PHILIPPINE RED CROSS 


MOLECULAR LABORATORY
37 EDSA CORNER BONI AVENUE, MANDALUYONG CITY

COVID-19 RT-PCR TEST REPORT & CERTIFICATION

Name: SISICAN, CLIFF WARREN A

Birthday: 04/13/1989 Age: 32 Nationality: PHILIPPINES

Civil Status: SINGLE Gender: MALE Passport/ID No: N/A
Address: BLK 35 LOT RIVERSIDE, SAN VICENTE ANGONO RIZAL

Barangay: SAN VICENTE City: ANGONO

Province: RIZAL Region: REGION IV-A (CALABARZON)
Email: KULOTNAVYSISICAN@GMAIL.COM Phone: +639124021728

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: NPS-OPS
Date Collected: 09/13/2021 10:53 Result Date: 09/15/2021 04:57

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:

ADAM RYAN R. CUGAL, RMT PAULINE S. JIMENEZ, RMT JANELLE ANNE S. PEDRIGOSA, RMT
MEDICAL TECHNOLOGIST MEDICAL TECHNOLOGIST
MEDICAL TECHNOLOGIST PRC ID NO 82426 PRC ID NO 90360
PRC ID NO 0085064

Noted by: Lab Number: PORT091421-8575

Control Number: ACTOFF305948
Certificate Issued: 09/15/2021 04:57

ALVIN REY BELLEZA TAN, MD

PATHOLOGIST
PRC ID NO 0100108
PHILIPPINE RED CROSS - PORT AREA
10 RADIAL RD, PORT AREA, MANILA