LABORATORY REPORT FORM

Patient: MACABUHAY, ROUX YAHAN CAPILITAN

AGE: 7 Gender: [ ] MALE Date of Birth: 10/14/2015
[X] FEMALE
Patient Location: Specimen ID: V-23-143109
OPD Date of Admission:
(DD/MM/YYYY HR:MIN) (If In-Patient)

Requested by: Address: STA. ISABEL STREET BRGY.

CANRAMOS, TANAUAN, LEYTE
Specimen Type: Date and Time of Specimen Receipt:
[ ]Nasopharyngeal swab [ ] Oropharyngeal swab 11/04/2023 11:16
[X]Nasopharyngeal swab and Oropharyngeal swab (DD/MM/YYYY HR:MIN)
Time of Specimen Collection: 11/4/2023 8:31 AM
(DD/MM/YYYY HR:MIN)
Time of Release of Result: 11/04/2023 14:25
(DD/MM/YYYY HR:MIN)
LABORATORY TEST REPORT

LABORATORY TEST PERFORMED: SARS-CoV-2 Detection by Real-Time Polymerase Chain

Reaction (Nucleic Acid Testing)

RESULT: SARS-CoV-2 viral RNA NOT DETECTED

INTERPRETATION OF RESULT WHEN APPROPRIATE

Final Result Interpretation
SARS-CoV-2 viral RNA DETECTED Positive for SARS-CoV-2
SARS-CoV-2 viral RNA NOT DETECTED Negative for SARS-CoV-2
Sample was tested at least twice with
inconclusive result
This Laboratory result should be interpreted together with the available clinical and
epidemiological information.
Comments:
False-negative results may arise due to low-level of virus in the sample, poor sample collection,
handling, timing of collection or presence of inhibitors.
 LABORATORY REPORT FORM
Patient: MACABUHAY, ROUX YAHAN CAPILITAN
AGE: 7 Gender: [ ] MALE Date of Birth: 10/14/2015
[X] FEMALE
Patient Location: Specimen ID: V-23-143109
OPD Date of Admission:
(DD/MM/YYYY HR:MIN) (If In-Patient)

Requested by: Address: STA. ISABEL STREET BRGY.

CANRAMOS, TANAUAN, LEYTE
Specimen Type: Date and Time of Specimen Receipt:
[ ]Nasopharyngeal swab [ ] Oropharyngeal swab 11/04/2023 11:16
[X]Nasopharyngeal swab and Oropharyngeal swab (DD/MM/YYYY HR:MIN)
Time of Specimen Collection: 11/4/2023 8:31 AM
(DD/MM/YYYY HR:MIN)
Time of Release of Result: 11/04/2023 14:25
(DD/MM/YYYY HR:MIN)
LABORATORY TEST REPORT

LABORATORY TEST PERFORMED: SARS-CoV-2 Detection by Real-Time Polymerase Chain

Reaction (Nucleic Acid Testing)

RESULT: SARS-CoV-2 viral RNA NOT DETECTED

INTERPRETATION OF RESULT WHEN APPROPRIATE

Final Result Interpretation
SARS-CoV-2 viral RNA DETECTED Positive for SARS-CoV-2
SARS-CoV-2 viral RNA NOT DETECTED Negative for SARS-CoV-2
Sample was tested at least twice with
inconclusive result
This Laboratory result should be interpreted together with the available clinical and
epidemiological information.
Comments:
False-negative results may arise due to low-level of virus in the sample, poor sample collection,
handling, timing of collection or presence of inhibitors.
Patient Name : MACABUHAY, ROUX YHANA Patient ID : 2300014449
Middle Name : CAPILITAN Specimen ID : 0000977113
Date of Birth : 10/14/2015 Request Date/Time : April. 11, 2023 4:37 PM
Sex : F Arrival Date/Time : April. 11, 2023 5:48 PM
: 7Y 5M 27D Release Date/Time : April. 11, 2023 6:05 PM
Physician : MERIN, AURELIA Location : ER
HEMATOLOGY DEPARTMENT

