IMMUNOLOGY / SEROLOGY

TELECURE MEDICAL AND DIAGNOSTIC CENTER REPORT DATE/TIME: 01/08/2022 11:53 AM

NAME: BERGONIO, JOEMARLON VILLA AGE/SEX: 27/M BIRTHDATE: 01/22/1995
ORDERING PHYSICIAN: N/A STATUS: ROUTINE
SPECIMEN NO. 0108067 SPECIMEN: NP swab RECEIVED DATE/TIME: 01/08/2022 11:38 AM

TEST RESULT INTERPRETATION

COVID-19 Antigen Test

Positive for SARS-CoV-2 (causative

SARS-CoV-2 Antigen Positive agent of COVID-19)

REMARKS: Results double checked.

** END OF REPORT **

THIS REPORT MUST BE CLINICALLY CORRELATED BY YOUR ATTENDING PHYSICIAN

Analyzed by (Medical Technologist): Noted by (Pathologist):

Nathaniah Paula T. Palpal-latoc, RMT Jinalyn T. Noh, MD, DPSP

Lic. No. 0104034 Lic. No. 0129040

MED-REP-01 THIS CERTIFICATE IS VALID FOR 14 DAYS

Rev. 20211004
01/08/2022

MEDICAL CERTIFICATE

This is to certify that patient BERGONIO, JOEMARLON VILLA, 27/M, residing at 753, MINDANAO AVENUE, 581,
SAMPALOC, MANILA, METRO MANILA, is COVID-19, CONFIRMED.

CLINICAL
In the past 14 days, the patient:
1. Has been experiencing the ff. symptom/s: Yes fever and/or chills, cough, muscle pain, headache
01/05/2022
2. Has recent exposure to someone with COVID-19: No
3. Has recent overseas travel: No

ASSESSMENT
COVID-19, CONFIRMED

RECOMMENDATION
1. For isolation at least 10 days from symptom onset or until asymptomatic for 24 hours (whichever is longer)
2. Strict adherence to infection control measures

Issued by:

Niño Richard C. Tan, M.D.

Lic. No.: 0147519
PTR No.: 9876835

MED-REP-01 THIS CERTIFICATE IS VALID FOR 14 DAYS

Rev. 20211004