STA.

ANA HOSPITAL
2629 New Panaderos St., Sta. Ana, Manila

COVID-19 TESTING LABORATORY

Laboratory Accession Number: RGRAND08173

Patient Name: RUELOS, CRISTNO ROSAL

(Last Name, First Name, Middle Name)

Age/Sex: 56 / M Date of birth: 02/13/1965 Address:

(Month/Day/Year) (Street, Barangay, City)

Patient Location Requesting physician

(please check one):
BARANGAY 132 TONDO I/II
OPD DR.
REFFERAL
INPATIENT Contact Number
Specimen Type Oropharyngeal/Nasopharyngeal swab 09613687233
Date and Time of Specimen Collection: 2021-06-23 08:07:00
Date and Time of Specimen Submission: 2021-06-23 15:49:05
Date and Time of Release of Results: 2021-06-24 16:29:11

LABORATORY TEST RESULT

LABORATORY TEST PERFORMED: SARS-CoV-2 (causative agent of COVID-19) virus

Test Result : SARS-CoV-2 (causative agent of COVID-19) viral RNA not detected

RESULT AND UNIT OR MEASURES: NONE

BIOLOGICAL REFERRENCES INTERVALS: NONE

INTERPRETATION OF RESULTS WHEN APPROPRIATE

Final Result Interpretation

SARS-CoV-2(causative agent of COVID-19)viral RNA

Positive for SARS-CoV-2(causative agent of COVID-19)
detected

SARS-CoV-2(causative agent of COVID-19)viral RNA not

Negative for SARS-CoV-2(causative agent of COVID-19)
detected

Negative for test internal control (most likely due to poor

Invalid due to specimen quality
specimen quality)

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

Comments / Remarks:

Performed by : Verified by : Noted by :

SHEENA MARIE, BATAPA BON ANGELO ANTONIO , M. REYES FRANCIA VICTORIA A. DE LOS REYES
PRC LIC #0090238 PRC LIC #0072392 PRC LIC #0124096

Medical Technologist Medical Technologist Pathologist