‫ﺍﻻﺩﺍﺭﺓ ﺍﻟﻤﺮﻛﺰﻳﺔ ﻟﻠﻤﻌﺎﻣﻞ ﻭﻓﺮﻭﻋﻬﺎ‬ ‫ﻭﺯﺍﺭﺓ ﺍﻟﺼﺤﺔ ﻭﺍﻟﺴﻜﺎﻥ‬

Central Public Health Laboratories&Branches Ministry of Health and Population

‫ﺷﻬﺎﺩﺓ ﺗﺤﻠﻴﻞ ﻣﺴﺎﻓﺮ‬
Passenger Test Certificate

E.NO.
Date Of Birth 13/05/1976 5401266

AHMED HASSAN AHMED ELBASEL ‫ﺍﻻﺳـﻢ‬

Full Name

‫ﺟﻮﺍﺯ ﺍﻟﺴﻔﺮ‬ 27605131600454 ‫ﺍﻟﺮﻗﻢ ﺍﻟﻘﻮﻣﻰ‬

A17695329
Passport Number ID Number

30/10/2021 ‫ﺗﺎﺭﻳﺦ ﺍﻟﻔﺤﺺ‬ CPHL - ‫ﺍﻷﺩﺍﺭﺓ ﺍﻟﻤﺮﻛﺰﻳﺔ ﻟﻠﻤﻌﺎﻣﻞ‬ ‫ﻣﺮﻛﺰ ﺍﻟﻔﺤﺺ‬

Examination Date Examination Center

Examination Result ‫ﻧﺘﻴﺠﺔ ﺍﻟﻔﺤﺺ‬

Test ‫ﺍﻟﻔﺤﺺ‬ Result ‫ﺍﻟﻨﺘﻴﺠﺔ‬

RT- PCR - Covid19 Negative

Signature ,

Please review the travel requirements of each country in ‫ﺑﺮﺟﺎﺀ ﻣﺮﺍﺟﻌﻪ ﻣﺘﻄﻠﺒﺎﺕ ﺍﻟﺴﻔﺮ ﺍﻟﺨﺎﺻﺔ ﺑﻜﻞ ﺩﻭﻟﺔ ﻣﻦ ﺣﻴﺚ ﻭﺿﻊ‬
terms of infection status , as a positive analysis may be ‫ ( ﻗﺪ ﺗﻜﻮﻥ ﺳﺒﺒﺎ ﻓﻰ‬Positive ) ‫ﺍﻻﺻﺎﺑﺔ ﺣﻴﺚ ﺍﻥ ﺍﻳﺠﺎﺑﻴﺔ ﺍﻟﺘﺤﻠﻴﻞ‬
a reason for preventing you from traveling according to .‫ﻣﻨﻌﻚ ﻣﻦ ﺍﻟﺴﻔﺮ ﻃﺒﻘﺎ ﻟﺘﻌﻠﻴﻤﺎﺕ ﺑﻌﺾ ﺍﻟﺪﻭﻝ‬
regulations of some countries .