SARS-

CoV-
2(COVI
D-19)PCRRepor
t

F
orename:Vi
tal
j
a
Sur
name:Pet
rei
kyt
e

Dat
eofbi
rt
h:27-
oct
-1993
Dat
eofs
ampl
ecol
l
ect
ion:01-
Jul
-2021

Ti
meofs
ampl
ecol
l
ect
ion:2:
28pm

Sampl
ety
pe:Nas
alSwab

T
est
:Cl
argene® SARS-
i CoV-
2RT-
PCRAs
say
Pas
spor
tnumber
:14053054

Res
ult

Negat
ive

Aut
hor
isedbymy
heal
thc
hec
ked

DrGr
egFi
tzgi
bbon
Cl
ini
calDi
rec
tor
01-
Jul
-2021

Conc
eptaDi
agnos
tic
sLimi
ted-homeofMyHeal
thChecked(Companynumber
:08361104)
Forf
urt
herenqui
ri
escont
act
:care@my
heal
thchecked.
com

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desCOVID-19PCRt estc erti
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