PHILIPPINE RED CROSS 


MOLECULAR LABORATORY
37 EDSA CORNER BONI AVENUE, MANDALUYONG CITY

COVID-19 RT-PCR TEST REPORT & CERTIFICATION

Name: GRIJALDO, HELEN JOY DAET

Birthday: 7/18/1992 Age: 29 Nationality: FILIPINO

Civil Status: MARRIED Gender: FEMALE Passport/ID No: 110505236971
Address: BLOCK 7, LOT 31, LUMINA SUBDIVISION ,BRGY. VISTA ALEGRA STRAWBERRY STREET

Barangay: VISTA ALEGRE City: BACOLOD CITY (CAPITAL)

Province: NEGROS OCCIDENTAL Region: REGION VI (WESTERN VISAYAS)
Email: GRIJALDOHELENJOY@YAHOO.COM Phone: 09198517494

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: 09/20/2021 02:11
09/20/2021
09/17/2021 PMPM
02:11
02:11 PM Result Date: 09/21/2021 12:47
09/18/2021 AMAM
12:47

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:

DEE-CHELLE A. TIZON,RMT, ORYZA D. DAJAB, RMT RODOLFO CARBALLO, RMT

Medical Technologist Medical Technologist
Medical Technologist PRC ID NO 0091270 PRC ID NO Unknown
PRC ID NO 0099281

Noted by: by:

Validated Lab Number: SPRCNOML091721-00212
Control Number: SNOROB3887
Certificate Issued: 09/18/2021 12:47
09/21/2021 12:47AMAM

PATHOLOGIST CHRISTINE AMADA

M.D., DPSP
Pathologist
PRC ID NO 122300

PHILIPPINE RED CROSS - NEGROS OCCIDENTAL MOLECULAR LABORATORY