PHILIPPINE RED CROSS 


MOLECULAR LABORATORY
37 EDSA CORNER BONI AVENUE, MANDALUYONG CITY

COVID-19 RT-PCR TEST REPORT & CERTIFICATION

Name: MAMITES, JESSIE T.

Birthday: 2/18/1992 Age: 30 Nationality: FILIPINO

Civil Status: MARRIED Gender: MALE Passport/ID No: 021156013597
Address: NONE ZONE IV

Barangay: POBLACION (SIBUTAD) City: SIBUTAD

Province: ZAMBOANGA DEL NORTE Region: REGION IX (ZAMBOANGA)
Email: JESSIETALICMAMITES@GMAIL.COM Phone: 09153035489

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: 04/01/2022 01:40 PM Result Date: 04/02/2022 01:50 AM

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 Certi cate may be veri ed on the dashlabs.app domain by scanning 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: Veri ed by:

VARSHA JOELLE VASQUEZ IJIRANI LUZETTE MILDRED ADELINE D. HALILI KATRINA CELINE B. TAN, RMT
RMT
Medical Technologist RMT Medical Technologist
PRC ID NO 0094066 Medical Technologist PRC ID NO 0073377
PRC ID NO 0093816

Validated by: Lab Number: SPRCZAM040122-1508

Control Number: SPRCZDN5998
Certi cate Issued: 04/02/2022 01:51 AM

MARY ANN ROLEDA TORREGOSA, MD

Pathologist
PRC ID NO 0057674

PHILIPPINE RED CROSS - ZAMBOANGA MOLECULAR BIOLOGY LABORATORY

fi

fi

fi

fi