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W.

Moudrous, MD
BIG: 59912013801
www.coronapcrtesten.nl
info@coronapcrtesten.nl
085 833 00133

CORONA RAPID ANTIGEN TEST/SNELTEST


06-04-2022
This Certificate is presented to:
Berenice Amelia caridad perez
Date of Birth: 14-01-1984
Document nr.: MD0580099
Upendaal 69
3075WG Rotterdam
labere14@outlook.com, +31684088765

TEST
Roche® Rapid COVID-19 Antigen Test
SAMPLE TAKEN ON 06-04-2022
SAMPLE TIME ON 13:22
RESULT RECEIVED ON 06-04-2022

TEST RESULT

NEGATIVE

Scan this QR-code to check validity of the result

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