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KLINIK MEDI ROYAL

NO 4, JALAN SUNGAI GARING 27/61, TAMAN ALAM MEGAH SEK 27, SHAH ALAM SELANGOR

Tel: 05-1611830 Email: klinikmediroyal@gmail.com

LABORATORY REQUEST REPORT FOR COVID-19 TEST


Laboratory Reference ID: PANN5703

Patient Name : SHAZLEEN VEENA BINTI Gender : FEMALE


SUNDARALINGAM
Patient ID : 960807105494 Nationality : MALAYSIA

ID Type : MyKad Age : 28

Facility : KLINIK MEDI ROYAL State : SELANGOR


Requestor
Location Info : Requestor : DR. KAVIRANI
Name NADARAJAN MONEY
Sample : 12/01/2024
Received Date

SPECIMEN PARTICULARS

Type of Specimen Sample Taken Date and Time


NASAL 12/01/2024 (Time: 13:37:56)

COVID-19 TEST RESULT


Specimen Test Result Verified By Verified Date

NASAL RTK (AG) POSITIVE DR. KAVIRANI 12/01/2024


NADARAJAN MONEY

Remarks:

Scan QR Code for Record Validation


This is a computer-generated slip. Test was verified by above officer and no signature Is required.

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