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Safe MD, Inc.

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SARS-COV-2 ANTIGEN REPORT AND CERTIFICATE

Name : JAN MELVIN GUILLERMO MANALO
Patient ID : 8FRUV2IUPVH3
Birthday : 10/29/1997 Email : m**********gmail.com
Civil status : SINGLE Phone : 0******8989
Nationality : Filipino 'ID / : -
Passport
No'
Age : 24 Sex : MALE
Address : Unit 104, Villarica Subdivision 115 Aries St Santo Domingo CAINTA, RIZAL

Specimen ID : BS20816436
Collected at : 08/16/2022 02:31 PM Released at : 08/16/2022 03:52 PM
Received at : 08/16/2022 02:31 PM

Examination : Wondfo Antigen Test

Specimen : Nasopharyngeal swab
Result : SARS-CoV-2 ANTIGEN NOT DETECTED
Interpretation : NEGATIVE FOR SARS-CoV-2
Remarks : This is not a confirmatory test for COVID-19. RT-PCR is recommended for a
definitive result.

Methodology
This test kit is a lateral flow immunochromatographic assay that adopted dual color-system. The test
contains colloid gold conjugate pad and a membrane strip pre-coated with antibodies specific to SARS-
COV-2 antigen on the test lines (T). If SARS-COV-2 antigen is present in the specimen, a visible black
band appears ont he test lines (T) as antibody-antigen-antibody gold conjugate complex forms. The
control line (c) is used for procedural control and should always appear if the test is performed
correctly.

Performed by: Verified by: I

Joselito P. Platilla, RMT, IFBA PC Marlene S. Ontog MD, FPSP, MHSA Paulo Antonio Clemente, MD, DPSP
Medical Technologist Pathologist Pathologist

PRC #: 0039991 PRC #: 61864 PRC #: 113927

This document can be verified by the QR code provided or through the DOH License to Operate Valid: 1/1/2022-12/31/2022
laboratory office contact details provided above. This is a computer License number: 13-0047-2022-CT-2
generated document and it is issued without alteration. This document Powered by Dashlabs.ai
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