EUPT-FV-SM13 Sample Reception Form
EUPT-FV Screening Methods (AUBERGINE HOMOGENATE)
* Required
Laboratory Code
*
Please write your EUPT-FV-SM-13 Laboratory Code
Your answer
Sample Number
Please give us the number of the sample you have received
Your answer
When did you receive the sample?
MM
/
DD
/
YYYY
There were losses in the sample?
Yes
No
Clear selection
Was the sample frozen?
Yes
No
Clear selection
Did you accept the sample?
*
Yes
No
If you don't accept the sample, please give us an explanation
Your answer
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