STA.

ANA HOSPITAL
2629 New Panaderos St., Sta. Ana, Manila

COVID-19 TESTING LABORATORY

Laboratory Accession Number: RGRAND19550

Patient Name: ANCOT, RUTHZEN CHAVEZ

(Last Name, First Name, Middle Name)

Age/Sex: 26 / FEMALE Date of birth: 11/25/1995 Address:

(Month/Day/Year) (Street, Barangay, City)

Patient Location Requesting physician

(please check one):
BARANGAY 657 INTRAMUROS
OPD .,
REFFERAL
INPATIENT Contact Number
Specimen Type Oropharyngeal/Nasopharyngeal swab 9182681900
Date and Time of Specimen Collection: 2022-02-07 09:48:00
Date and Time of Specimen Submission: 2022-02-07 15:01:05
Date and Time of Release of Results: 2022-02-08 15:51:19

LABORATORY TEST RESULT

LABORATORY TEST PERFORMED: SARS-CoV-2 (causative agent of COVID-19) virus

Test Result : SARS-CoV-2 (causative agent of COVID-19) viral RNA not detected

RESULT AND UNIT OR MEASURES: NONE

BIOLOGICAL REFERRENCES INTERVALS: NONE

INTERPRETATION OF RESULTS WHEN APPROPRIATE

Final Result Interpretation

SARS-CoV-2(causative agent of COVID-19)viral RNA

Positive for SARS-CoV-2(causative agent of COVID-19)
detected

SARS-CoV-2(causative agent of COVID-19)viral RNA not

Negative for SARS-CoV-2(causative agent of COVID-19)
detected

Negative for test internal control (most likely due to poor

Invalid due to specimen quality
specimen quality)

This laboratory result should be interpreted together with the available clinical and epidemiological information.

Comments / Remarks:

Performed by : Verified by : Noted by :

CARL MICO N. , RAIT SARAH ROWENA D., ARAGON FRANCIA VICTORIA A. DE LOS REYES
PRC LIC #0072481 PRC LIC #0068216 PRC LIC #0124096

Medical Technologist Medical Technologist Pathologist