ANALYSIS RESULT No. 82463

 

STATE INSTITUTION

“SUMY OBLAST CENTER FOR DISEASES CONTROL AND PREVENTION OF THE MINISTRY OF HEALTH OF UKRAINE”

Virological laboratory

27 Pryvokzalna street, Sumy, 40022, tel/fax (0542) 65-78-86,

E-mail: sumy_olc@ukr.net

 

MEDICAL DOCUMENTATION

FORM No. 209/0

Approved by the Order of MOH

of Ukraine 04.01.2001 No.1

 

 

ANALYSIS RESULT No. 82463

July, 01, 2022

 (DATE OF SAMPLING)

 

Molecular Genetic Testing

 

Surname, Name LEUNOV SERHII
PassportFV618015
Sex M
Date of birth September,27,1979
Purpose of testing for travelling abroad

Biomaterial Sampling Establishment STATE INSTITUTION “SUMY OBLAST CENTER FOR DISEASES CONTROL AND PREVENTION OF THE MINISTRY OF HEALTH OF UKRAINE”

Biomaterial Type nasopharyngeal swab

Date and time of biomaterial sampling July, 01, 2022   08:10

 

Indicator

Result

Reference interval

Method

SARS-CoV-2

viral RNA

negative

negative

qRT-PCR

Polymerase Chain Reaction with Real-time Detection

 

 

Result provided

 

Date

Name of executor

Executor’s signature

 

July, 01, 2022

I. Kupriienko

/signature/

 

 

11:30

 

/Round stamp:

STATE INSTITUTION

“SUMY OBLAST CENTER FOR DISEASES CONTROL AND PREVENTION OF THE MINISTRY OF HEALTH OF UKRAINE” Identification code

38523259

State Institution

Ukraine Sumy/