Republic of the Philippines ML-006-0

Department of Health 23July2021

CAGAYAN VALLEY MEDICAL CENTER

Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao Ciy, Cagayan
(078) 302-0000 local 200
Department of Pathology and Laboratories Scan me to verify document thru
MOLECULAR LABORATORY RESULT FORM our Client Support

Name NADAL, MERY-HAIL-BAWET Specimen No. 22CVD-269659

Age/Sex 22 Female Date of Birth 07/02/1999 Hospital No. 0

Address 35 MAGGAY STREET ,AGGUGADDAN, PEÑABLANCA, CAGAYAN

Type of Specimen OPS & NPS Region Region 2

Date and Time of Collection 06/10/2022 9:00:00AM Ward

Date and Time of Receipt 06/10/2022 1:00:00PM Date Admitted

Date and Time Performed 06/10/2022 8:00:37PM Referring Health CAGAYAN VALLEY MEDICAL CENTER
Facility
Date and Time Reported 06/11/2022 9:12:00AM

LABORATORY TEST RESULT

Laboratory Test Performed: SARS-CoV-2 Viral RNA Testing by Real Time Reverse Transcriptase Polymerase Chain Reaction (rRT-PCR)

Test Result: SARS-CoV-2 viral RNA NOT Detected

CAGAYAN VALLEY MEDICAL CENTER

Interpretation: NEGATIVE for SARS-CoV-2 (Causative Agent of COVID-19)

RESULTS AND UNITS OR MEASURES: NONE

BIOLOGICAL REFERENCES INTERVALS: NONE

Comments/Remarks:
Please correlate this laboratory result with all the available clinical and epidemiological information
A repeat or supplementary specimen should be collected and test if there is high index of suspicion for COVID-19 viral infection.

Significance:
This test utilizes specimen (i.e. nasopharyngeal/oropharyngeal swab) collected from patients for the qualitative detection of SARS-CoV-2 viral RNA.

Limitations:
Viral RNA detection is dependent on the viral load extracted from the specimen and patient's disease course.
Pre-analytic variables such as but not limited to the collection, quality and transport of the specimen may also affect results.
The performance characteristics of this test have been validated and is continously being monitored by the Department of Pathology and Laboratories as
part of its quality assurance procedures.

Performed By: Validated By: Noted By:

,RMT
MARK VINCENT C. INOCENCIO CLAUDINE CAYE U. MAQUEMA ,RMT MARISSA A. CAUILAN, MD, DPSP
Medical Technologist Medical Technologist
Pathologist