PRIME CARE ALPHA

Mactan Cebu International Airport Terminal Bldg, Airport Road,

MOLECULAR LABORATORY for COVID-19 TESTING Lapu-lapu City, Cebu, Philippines 6000

LABORATORY TEST RESULT

Name of Patient: Hortelano,Joseph ,Perez

(Last Name, First Name, Middle Name)

Age / Sex: Date of Birth:

(DD/MM/YYYY)
44 / Male 31/03/1976

Requested By: Specimen No.: Laboratory License No.:

Personal CR1202925178 07-0022-2020-CT-2

Specimen Type: OPS & NPS

Date and Time (DD/MM/YYYY HR:MIN) Date and Time (DD/MM/YYYY HR:MIN) Date and Time (DD/MM/YYYY HR:MIN)
Specimen Collected: Specimen Received: Test Result Released:
02/12/2020 17:03 02/12/2020 17:59 03/12/2020 07:18

ADDITIONAL INFORMATION:

PASSPORT NUMBER: P42506398

NATIONALITY: Philippines

DATE OF ARRIVAL: 02/12/2020

LABORATORY TEST RESULT

LABORATORY TEST PERFORMED: SARS-CoV-2 viral RNA RT-PCR

TEST RESULT: SARS-CoV-2 viral RNA not detected

INTERPRETATION: Negative for SARS-CoV-2 viral RNA

(causative agent of COVID-19)

This laboratory result should be interpreted together with the available clinical and epidemiological information.

COMMENTS:
. (For negative Results only) False-negative results can arise due to low level of virus in the sample, poor sample collection, handling, storage, and timing of collection, as well as presence of inhibitors.
. The diagnosis of COVID-19 is made primarily by direct detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA by nucleic acid amplification tests (NAATs); most commonly
reverse-transcription polymerase chain reaction (RT-PCR) from the upper respiratory tract.

Prime Care Alpha COVID-19 Testing Laboratory is duly accredited by the Department of Health of the Republic of the Philippines.

Noted by:
Performed by: Verified by:

Cherry Faye Pena, RMT Ruby Rusia-Uy, MD, DPSP

PRC License No.: Peter Aznar, MD, FPSP
PRC License No.: Please scan this QR code to validate this
0103474 PRC License No.:
0050825 certificate. Alternatively, use the link below
0072410
to validate this certificate.

http://primecarealpha.site/certificate/rO0ABXQAKFlxcm9KUWZxQTJVPXJPMEFCWFFBREVOU01USXdNamt5TlRFM09BPT0%3D
 QUARANTINE CERTIFICATE

This is to certify that the bearer, Hortelano,Joseph ,Perez , residing at 00, M. Ceniza
st, Casuntingan, Mandaue city, Cebu, has completed the Mandatory Quarantine Process.
He/She is deemed COVID-19-free as reflected in the result of the Reverse Transcription –
Polymerase Chain Reaction (RT-PCR) test reported by Prime Care Alpha Covid Molecular
Laboratory at the Mactan-Cebu International Airport on 02-Dec-2020.

This certifies further that the bearer shows no medical signs and symptoms related to
COVID-19 upon examination and is hereby cleared to leave the quarantine facility and return
to residence as stated.

Given this day 03-Dec-2020 at the City of Lapu-lapu, Cebu, Philippines.

Control Number: CR1202925178 Date: 03-Dec-2020

TRAVEL AUTHORITY
This travel authority is granted to the persons listed below to pass at the
established Quarantine Control Points (QCPs)/ Checkpoints, Seaports and Airports
from point of origin to point of destination, vice versa as it may deemed necessary:

Nr NAME DATE OF PLACE OF PLACE OF FLIGHT AIRLINES Origin REMARKS

. ARRIVAL ORIGIN DESTINATI DETAILS Zoning
ON Classification
1 Hortelano, 02-Dec- CEBU 00, M. NA NA Critical Negative
Joseph 2020 Ceniza st, Zone / for SARS-
,Perez Casunting Containme CoV-2
an, nt Zone / Viral RNA
Mandaue Buffer
city, Cebu Zone /
Outside
Buffer
Zone

Attached are the medical clearance certifications issued by the City/Municipal Health
Office.

BY THE AUTHORITY OF THE JTF CV SHIELD COMMANDER PLTGEN

GUILLERMO LORENZO T ELEAZAR: