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
