EUPT-FV-SM13 Sample Reception Form
EUPT-FV Screening Methods (AUBERGINE HOMOGENATE)
Laboratory Code *
Please write your EUPT-FV-SM-13 Laboratory Code
Sample Number
Please give us the number of the sample you have received
When did you receive the sample?
MM
/
DD
/
YYYY
There were losses in the sample?
Clear selection
Was the sample frozen?
Clear selection
Did you accept the sample? *
If you don't accept the sample, please give us an explanation
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