Rcpubtic of the Philippincs

Deparmcnt of Hcalth, Cqnrcr for tlcalth Developmcat (CIID) II.-CALABARZON

BATAN(}AS IT'IEDICAL CENTEII
Batugas Ci\' titt i
ISO 9OO1:2015 CERTIFIED d-
MOLECULAR DIAGNOSTICS LABORATORY RESULT FORM
NAME OF PATIENT:
VERGES, CAMILLE BARBOSA
Full Last name, First name, Middle name

AGE: 25 SEX : C MALE DATE OF BIRTH : September ]-2, L996

O FEMALE ADDRESS : GITNA, COLONGAN, ROSARIO, BATANGAS
PATIENTLOCATION: Q opD LABORATORY NUMBER: MDL-22-T8487
C REFERML DATE & TIME COLLECTED : June 29, ZO22
O TNPATTENT (DD/MM/YYYY HR:MIN) 8:00:00 AM
REQUISITIONER: TORRES, MD DATE & TIME RECEIVED: June 29,2002
REquEsrlNG RosARro RURAL HEALTH |DDIMM/YYYY HR:MIN) L0:15:00 AM
uNrr
FACILITY: DATE &T|ME RELEASED: June29,2022
SPECIMEN TYPE: OPS & NPS IDD/MM/YYYY HR:MIN) 5:00:00 PM

LABORATORY TEST RESULT

RATORY TEST PERFORMED: SARS-CoV-2 (causative agent of COVID-19) virus detection by Real-Time
Polymerase Chain Reaction

TEST RESUIT: $ARS-CoV-2 (causative agent of COVID-19) viral RNA NOT detected

INTERPRETATION OF RESULTS WHEN APPROPRIATE:

FINAL RESULT INTERPRETATION
SARS-CoV-2 (causative agent of COVID-19) viral POSITIVE for SARS-CoV-2 (causative agent of
RNA detected CoViD-19)
SARS-CoV-2 (causative agent of COVID-19) viral NEGATIVE for SARS-CoV-2 (causative agent of
RNA NOT detected CoViD-1,9)
SARS-CoV-2 (causative agent of CoViD-19) maybe
lnconclusive present. Repeat collection and testing are
recommended.

Negative for test lnternal Control. Repeat

lnvalid due to specimen quality
collection and testing are recommended.

TEST INFORMATION :

MethOdOlOgy : The Novel Coronavirus (2019-nCoV) Nucleic Acid Diagnostic Kit RT-PCR assay is performed for the qualitative
detection of ORFlab, N, or E gene of SARS-CoV-2. This test employs PcR-Fluorescence Probing system
technology to detect the COVID-1g genes in real-time RT-PCR.

This laboratory result should be interpreted together with the available clinical and epidemiological information

COMMENTS:

Performed by: Verified hy: Noted by;

ROXAN G.
&
ARIANE FAT R. HERNANDEZ,
RMT Lic# 0080/141
LEE
VlLlA, RMT tic#
0062369
C. DE

MEDICALTECHNOLOGIST MEDICAL TECHNOLO6IST Consultant in Molecular Pathology

BatMC-PATHO-F-101 Effective Date: June 23,2o2o

Rev.00
This is a computer generoted farm. No Stamping needed.