE CE
TE CE
RTIFIC
RTIFIC
ATE C
TIFICA
T E CE
RTIFIC
E CE
R TIFICA
IFICAT
TE CE
E CER
TIFICA
C E R T IFICAT
ICATE
E CER CERTIFICAT
CERTIF
ICATE
A
CERTIF
T E C ERTIF
ICATE
ERTIF
IC ATE C
ATE C
ERTIF
E RTIF
IC ERTIF ICATE CERTIF ATE C ERTIF ATE C RTIFIC TE CE TIFICA E CER ICATE CERTIF ICATE
FICATE ATE CERTIF ICATE ERTIF RTIFIC TE CE TIFICA
CERTIF 1/18492/42/860
ICATE
ICATE
CERTIF
CERTIF
CERTIF
ICATE
ICATE
ICATE
CERTIF
CERTIF
ERTIF
ICATE
IC ATE
CE
C ERTIF
ICATE
IC A TE CE
ATE C
RTIFIC
E RTIFIC
ATE C
A T E CER
TIFICA
R TIFICA
TE CE
T E CERTIF
C E R T IFICAT
ICATE
E CER CERTIFIC
C
CERTIF
ICATE
ICATE
CERTIF ICATE CERTIF ICATE CERTIF RTIFICATE CERTIF ATE C ERTIF
IC TE CE RTIFIC
A
ICATE
C E R
TIFICA
T
ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF IC ATE C ERTIF ATE C RTIFIC T E CE T IFICAT E CE
ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF ICATE ERTIF ATE C RTIFIC E CER
CERTIF ICATE CERTIF ICATE CE ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE C TIFICA
ERTIF ICATE CERTIF ICATE CERTIF RTIFICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF
ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE C ERTIF IC ATE C C E RTIFIC IC A TE CE
CATE CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE C R
CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF
CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICAT
RTIFIC ICATE IC C IC A C E IC A T C E R IC A T E C E R T
ATE C CERTIF IC ATE C C ERTIF ATE C E RTIFIC TE CE RTIFIC E CER TIFICA C E R IFICAT CERTIF ICATE
ATE C ERTIF ICATE ERTIF ICATE ERTIF ATE RTIFIC A TE CE TIFICA T E CER T IFICAT E CERTIF ICATE CERT
ERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ATE C RTIFIC TE CE TIFICA E CER ICATE CERTIF
CERTIF ICATE CERTIF ICATE CE ICATE ERTIF ATE C RTIFIC TE CE TIFICA ICATE
TIFICA ICATE
CERTIF ICATE CERTIF ICATE CERTIF RTIFICATE CERTIF ICATEhttps://ipatient.be/check/COV19R93FPZQO85H197P3S6PT5RL7PBPC44DD2WP3BVNQ
C
ERTIF
IC
ATE C
E
RTIFIC
A
TE CE
R
CERTIF
IC A T
TE CE ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE C RTIFIC TE CE TIFICA E CER
TE CE RTIFIC CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE C RTIFIC T E CE TI
RTIFIC ATE C ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE C RTIFIC
ATE C ERTIF IC C IC C E ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE
IFICAT ERTIF IC A TE CE C E RTIFIC A T E CER E R TIFICA A T E CER R T IFICAT C E ICATE CERTIF IC A T C E RTIFIC IC ATE C
E CER IC ATE C RTIFIC A TE CE TIFICA T E CE T IFICAT E CER R T IF ICATE CERTIF ICATE E C ERTIF ATE C E RTIF
CERTIF TIFICA ERTIF ATE C RTIFIC TE C RTIFIC E CER TIFICA CERTIF ICATE CERTIF ICATE ERTIF
ICATE T E CE ICATE ERTIF ATE C ERTIF ATE C TIFICA Please TE note ICACertificate CERTIF ICATE
FICATE CERTIF
RTIFIC
ATE C CERTIF ICATE ERTIF ICATE ERTIF TE CE CERTthat IF IC thisICisATnot E CEan EUCDigital
ERTIF COVID
IC A
TE CE
R ICATE C
