SRF ID : 2748000281934 AMBK ID : C12168 Sample Collection : 23/03/2021

1/05/202 10:29
Name : Mr. MILIND Age : 33 Yrs. Sex : M Sample Received : 23/03/2021
1/05/202 10:47
CHAVAN
2/05/202 Report Released 1/05/202
Self
Ref. By : Printed : 24/03/2021 16:42 : 23/03/2021 12:04
Aadhar : 922388184679

SARS-CoV2 (COVID-19) Real Time RT PCR Test

C12168 260221
Type of Sample : Nasopharyngeal Swab in Viral Transport Medium
Sample Condition of Receipt : OK, Cold chain followed
PCR Kit : Genetix_COVISure
E/N gene : Not Detected
RdRP gene : Not Detected
SARS-CoV2 (COVID-19) RT PCR Test result : NEGATIVE .
Equipment : Rotor-Gene Q

ICMR approval lab code: AMLAKM

NABL certificate number: MC 3332

Analytical sensitivity:
The kit detects 1 x 1003 copies / ml of SARS Cov-2 RNA in clinical samples. This concentration serves as the limit of detection
(LOD).

Limitations of PCR assay and disclaimer:

1. Presence of PCR inhibitors may interfere with PCR amplification.

2. Negative result does not rule out the possibility of infection. Mutations in the organism and improper specimen
collection, storage and transport conditions can influence the result.

NOTE :

1. The result pertains only to the specimen tested and should be correlated with clinical and other laboratory findings to
determine patient status.
2. Please note that these results are not to be used for any thesis or presentations or for publication in any journal, print or
electronic media without the prior written permission of the Director General, ICMR.
3. The test results will be shared with defined Govt. bodies as per the guidelines of Govt of India/ICMR.
4. The test results are for the information of, and interpretation by the treating doctor only.
5. If the results do not correlate, they should kindly be reconfirmed. Kindly contact the laboratory in this case if
required.
6. This report is not valid for medico legal purposes.
7. Ambika Pathology laboratory and its employees / representatives do not assume any liability, responsibility, of any loss or
damage that may be incurred by any person(s) / body as a result of presuming the meaning of the test contents of this report.
8. Ambika Pathology laboratory is approved by ICMR to conduct this test

End Of Report

Dr. Sanjay Kulkarni Dr. Vidya A. Chavan Dr. R. S. Patil

MD (Microbiology), DCP M.B.B.S DCP M.D. (Pathology)
Microbiologist & Hospital Infection Control Consultant

**Sample has been collected outside the laboratory. The results pertain to the sample received. Page 1 of 1