PHILIPPINE RED CROSS

MOLECULAR LABORATORY
RESULT FORM

Pa#ent No: PRC101754 LAB No. MND062520-1599 DATE: 06/29/2020

NAME: DE VILLA JOHN PAUL

Surname First Name Middle Name

10/26/1994 25 N/A MALE

Birthdate(mm/dd/yyyy) Age Civil Status Gender Na<onality

PATIENT LOCATION:
Address: 808 BUILDING GEN. ATIENZA (PAN ASIA ENERGY INC)
On-Site SAN ANTONIO, CITY OF PASIG
Community NATIONAL CAPITAL REGION - SECOND DISTRICT

x Referral Referred by: PHILIPPINE RED CROSS

SPECIMEN TYPE: Collec<on Date Collec<on Time

x Nasopharyngeal and oropharyngeal swab 06/25/2020 13:46

Nasopharyngeal swab only

Oropharyngeal swab only

Date and Time of Specimen Receipt: (dd/mm/yyyy hh:min) Date and Time of Release of Results: (dd/mm/yyyy hh:min)

06/26/2020 21:33 06/26/2020 21:30

LABORATORY TEST RESULT

Laboratory Test SARS-CoV-2 (causa<ve agent of COVID-19) virus detec<on by Real Time-
Performed: Polymerase Chain Reac<on
TEST RESULT: SARS-CoV-2 (causative agent of COVID-19) viral RNA NOT DETECTED
Interpreta#on of Results:
SARS-CoV-2 (causa<ve agent of COVID-19) viral RNA POSITIVE for SARS-CoV-2 (causa<ve agent of COVID-19)
DETECTED
SARS-CoV-2 (causa<ve agent of COVID-19) viral RNA NOT NEGATIVE for SARS-CoV-2 (causa<ve agent of COVID-19)
DETECTED
Invalid Test Nega<ve for test internal control (poor specimen
quality). Repeat sampling is recommended.
NOTE: This Laboratory result should be interpreted together with available clinical and epidemiological informa#on.

COMMENTS:

PERFORMED BY: VERIFIED BY: NOTED BY:

Alyssa Samantha R. Dela Cruz Kim Mariah Edith Beltran Mary Djane L. Dela Cruz Cyril Kim N. Evangelista
RMT RMT RMT MD
MEDICAL TECHNOLOGIST MEDICAL TECHNOLOGIST MEDICAL TECHNOLOGST PATHOLOGIST
PRC ID NO 0084447 PRC ID NO 0099246 PRC ID NO 0066437 PRC ID NO 117314