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Prospectus for Private Placement
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Group PCR Test
GROUP PCR TEST
Please fill the below form to request a Group PCR test
English Name (Booking Person)
(Required)
First
Last
Arabic Name (Booking Person)
(Required)
First
Last
Number of persons
(Required)
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Persons Details
(Required)
Name
Civil ID
Add
Remove
Please click + to add a new row
PCR Type
(Required)
PCR Test
Travel PCR
Booking Date
(Required)
MM slash DD slash YYYY
Mobile
(Required)
Email
PCR Type & Price
PCR Type
PCR Test with in 6 Hours
PCR Type (For Travel)
(Required)
PCR Test for travel within 6 Hours
Number of Persons
(Required)
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Number of Persons travelling
(Required)
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Total
Disclaimer
Patients with positive results within the last 10 days are not allowed to register. Patients with swabs without a result within the last 3 days are not allowed to register.
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