姓名 (Name) | 出生日期 (Date of birth) | ||
性别 (Sex) | 身份证号 (ID No.) | ||
护照号 (Passport No.) | 收样日期 (Date received) | ||
检测日期 (Date of test) | 报告日期 (Date of report) | ||
样本类型 (Type of specimen) | Oropharyngeal swab | 样本数量 (Specimen quantity) |
|
检测结果(Results of Test):
检测项目 (Item of test) | 结果 (Result) | 正常参考值 (Value of reference) | |
荧光定量PCR (Real time RT-PCR) | 阴性 (Negative ) | 阴性 (Negative) | |
*本检测使用中华人民共和国国家药品监督管理局批准的检测试剂进行。
(The test was implemented by a test kit which was approved by National Medical Products Administration of People’s Republic of China)
以下空白
(Following is blank)
检测人 (Test by) | 签名 (Signature) | 日期 (Date) | 检测机构盖章 (Seal of Organization) |
审核人 (Confirmed by) | 签名 (Signature) | 日期 (Date) | |
签发人 (Issued by) |
签名 (Signature) | 日期 (Date) | |