DEPARTMENT OF PATHOLOGY Please scan to authenticate

DATE RECEIVED : 09-09-2022 09:52:00

PID : 281692 DATE REPORTED : 09-09-2022 11:34:00

NAME : ACELAR, ROBERT GUEATELARA AGE : 53Y SEX : MALE
REQUESTING DOCTOR : TAGLE, WILFREDO S. ROOM : OPD
LOG NO. : 220097044

Test Name Result

SARS-CoV-2 viral Ribonucleic Acid Reverse Transcription- Polymerase Chain Reaction ( Qualitative Detection)
MOLECULAR LABORATORY

Referring Health Facility DE LOS SANTOS MEDICAL CENTER

Date & Time Collected 09-08-2022; 15:50:00
Specimen Number 22-21054
Specimen Type NPS/OPS (Nasopharyngeal and Oropharyngeal Swab)
Result SARS-CoV-2 RNA DETECTED
Interpretation POSITIVE FOR SARS CoV-2
Date of Birth 06/30/1969
Nationality FILIPINO
Passport P4697281B

REMARKS: Please correlate this result with clinical and radiologic data.

METHODOLOGY: Ribonucleic acid (RNA) extraction was performed, and followed by Reverse
Transcription- Polymerase Chain Reaction amplification and detection of SARS-CoV-2 viral
genome targets. Positive and negative controls are included in each run to ensure validity
and accuracy.

SIGNIFICANCE: This test is a qualitative detection of SARS-CoV-2 extracted from

nasopharyngeal and oropharyngeal swabs, sputum, and lower respiratory tract samples from
patients.

LIMITATIONS: The detection of viral Ribonucleic acid (RNA) is influenced by viral load
present in the sample, and thus sensitivity may vary depending on the course of the
disease. Pre-analytic variables, such as but are not limited to specimen collection and
quality, handling, and transport condition may likewise affect the results. The limit of
detection of the kit used is 200 copies/mL.

CARLA ANGELIQUE M. TOLENTINO, RMT PRC NO. HERBERT Z. MANAOIS, M.D. DPSP/PRC#116215
0103909
Medical Technologist Pathologist

JULYA L. GONZALES, RMT PRC No. 0081405 DAPHNE CHUA-ANG, M.D. DPSP/PRC#102523
Medical Technologist Pathologist
201 E. Rodriguez Sr. Ave., Quezon City, Philippines
DEPARTMENT OF PATHOLOGY Please scan to authenticate
DATE RECEIVED : 09-09-2022 09:52:00

PID : 281692 DATE REPORTED : 09-09-2022 11:34:00

NAME : ACELAR, ROBERT GUEATELARA AGE : 53Y SEX : MALE
REQUESTING DOCTOR : TAGLE, WILFREDO S. ROOM : OPD
LOG NO. : 220097044

Test Name Result

SARS-CoV-2 viral Ribonucleic Acid Reverse Transcription- Polymerase Chain Reaction ( Qualitative Detection)

The performance characteristics of this laboratory-developed test has been validated

by the Section of Molecular Pathology, and is continuously being monitored by the
laboratory as part of its quality assurance procedures.

CARLA ANGELIQUE M. TOLENTINO, RMT PRC NO. HERBERT Z. MANAOIS, M.D. DPSP/PRC#116215
0103909
Medical Technologist Pathologist

JULYA L. GONZALES, RMT PRC No. 0081405 DAPHNE CHUA-ANG, M.D. DPSP/PRC#102523
Medical Technologist Pathologist
201 E. Rodriguez Sr. Ave., Quezon City, Philippines