Republic of the Philippines

PROVINCE OF ZAMBALES
MUNICIPALITY OF MASINLOC
OFFICE OF THE MUNICIPAL HEALTH OFFICER
NAME AGE SEX DATE
ADDRESS DATE OF BIRTH WAR
D
REQUESTING PHYSICIAN DESIRED
EXAMINATION

SEROLOGY
RAPID DIAGNOSTIC TESTING / ANTIBODY SCREENING
SARS-CoV-2 IgG/igM Combo Test:
IgG – NEGATIVE
IgM – NEGATIVE
INTERPRETATION OF TEST RESULT:
REMARK: COVID -19 Rapid Test is intended for SYMPTOMATIC patients only.
TEST RESULT INTERPRETATION RECOMMENDATION
(+) IgM Recent infection (non Specific for covid – 19) Need to proceed with RT – PCR
(-) IgM Non Conclusive Need still to remain isolated, swab for RT-PCR
(+) IgG Previous / past infection
(-) IgG Non Conclusive Repeat testing and/or do RT-PCR

Josefina A. Atrero, RMT, III Rodenn E. Eduvala, RMT, II Loren Angeli A. Atrero, RMT
License No. 0201841 License No. 021696 License No. 0095960
DOH PHA-MEDTECH
MEDICAL TECHNOLOGIST