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Annex 5: Department of Health

This drug test report summarizes the results of a test conducted on Rosales, Rivero N. on October 10, 2014. The test was requested for personal reasons and tested for 9 common drugs using a test kit. All results were negative and the individual passed the drug test for phencyclidine, barbiturates, benzodiazepines, cocaine, ecstasy, methadone, methamphetamine, morphine, and opium. The test was conducted by analyst Anna Reyes and approved by the head of the laboratory, Dr. Miguel H. Matias.

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656 views1 page

Annex 5: Department of Health

This drug test report summarizes the results of a test conducted on Rosales, Rivero N. on October 10, 2014. The test was requested for personal reasons and tested for 9 common drugs using a test kit. All results were negative and the individual passed the drug test for phencyclidine, barbiturates, benzodiazepines, cocaine, ecstasy, methadone, methamphetamine, morphine, and opium. The test was conducted by analyst Anna Reyes and approved by the head of the laboratory, Dr. Miguel H. Matias.

Uploaded by

Mara Martinez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd

ANNEX 5

REPORT ID: DTO-R03

DEPARTMENT OF HEALTH
HI-PRECISION DIAGNOSTICS
440-442 W. LONG BLDG., DEL MONTE AVE. COR. BIAK NA BATO, BRGY. SIENNA,
QUEZON CITY, METRO MANILA
Tel. No: 741-7777 Fax No: 712-3471

DRUG TEST REPORT

CCF No.: 20140903000011 Transaction Date Time:


10/10/2014 6:53:00PM
Name: ROSALES, RIVERO N. Report Date Time: 10/20/2014
7:15:38PM
Birthdate: 01/20/1973 Age: 41 Gender: M

Test Method TEST KIT

Purpose Requesting Parties


Others PERSONAL

Result
Drug Metabolite Result Remarks
PHENCYCLIDINE (PCP) NEGATIVE PASSED
BARBITURATES NEGATIVE PASSED
BENZODIAZEPINES NEGATIVE PASSED
COCAINE NEGATIVE PASSED
ECSTACY NEGATIVE PASSED
METHALDONE NEGATIVE PASSED
METHAMPHETAMINE NEGATIVE PASSED
MORPHINE NEGATIVE PASSED
OPIUM NEGATIVE PASSED
TETRAHYDROCANNABINOL NEGATIVE PASSED

Test Conducted By Approved By

7 ANNA REYES DR. MIGUEL H. MATIAS 6


7 Analyst Head of Laboratory 8

Valid Within 12 Month/s from Transaction Date

This is a DOH-DDB IDTOMIS generated report

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