CERTIF ICATE ERTIF ICATE C ERTIF IC ATE C E RTIFIC IC A TE CE R TIFICA A T E CER R T IFICAT T E CERTIF T IF ICATE CERTIF
CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ATE C RTIFIC TE CE TIFICA E CER IC A C E R IC
CERTIF ICATE CERTIF ICATE CE IC ATE C ERTIF ATE C RTIFIC TE CE T IFICAT T E CER T IF ICATE
CATE
ICATE
CERTIF ICATE CERTIF ICATE CERTIF RTIFICATE ERTIF ICATE
CERTIF
ERTIF
ICATE
ATE C
ERTIF
RTIFIC
ATE C
E CER TIFICA
TE CE CE
CERTIF ICATE CERTIF ICATE CERTIF ICATE CERTIF ICATE ICATE ERTIF TIFICA RTIFIC
IC C IC A C E IC A T C E R ICATE CERTIF ICATE CERTIF IC TE CE
ERTIF A TE CE E R TIFICA T E CER R TIFICA E C E T IFICAT CERTIF ICATE C ERTIF IC A T E CE RTIFIC A TE CE R TIFICA A
ICATE RTIFIC TE CE TIFICA T E CER R T IFICAT E CERTIF ICATE CERTIF ICATE C ERTIF ATE C RTIFIC TE CE
ATE C CERTIF ATE C RTIFIC TE CE TIFICA E CER IC A C E R IC A T CERTIF ICATE ERTIF ATE C R
ERTIF IC ATE C E RTIFIC ATE C R TIFICA TE C TIFICA T E CER T IFICAT E CERTIF ICATE CERTIF IC ATE C ERTIF
RTIFIC ICATE ERTIF ATE C ERTIF TE C ERTIF TE CE TIFICA E CER ICATE CERTIF ICATE ERTIF ICAT
CERTIF ICATE ERTIF ICATE E ICATE RTIFIC TE CE TIFICA ICATE
ATE C ICATE CERTIF RTIFICATE CERTIF ATE C RTIFIC TE CE CERTIF ICATE CERTIF
TE CE
RTIFIC
ERTIF
ICATE LKO-LMC
ICATE
CERTIF Medisch
CERTIF
ICATE Labo bv C ERTIF Nijverheidslaan
ICATE
IC ATE
CERTIF
C E 5150
RTIFIC -
ATE C
3800 IC ATE C Sint-Truiden
ERTIF
E R TIFICA |
TE CE
T: A 011
TE CE 70
RTIFIC
27 R 00
T IFICAT | F:
E CER
IC011
A T E CER 70 27
TIFICA
C E R01 T IF ICATE
ICATE
CERTIF
CERT
ATE C CERTIF ICATE CERTIF ICATE ATE C TE CE CERTIF ICATE
TIFICA CE ICATE ERTIF RTIFIC TIFICA
E CER
TE CE
R TIFICA
ERTIF
IC A T E CER
ICATE
C E www.lkolmc.be
R T
CERTIF
IFICAT
ICATE
C
ICATE
CERTIF RTIFICATE
IC CERTIF
CERTIF
ICATE
ICATE
C ERTIF
CERTIF
IC ATE C
ATE C
E RTIFIC
ERTIF
IC A TE CE
TE CE
R TIFICA
RTIFIC
A T
ICATE
E CER CERTIF
TIFICA TE CE TIFICA E CER E R T IFICAT A T E ICATE CERTIF IC ATE C ERTIF ATE C RTIFIC T E CE TIFICA
ATE C info@lkolmc.be
TE RTIFIC TE CE TIFICA E CE CERTIF ICATE ICATE ERTIF ATE C RTIFIC TE
IFICAT ICATE CERTIF ERTIF
E CER CERTIFICAT ERTIF
RTIFIC
ATE C
TE CE
RTIFIC
RTIFIC
ATE C CERTIF ICATE
C
CERTIF
IC
ICATE
CERTIF
CERTIF
ICATE
ICATE
CERTIF
ERTIF
ICATE
ATE C
ERTIF
CERTIF T IF IC E C ERTIF IC ATE C E R T A TE C E R TIFICA IC A T E CER E R T IFICAT A T E ICATE CERTIF IC ATE C C ERTIF I
ICATE A T E CERTIF IC ERTIF IF IC A E RTIFIC T TIFICA E C E R T IFICAT IC
ATE C TE C ICATE ERTIF
CERTIF ICATE ERTIF ICATE ERTIF
IC ATE C
E CER
TIFICA TE CE CERTIF
IC A E CER CERTIFICAT CERTIF ICATE ATE C
ICATE CERTIF IC ATE C C ERTIF ATE C E RTIFIC TE CE R TIFICA T E CER T IFICAT E ICATE CERTIF
CERTIF ICATE ERTIF ICATE ERTIF
ICATE ATE C RTIFIC TE CE TIFICA E CER CERTIFICAT CERTIF IC
ICATE CERTIF ICATE CERTIF ERTIF ATE C RTIFIC TE CE TIFICA E CER ICATE
CERTIF ICATE CERTIF ICATE CERTIF ICATE ERTIF ATE C RTIFIC TE CE TIFICA CE
IC C ICA CE IC AT C ER IC ATE E RT A T E R TIF T E C