Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

SARS-

CoV-
2(COVI
D-19)PCRRepor
t

F
orename:Vi
ori
ca
Sur
name:Mus
at

Dat
eofbi
rt
h:20-
Apr
-1967
Dat
eofs
ampl
ecol
l
ect
ion:18-
Jul
-2021

Ti
meofs
ampl
ecol
l
ect
ion:3:
50pm

Sampl
ety
pe:Nas
alSwab

T
est
:Cl
argene® SARS-
i CoV-
2RT-
PCRAs
say
Pas
spor
tnumber
:XR624441

Res
ult

Negat
ive

Aut
hor
isedbyt
heNHS

DrGr
egFi
tzgi
bbon
Cl
ini
calDi
rec
tor
18-
Jul
-2021

Conc
eptaDi
agnos
tic
sLimi
ted-homeofNHS(Companynumber
:08361104)
Forf
urt
herenqui
ri
escont
act
:engl
and.
cont
actus
@nhs.
net

Nhspr ovidesCOVI D- 19PCRtestcert i


fic
at eforal lnegati
v eandpositi
veresults.Pleas
enot et hatifyourintent
ionisto
travelfollowinganegat i
vetestresult,itisy ourr es
ponsibil
it
ytoc heckthet ravelcer
tific
ater equi
rementoft heairl
inedesti
nati
on
incl
udingt hetestc oll
ecti
ontimef ramer equirement s
.pleasechec kwitht hem direc
tlybef orebookingy ourt
oc onf
irm thecorrect
timef rameandi tisy ourres
ponsibil
itytot aket het estwithint
histimef r
ame,my healthcheckedac ceptsnorespons
ibil
it
yorliabil
it
yfor
anyc ostsar i
singfrom anydelay,disruptionorc ancell
ati
onofy ourt r
avelplansdirectl
yori ndirect
lyc aus
edbyt herequir
ementt o
produceat r
avelcer ti
fi
cate.

You might also like