PHILIPPINE RED CROSS 


MOLECULAR LABORATORY
37 EDSA CORNER BONI AVENUE, MANDALUYONG CITY

COVID-19 RT-PCR TEST REPORT & CERTIFICATION

Name: SIMANGAN, ARSENIO QUIBRANZA

Birthday: 1/14/1979 Age: 42 Nationality: FILIPINO

Civil Status: MARRIED Gender: MALE Passport/ID No: N0296299981
Address: 16 KALAYAAN AVENUE

Barangay: MALAYA City: QUEZON CITY

Province: NCR, SECOND DISTRICT Region: NATIONAL CAPITAL REGION (NCR)
Email: THIRDYSIMANGAN@GMAIL.COM Phone: 09057169101

Result: SARS-CoV-2 (causative agent of COVID-19) viral RNA NOT DETECTED

Interpretation: NEGATIVE for SARS-CoV-2 (causative agent of COVID-19)

Remarks:

Specimen: SALIVA
Date Collected: 07/14/2021 09:58 AM Result Date: 07/15/2021 10:19 AM

Methodology: The Novel Coronavirus (2019-nCoV) Nucleic Acid Diagnostic Kit PCR test is performed for the
qualitative detection of ORF-1ab, N, or E gene of SARS-CoV-2. This test adopts PCR-Fluorescence Probing system
technology to detect the COVID-19 genes in real time PCR assay.

Limitation/s: The detection of a mutation is dependent on the number of copies present in the specimen that can be
detected, and may be affected by sample integrity, amount of isolated RNA, the presence of interfering substances or
inhibitors, and processing.

Note: This Laboratory Result should be interpreted together with available clinical and epidemiological information.
This Certificate may be verified at c19.redcross.org.ph/verify, via the QR code below, or via the Philippine Red Cross
COVID-19 Hotline 1158. This is a computer generated form and if issued without any alteration, this does not require
a signature.

Test Performed by: Verified by:

ALLEN JOYCE DIZOR, RMT JESSIELYN M. PEDREZA, RMT JAIRUS ELI CALDA,
Medical Technologist Medical Technologist
Medical Technologist PRC ID NO 055632 PRC ID NO 0097699
PRC ID NO 0100108

Noted by: by:

Validated Lab Number: SPORT071521-1705S
Control Number: SPRCQC42743
Certificate Issued: 07/15/2021 10:20 AM

MARIA CONCEPCION T. ISBERTO

MD
Pathologist
PRC ID NO 0112306

PHILIPPINE RED CROSS - PORT AREA MOLECULAR LABORATORY