RESEARCH INSTITUTE FOR TROPICAL MEDICINE LRD-DIV-SPE-FM-

Filinvest Corporate City Compound 005

Alabang, Muntinlupa City Revision No.:
2
HEALTH CARE DELIVERY
LABORATORY RESULT FORM Page No.:
Page 1 of 1

Name of Patient: TABASA, GLENN JOSEPH VALENCIA Disease Reporting Unit: OTHERS - ALONTE MEGA
(Full Last Name, First Name, Middle Name) QUARANTINE FACILITY
Age/Sex: 30 / MALE Date of Birth: 04/04/1990
(DD/MM/YYYY)
Patient Location: RITM Hospital No: No Information
[ ]OPD [ ]REFERRAL [✓]INPATIENT RITM patients
Requisitioner: ERWIN SALINA Date Admission: --- 12/21/20
(DD/MM/YYYY) RITM patients
Patient Address: BLK 16 LOT 27 SILCAS VILLAGE BRGY
SAN FRANCISCO, BIÑAN, LAGUNA
Contact No.: 09778377459
Laboratory No:
Specimen Type: NPS/OPS Accession No: ---
COV21-383202
Date and Time of Specimen Collection: 12/19/2020 Date and Time of Specimen Receipt: 12/19/2020
(DD/MM/YYYY HR:MIN) 07:45 (DD/MM/YYYY HR:MIN) 17:54
Date and Time of Release of Result: 12/21/2020 09:45
(DD/MM/YYYY HR:MIN)

LABORATORY TEST RESULT

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

detection by Real-Time Polymerase Chain Reaction

TEST RESULT: SARS-CoV-2 (causative agent of COVID-19) viral RNA detected

RESULT AND UNITS OR MEASUREMENTS: NONE

BIOLOGICAL REFERENCE INTERVALS: NONE

INTERPRETATION OF RESULTS WHEN APPROPRIATE

Final Result Interpretation
SARS-CoV-2 (causative agent of COVID-19) viral Positive for SARS-CoV-2 (causative agent of
RNA detected COVID-19)
SARS-CoV-2 (causative agent of COVID-19) viral Negative for SARS-CoV-2 (causative agent of
RNA not detected COVID-19)
Negative for test internal control (most likely due to
Invalid due to specimen quality
poor specimen quality)

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

COMMENTS:
Performed by: Verified by: Noted by:

Mary Ann T. Quiñones

Ma. Elenita C. Mariano, RMT Brian Bacay Medical Technologist
Mayan U. Lumandas, MD
41948
Medical Technologist Molecular Biologist
Medical Specialist IV

Jomarette V. Rosal, RMT Mary Ann Joy Reyes

Medical Technologist Science Research Specialist I
75435 71248

Maria Niña L. Caluña

Medical Technologist
38579