Health Certificate


Date of issue




Client name :
Passport No :
Gender :
Date of birth :


Inspection results
Inspection date:                                      
Sample :   Saliva
Test method  : RT-PCR (Real-Time Reverse Transcription-Polymerase Chain Reaction)
The reagent for the test : AmpdirectTM 2019-nCOV Kit
The equipment for the test : SHIMADZU Corporation AutoAmp gene analyzer
The name of the laboratory : Oda Medical Clinic
SARS-CoV-2 (Covid-19) : Negative (Not detected)
Body temperature:         ℃


Medical examination
  Not applicable



It is herewith certified that the above result is confirmed.




Signature :

Oda Medical Clinic

Adress: 82-13 Sho, Shikito-cho, Himeji-city,

Hyogo-ken, 671-0218, Japan 

TEL: 079-251-3155 FAX: 079-251-3156