PHILIPPINE RED CROSS 


MOLECULAR LABORATORY
37 EDSA CORNER BONI AVENUE, MANDALUYONG CITY

COVID-19 RT-PCR TEST REPORT & CERTIFICATION

Name: STAPLES, JELLY ESTORES

Birthday: 5/7/1970 Age: 51 Nationality: FILIPINO

Civil Status: MARRIED Gender: FEMALE Passport/ID No:
Address: PROPER PROPER

Barangay: POBLACION (ELIZALDE) City: PRESIDENT ROXAS

Province: CAPIZ Region: REGION VI (WESTERN VISAYAS)
Email: JELLYSTAPLES79@GMAIL.COM Phone: 09519241025

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: SALIVA
Date Collected: 09/11/2021 08:13 AM Result Date: 09/11/2021 09:46 PM

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:

WILMA GAYLE D. CARADO, RMT MARILAG BELLO, GENEVIVE PERL ESPORTONO, RMT
Medical Technologist Medical Technologist
Medical Technologist PRC ID NO 0062790 PRC ID NO 062295
PRC ID NO 0068029

Noted by: by:

Validated Lab Number: SPSI091121-0212
Control Number: SPSI009503
Certificate Issued: 09/11/2021 09:47 PM

JARED M. BILLENA,
Pathologist
PRC ID NO 0116721

PHILIPPINE RED CROSS - PASSI CITY MOLECULAR LABORATORY