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Manila 1004, Philippines


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MEDICAL CLINIC
DIAGNOSTIC CENTER; ING. <:Q 900J.;2,Q.¥

MOLECULAR LABORATORY TEST RESULT

Name: UY, MARIA LABYRINTH B. Nationality: FILIPINO


Age/Gender: 32/FEMALE Specimen Type: Oropharyngeal and Nasopharyngeal Swab
Date of Birth: 10/23/1 991 Specimen Number: 22315359
Address: 2647,
2849M.
M.NATIVIDAD, BARANGAY
HIZON ST. STA. 317, SANTA CRUZ, NCR, CITY OF MANILA, FIRST DISTRICT (NOT A PROVINCE)
CRUZ MANILA

Passport Number: Referring Institution: Mayon Clinical Laboratory & Medical Services
Date and Time of Specimen Collection: Date and Time of Specimen Receipt: Date and Time of Release of Result:
04/07/20223:25:54
15:25 54
PMPM 2/14/2022 5:40:53 2/15/2022 10: 12:27 PMAM
2/14/2022 04/07/2022 15:40PM
52 PM 04/08/2022 09:40:27

::::::::•u::::::~~~::V-:~::Qt,ve agent of cov,~ 19) virus Detection by Real-Time lme,ase Cha.I nI


BIOLOGICAL REFERENCE INTERVALS: NONE

INTERPRETATION OF RESULTS:

ASSAY INTERPRETATION

SARS-CoV-2 (causative agent of COVID-19) viral NEGATIVE SARS-CoV-2 (causative agent of COVID-
RNA NOT DETECTED 19)

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

TEST INFORMATION The Novel Coronavirus (2019-nCoV) Nucleic Acid Diagnostic Kit PCR test is performed for the
METHODOLOGY: qualitative detection of ORF-lab and N 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 substance or inhibitors, and processing. The limit of detection for this assay is 200 viral
copies/ml.
NOTE: NEGATIVE FOR NUCLEIC ACID TEST

Test performed by: Verified by: Noted by:

ALEXA M. TIROL , RMT ALEXA M. TIROL, RMT FRANK GERALD C. PAGDUNZULAN, MD, DPSP
PRC LIC No. : 0062164 PRC LIC No. : 0062164 PRC LIC No.: 0113100
Medical Technologist Medical Technologist Pathologist

.......
EL ROI MOLECULAR DIAGNOSTIC LABORATORY

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