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  • Order 11 18 21 46 21

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    soma.elhami
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    This document contains information about a prescription issued by Dr. Soma Elhami, a general practitioner. It includes the prescriber's identification number, tracking ID, and date of prescription. Patient information includes national ID, name, insurance type and organization, insurance validity date, and relationship to guardian. The prescription is for one COVID-19 diagnostic laboratory test, with associated service code. The prescriber's electronic signature and ID are included.

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    order-11-18-21-46-21

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    This document contains information about a prescription issued by Dr. Soma Elhami, a general practitioner. It includes the prescriber's identification number, tracking ID, and date of prescription. Patient information includes national ID, name, insurance type and organization, insurance validity date, and relationship to guardian. The prescription is for one COVID-19 diagnostic laboratory test, with associated service code. The prescriber's electronic signature and ID are included.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views1 page

    Order 11 18 21 46 21

    Uploaded by

    soma.elhami
    This document contains information about a prescription issued by Dr. Soma Elhami, a general practitioner. It includes the prescriber's identification number, tracking ID, and date of prescription. Patient information includes national ID, name, insurance type and organization, insurance validity date, and relationship to guardian. The prescription is for one COVID-19 diagnostic laboratory test, with associated service code. The prescriber's electronic signature and ID are included.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    ‫ﺍﻃﻼﻋﺎﺕ ﺗﺠﻮﯾﺰ ﮐﻨﻨﺪﻩ‬

    ‫‪176286‬‬ ‫ﺷﻤﺎﺭﻩ ﻧﻈﺎﻡ‪:‬‬ ‫ﺩﮐﺘﺮ ﺳﻮﻣﺎ ﺍﻟﻬﺎﻣﯽ )ﭘﺰﺷﮏ ﻋﻤﻮﻣﯽ(‬ ‫ﻧﺎﻡ ﺗﺠﻮﯾﺰ ﮐﻨﻨﺪﻩ‪:‬‬

    ‫‪23424‬‬ ‫ﺷﻨﺎﺳﻪ ﺭﻫﮕﯿﺮﯼ‪:‬‬ ‫‪1401/08/27‬‬ ‫ﺗﺎﺭﯾﺦ ﺗﺠﻮﯾﺰ‪:‬‬

    ‫ﺍﻃﻼﻋﺎﺕ ﺑﯿﻤﺎﺭ‬

    ‫‪2920423924‬‬ ‫ﮐﺪ ﻣﻠﯽ‪:‬‬ ‫ﺍﻟﻬﺎﻡ ﺍﻟﻬﺎﻣﯽ‬ ‫ﻧﺎﻡ ﻭ ﻧﺎﻡ ﺧﺎﻧﻮﺍﺩﮔﯽ‪:‬‬

    ‫ﮐﺎﺭﮐﻨﺎﻥ ﺩﻭﻟﺖ‬ ‫ﻧﻮﻉ ﺻﻨﺪﻭﻕ‪:‬‬ ‫ﺑﯿﻤﻪ ﺳﻼﻣﺖ‬ ‫ﺳﺎﺯﻣﺎﻥ ﺑﯿﻤﻪ ﮔﺮ‪:‬‬

    ‫‪1402/01/31‬‬ ‫ﺗﺎﺭﯾﺦ ﺍﻋﺘﺒﺎﺭ ﺑﯿﻤﻪ‪:‬‬ ‫ﻓﺮﺯﻧﺪ‬ ‫ﻧﺴﺒﺖ ﺑﺎ ﺳﺮﭘﺮﺳﺖ‪:‬‬

    ‫ﺗﻌﺪﺍﺩ ﺩﻓﻌﺎﺕ ﺗﮑﺮﺍﺭ‬ ‫ﻧﺎﻡ ﺧﺪﻣﺖ‬ ‫ﮐﺪ ﺧﺪﻣﺖ‬

    ‫ﺍﺳﺘﺨﺮﺍﺝ ‪ PCRRTT-‬ﺍﻧﺠﺎﻡ (‪ COVID 19‬ﺗﺴﺖ ﮔﻠﻮﺑﺎﻝ ﺗﺸﺨﯿﺼﯽ ﺁﺯﻣﺎﯾﺸﮕﺎﻫﯽ‬


    ‫‪1‬‬ ‫‪80511‬‬
    ‫)‪RNA‬‬
    ‫ﻣﻬﺮ ﻭ ﺍﻣﻀﺎ‬
    ‫‪HID:201CMPQYUT‬‬

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