y ‘~ fp ob Aeell Colas ond ol yoat <> AL GENE LABORATORY MEDICAL SERVICES LLC LabGenics Test Report | Patient Details ‘nnn JIGAR VINOD GAGLANI ‘Specimen Details [ HCM-144933/INDIA Date of Collection [24-11-2021 07:50 Pm [7 po/age/Gender 26-11-1987 / 33/ Male Date of Receiving [25/11/2021 [7 Phone Number ‘92760162 Specimen Type _|SWABIN VIM | ‘civil iD 84276346 ‘Specimen 1D 145139 | Passport No. 1 0084016 Date of lab Report [25/11/2021 [Notification 1D/Case 1D 7 Referral/Hospotal | Hala Clinic: Result for Real-Time PCR Testing Panel for SARS-CoV-2 (RT-PCR) Test Name Result Genes Tested Covidi9 Not-Detected (ORFiab gene,N-gene,S-gene) Processing and detection methodology: ‘Testis performed by nucleic acid extraction (viral RNA) from nasopharyngeal and oropharyngeal swabs in Viral Transportation media by using Automated nucleic acid extraction machine, followed by reverse transcription and real-time PCR on a QuantStudios. Florescence probe sequences (TaqPath COVID-19 Combo Kit) are used to amplify three regions within the SARS-COV-2 Viral genome: ORFiab, N-gene, and S-gene. MS2 Bacteriophage control added to each extraction sample as a quality check for extraction and ‘amplification. Cycle threshold analysis (Ct) of the targets is used to determine the presence or absence of SARS-COV-2. SS Ghadeer Al khudhuri ‘Senior Molecular Biology Technologist MOH License No.17924 c a Dr. Nada Al Tamtami Consultant Microbiologist MOH License No. 434we FINS haat) A yall (19-48 95) Ug 9S Gud PCR yaad Say Certificate for PCR Covid-19 NEGATIVE Status for Travel Purpose ———— ME Status for Travel Purpose Tarassud + Case ID: i Sr.No: 1413884 Name Age | Gender | Nationality | PassportNo. | ID Card No. a ee jm dy | Peak tia ay ol wa | gag en) Jaane, | MSS JIGAR VINOD GAGLANI 33 | Male | mow 0084016 84276346 Date of PCR Sample Collection: 24-11-2021 07:50:12 Date of PCR COVID Result: 25-11-2021 Authorized / Head of the Private Health Sh aA le pele Establishment Aja!) Aess’yal) Name Hala Clinfc S eT AG feat oh Contact phone: rassaees er ee dual gl kta Date of Signature: ce RY i: “a Be Cae Hospital Stamp: RES sit 19 38 6) path asad jy line Gaal Sagal oie ce} BS Uae Ng, 5 = 9s le Jnns oy Please deposit R.O -/5 OMR authentication fees in M.O.H COVID 19 accounts Authentication and stamp of Ministry of Health Date: rAasall B1y piky Guat eal Note: ie “Please attach a copy of the private health Establishment uot) decal Lusuiall pi Oa Lied GLI! aw Feport or laboratory report. a sth Peg “The traveler's responsibility to ensure the requi Rete Cesta Period for the validity of the PCR Covid 19 results as 4%} 4ssDhal Ayal) Saal ys ashi) all Alyy ‘@ requirement for the country to be traveled to. Md heal) ah pal) Lyall ullsies 19 dys PCR