ANALYSIS REPORT

Patient Number Birthdate Sex Page

LABORATORIO CLINICO BORGES
Col. Tec. Med. P.R. 4/21/1990 F 1
CALLE ARZUAGA 168
Pat. No.: 0000496
SAN JUAN, PR 00925-3424 Paid 5 Cents Physician Name
Exp: 3/31/2022
DIRECTOR: LCDO LUIS MORENO MULERO
Num: 000090853 RIVERA-MOLINA, ZORAIDA
LIC # 80 CLIA # 40D0715748 TEL: (787) 751-6373 FAX: (787) 751-6375 Origin / Special Instructions
000044969 0000-000001-000-0000 000001-DRA. ZORAIDA RIVERA

ª*Ÿ)(U;¬
Request Reference Ordered On Supervisor
GARCIA-RIVERA, KARINA N. JUL 12,2021 3:18PM LM

Reported On M.T.
JUL 13,2021 11:28AM MBP

Test Units Results Graphic Normal Range

SEROLOGY

SYPHILIS SEROLOGY QUALITATIVE.............NON REACTIVE NON REACTIVE

***PERFORMED BY RPR TEST***
L:6811-MBP 7/13/2021 11:28AM
L:6811-MBP 7/13/2021 11:28AM
Sample ID: 000119763 Collected: 7/12/2021 *Lab Received: 7/12/2021 3:18PM

ORIGINAL