09/01/2022, 00:07 OFESZ Portal - Lab Confirmation Országos Foglalkozás-Egészségügyi Szolgálat Kft. Operating licence number: BP-11/NEO/14190-2/2021. Company registration number: 13-09-165927 Health care provider identification number: 119446 Tax number: 11859059-2-13 Microbiological laboratory diagnostics identification number: Regsitered office: 2724 Újlengyel, Határ út 12. (Hungary) 001078901 The microbiological laboratory of the Országos Foglalkozás-Egészségügyi Szolgálat Kft. confirms that the following medical report is valid and identical to the paper version. Országos Foglalkozás-Egészségügyi Szolgálat Kft. Microbiological laboratory diagnostics (001078901) Laboratory address: 1121 Budapest, Szanatórium u 19. | Headquarters: 2724 Újlengyel, Határ út 12. REPORT Patient data: Name: Haseeb Naseem Sex: male Date of birth (dd.mm.yyyy): 18.06.1996 Hungarian Social Security Number: N/A Passport number: AY9852923 ID card number: 3520248372921 Current place of residence: 1067 Lahore, Budapest, Szobi Utca 5, 3rd Floor, Door 8A, 1067 Data of examination results: Requested examination: SARS-CoV-2 RT-PCR Test result: NEGATIVE Date of result (dd.mm.yyyy): 08.01.2022 Explanation: The presence of RNA from 2019-nCoV (SARS-CoV-2) has not been detected Validated by: OFESZ Laboratory Name of specialist: Dr. Melinda Diána Medgyaszai Stamp number: 44205 Sample data: Issuer data: Sample ID: 743460 Name of submitting institution: Országos Foglalkozás- Service name: SARS-CoV-2 RT-PCR Egészségügyi Szolgálat Kft. Type of sample: Nasopharyngeal-throat swab NPHMOS/ANTSZ ID: 001630519 Sampled by healthcare professional E-mail address: covid@hivataloscovidteszt.hu Date of sample collection (dd.mm.yyyy): 08.01.2022 Address: 2724 Újlengyel, Határ út 12. 08:15 Name of submitting specialist: Dr. András Erős Stamp number: 31951 Please consult your doctor for assessment and further instructions. The responsibility for sampling lies with the person collecting the sample. If you have any questions, please contact the submitting institution. The submitting institution's email address: covid@hivataloscovidteszt.hu https://portal.ofesz.hu/lab-confirmation/527c92b7d6abd93fe73554a71a4bcf04 1/2 09/01/2022, 00:07 OFESZ Portal - Lab Confirmation https://portal.ofesz.hu/lab-confirmation/527c92b7d6abd93fe73554a71a4bcf04 2/2
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