| NHI | Last Name | First Name | Preferred Name | Age | Dob |
|---|---|---|---|---|---|
| DayPhone | A/H Phone | Mobile | Gender | Ethnicity | |
| Symptoms | Result | Day 0 | Day 8 | 6wks Post test |
|---|---|---|---|---|
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| ResultDate | Today | Day 0 | Day 8 | Day 6weeks |
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| Calculator - enter Date as dd/mm/yyyy e.g. 24/07/2022 | |||
|---|---|---|---|
| Enter Date (dd/mm/ccyy) | Day 0 | Day 8 | Day 6weeks |
| Day 0 | Day 8 | Day 6weeks | |