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Printed: 18-NOV-2020 8:02AM

# 2 Amorsolo St.,
City of Makati, Philippines 1229

DEPARTMENT OF PATHOLOGY AND LABORATORIES

Patient Name: GONZAGA, VINCENT BUERA Lab No : 20533543

Date of Birth: 22-AUG-1997 Age: 23Y Gender: MALE Ordered: 17-NOV-2020 03:15 PM
Patient ID #: 545122 Source: ED Emergency Received: 17-NOV-2020 03:46 PM
Physician: ARENAS, MARIA PAULA SARUILLA Room No. Released: 18-NOV-2020 08:02 AM

Test Name

MOLECULAR.
COVID-19 TEST
TEST PERFORMED:
SARS-CoV-2 (Causative agent of COVID-19) virus detection by Real-Time PCR
TEST RESULT:
 SARS-CoV-2 (Causative agent of COVID-19) viral RNA not detected
INTERPRETATION OF RESULTS
 Negative of SARS-Cov-2 (causative agent of COVID-19)
SPECIMEN TYPE: Nasopharyngeal swab/s and Oropharyngeal swab/s
DATE AND TIME COLLECTED October 17, 2020 at 1520H
Remarks:
Detection of COVID-19 through PCR method is currently the most reliable laboratory diagnostic test.
The result should be correlated with clinical and other pertinent ancillary findings by a qualified, licensed physician.
This result reflects the status of the patient on the day of the specimen collection.

Limitations:
Detection of viral RNA is dependent of viral load retrieved from the specimen. The accuracy of the test is
Dependent on the time specimen collection during the course of the disease. Poor specimen collection,
handling and transport may also affect the result.

The performance characteristics of this laboratory has been validated and is continuously being monitored by
quality assurance procedures, including enrolment with external proficiency testing at Research Institute
for Tropical Medicine (RITM).

*** This is a computer generated form and issued without any alteration, this does not require a signature ***

Mona Lea L. Misalarte, RMT Albert Joseph B. Lupisan, MD & Warren O. Koa, MD

Medical Technologist Clinical Pathologist

0085008 | 12/30/2021 021999 | 07/26/2021, 113687 | 05/07/2023

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