<p style="text-align: center;">&nbsp;</p>
<p style="text-align: center; font-size: 20px;"><strong>IMMUNOLOGICAL REPORT</strong></p>
<table style="border-collapse: collapse; width: 100%; height: 36px;" border="1">
<tbody>
<tr style="height: 18px;">
<td style="width: 33.3333%; height: 18px;"><strong style="text-align: center;">Test Name</strong></td>
<td style="width: 33.3333%; height: 18px; text-align: center;"><strong>Result</strong></td>
<td style="width: 33.3333%; height: 18px; text-align: center;"><strong>Test Method</strong></td>
</tr>
<tr style="height: 18px;">
<td style="width: 33.3333%; height: 18px;">HBsAg</td>
<td style="width: 33.3333%; height: 18px; text-align: center;"><strong>Negative</strong></td>
<td style="width: 33.3333%; height: 18px; text-align: center;">&nbsp;ICT</td>
</tr>
</tbody>
</table>