Test Result Unit Reference Range

COMPLETE BLOOD COUNT
Total WBC 10.48 x10^9/L 4.00 – 11.00
Total RBC 4.39 10^12/L 3.80 – 5.40
Hemoglobin 113 g/L 115 – 148
Hematocrit 0.33 0.38 – 0.44
MCV 73.40 fL 80.00 – 99.00
MCH 25.60 pg 27.00 – 31.00
MCHC 349.00 g/L 323.00 – 379.00
RDW-CV 13.00 % 11.50 – 14.50
DIFFERENTIAL COUNT
Neutrophils 0.66 0.45 – 0.55
Lymphocytes 0.25 0.38 – 0.45
Monocytes 0.08 0.03 – 0.06
Eosinophils 0.01 0.02 - 0.05
Basophils 0.00 % 0.00 – 0.01
Platelet count
Platelet Count 363 x10^9/L 250 – 510

Patient Name : MACABUHAY, ROUX YHANA Patient ID : 2300014449

Middle Name : CAPILITAN Specimen ID : 0000976040
Date of Birth : 10/14/2015 Request Date/Time : April. 10, 2023 8:02 PM
Sex : F Arrival Date/Time : April. 10, 2023 8:18 PM
: 7Y 5M 27D Release Date/Time : April. 10, 2023 8:51 PM
Physician : MERIN, AURELIA Location :

CLINICAL MICROSCOPY DEPARTMENT

Test Result
Physical Examination
Color YELLOW
Transparency HAZY
Chemical Examination
Urine PH 6.0
Specific Gravity <=1.005
Sugar NEGATIVE
Proteins 1+
Ketone NEGATIVE
Blood TRACE
Bilirubin NEGATIVE
Nitrite POSITIVE
Leukocytes 2+
Urobilinogen 0.2
Urine Flowcytometry
International System Conventional
Result Reference Range Result Reference Range
RBC 22 0 – 17 /uL 4 0 – 2 /hpf
WBC 500 0 – 17 /uL 90 0 – 2 /hpf
Epithelial 15 0 – 25 /uL 3 0 – 2 /lpf
Hyaline Cast 0 0 – 1 /uL 0 0 – 3 /lpf
Bacteria 460 0 – 278 /uL 83 0 – 20 /hpf
Patient Name : MACABUHAY, ROUX YHANA Patient ID : 2300014449
Middle Name : CAPILITAN Specimen ID : 0000976262
Date of Birth : 10/14/2015 Request Date/Time : April. 11, 2023 6:04 AM
Sex : F Arrival Date/Time : April. 11, 2023 9:23 AM
: 7Y 5M 27D Release Date/Time : April. 11, 2023 9:55 AM
Physician : MERIN, AURELIA Location : ER
HEMATOLOGY DEPARTMENT
Test Result Unit Reference Range
COMPLETE BLOOD COUNT Result Reference Range Result
Hematocrit 0.35 0.38 – 0. 44
Platelet Count
Platelet Count 346 x10^9/L 250 – 510
Patient Name : MACABUHAY, ROUX YHANA Patient ID : 2300014449
Middle Name : CAPILITAN Specimen ID : 0000977137
Date of Birth : 10/14/2015 Request Date/Time : April. 11, 2023 4:56 PM
Sex : F Arrival Date/Time : April. 11, 2023 6:36 AM
: 7Y 5M 27D Release Date/Time : April. 11, 2023 6:53 AM
Physician : MERIN, AURELIA Location : 2ASHB
HEMATOLOGY DEPARTMENT

Test Result Unit Reference Range

COMPLETE BLOOD COUNT
Total WBC 7.94 x10^9/L 4.00 – 11.00
Total RBC 4.36 10^12/L 3.80 – 5.40
Hemoglobin 112 g/L 115 – 148
Hematocrit 0.33 0.38 – 0.44
MCV 73.50 fL 80.00 – 99.00
MCH 25.60 pg 27.00 – 31.00
MCHC 348.00 g/L 323.00 – 379.00
RDW-CV 13.00 % 11.50 – 14.50
DIFFERENTIAL COUNT
Neutrophils 0.64 0.45 – 0.55
Lymphocytes 0.24 0.38 – 0.45
Monocytes 0.09 0.03 – 0.06
Eosinophils 0.03 0.02 - 0.05
Platelet count
Platelet Count 363 x10^9/L 250 – 510