kh Date of Blood Draw: jghj Patient ID: h Client No.: lkjhn Address: jkhbv City/State: jkgb Zip Code: gjv County: ,jyvg Date Of Birth: jvg Test Kit 1 Expiration Date: jvf Test Lot Number: igu Test Performed By: ujv Date: jv Worker ID:: jv Test Kit 2 Expiration Date:: c Test Lot Number: igu Test Performed by: ujv
