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Unit 204 High Pointe Medical Hub, #241 Shaw Blvd.

, Mandaluyong City

SPECIMEN # 21-CVD-1291147 RESULT RELEASED 10/25/2021 09:08 PM

REF. INSTITUTION: Philippine Airlines PHYSICIAN

PATIENT NAME ERMINO, MARC GERALD RAMOS DATE OF BIRTH 04/27/1996

CONTACT # 639153546000 AGE 25

ADDRESS 16 MARIAN SUBDIVISION NOVALICHES GENDER Male

BARANGAY SAUYO NATIONALITY

CITY QUEZON CITY PASSPORT #

PROVINCE NCR

TEST NAME COVID-19 RT-PCR (NUCLEIC ACID AMPLIFICATION TEST - NAAT)

RESULT SARS-CoV-2 (causative agent of COVID-19) viral RNA NOT ONLINE VALIDATION
detected

INTERPRETATION NEGATIVE FOR SARS-CoV-2 (causative agent of COVID-19)

SPECIMEN Nasopharyngeal swab / Oropharyngeal swab

DATE COLLECTED 10/25/2021 09:15 AM

DATE RECEIVED 10/25/2021 02:00 PM

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TEST INFORMATION
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. The limit of detection for this assay is 200 viral copies/ml.

Test performed by: Verified by:

Mary Joy A. Bagsic, RMT Maria Mikaela J. Libunao, RMT

Medical Technologist Medical Technologist


PRC No: 0058146 PRC No: 0082437

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

Michelle Hernandez Diwa, MD Daphne Chua-Ang, MD

Clinical Pathologist Clinical Pathologist


PRC No: 0096316 PRC No: 0102523

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