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Branch Name: QUALIMED-MERCADO GENERAL HOSPITAL SANTA ROSA

Branch Address: Nuvali North, Sto Domingo, Sta Rosa Laguna

Contact Number: 049-303-0000

Requested Aug-24-2022
Patient Name: FAJARDO, LOIS JOLYN EQUIBAL Gender: Female
Date: 04:01 PM
Birth Released Aug-24-2022
Patient ID: 108162 12/05/1981
Date: Date: 07:30 PM
Printed Aug-24-2022
Case No: RQSTR17838 Age: 40Year/s
Date: 07:40 PM
126 DANGAY ST BARANGAY VETERANS VILLAGE
Address:
QUEZON CITY, NCR, SECOND DISTRICT (NOT A PROVINCE)
Requesting
Physician:

MOLECULAR LABORATORY REPORT


Accession No.: RQSTR17838
Disease Reporting Unit: QualiMed Health Network Sta. Rosa
Date & Time of Specimen
Aug-24-2022 02:44 PM
Collection:
Date & Time of Specimen
Aug-24-2022 04:02 PM
Receipt:
Examination Requested: SARS-CoV-2 Viral RNA RT-PCR
Specimen Type: Oropharyngeal/Nasopharyngeal swab
Result: SARS-CoV-2(causative agent of COVID-19)viral RNA NOT DETECTED
Interpretation: Negative for SARS-CoV-2(causative agent of COVID-19).
Remarks:
Correlation with clinical and radiologic findings and other laboratory findings is recommended.
Positive and negative controls are included in each run to confirm validity and accuracy.

PATIENT REMINDERs:

1. For confirmed positive patients, please coordinate immediately with the


respective Barangay Health Emergency Response Teams (BHERTs) within your
area.

2. Please refrain from publicly posting your results, especially in social media, to
prevent identity theft, fraud, and forgery of results.

Performed by : Verified by : Noted by :

JANUARIO ANTONIO VELOSO , MD, FPSP,


KHRISTINA CAMILLE TOLENTINO , RMT MA. CATHERINE DE LEON , RMT
FASCP, FCAP
PRC LIC #0077970 PRC LIC #0061691
PRC LIC #0067038

Analyst Analyst Pathologist

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