PHILIPPINE GENERAL HOSPITAL

PGH FORM No. Q-310051 The National University Hospital

REv 00, Eff. Date 10 June 2020
University of the Philippines Manila
Office of the Deputy Director for Health Operations
MOLECULAR LABORATORY
Taft Avenue, Manila
PHIC-Accredited Health Care Provider
ISO 9001:2008 Certified

SARS-CoV-2 Reverse Transcription PCR (RT-PCR) Report

PATIENT NAME : ABAS, RONNIE MALAIBO SPECIMEN NO :
DATE OF BIRTH : 1977-11-03 AGE : 42 SEX : MALE 20-15298

DATE RELEASED
REQUESTING INSTITUTION : PHILIPPINE GENERAL HOSPITAL PHYSICIAN : COVID USER
: 2020-07-29
CONTACT INFORMATION contact no. and address of patient or SPECIMEN DATE
DATE RECEIVED:
requesting party; or other patient identfier/s, if available : NPS COLLECTED:
2020-07-28
PUTIKAN KABULO, BACO, ORIENTAL MINDORO 2020-07-28
/
TIME COLLECTED: TIME RECEIVED:
00:00 00:00

RESULT SARS-CoV-2 RNA NOT DETECTED

NEGATIVE for SARS-CoV2 (causative agent of

INTERPRETATION:
COVID-19)

REMARKS:

TEST INFORMATION:

The SARS-CoV-2 Reverse Transcription-PCR (RT-PCR) test is used for the detection of nucleic acid from the severe acute
respiratory syndrome coronavirus 2 (SARS-CoV-2) in both upper and lower respiratory specimens collected from individuals
who meet the COVID-19 clinical and/or epidemiological criteria. The test is designed for specific detection of SARS-CoV-2.

Performed by: Noted by:

RON FERNAN A. MALLARI, RMT JANUARIO D. VELOSO JR., MD

ANALYST PATHOLOGIST

Verified by:

GERALDINE O. SORIANO, RMT MICHELE H. DIWA, MD

SUPERVISOR PATHOLOGIST

This form has been verified and electronically signed.

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