MOLECULAR LABORATORY TEST RESULT

Name: MENDOZA, ANTHONY RECONES Nationality: FILIPINO

Age/Gender: 26/Male Specimen Type: Oropharyngeal and Nasopharyngeal Swab
Date of Birth: 09/06/1996 Specimen Number: 22418887
Address: DE LORETO, SAN ISIDRO, CITY OF PARAÑAQUE, NCR, FOURTH DISTRICT (NOT A PROVINCE)
Passport Number: P0453442C Referring Institution: GOLD MEDICHECK INC.
Date and Time of Specimen Collection: Date and Time of Specimen Receipt: Date and Time of Release of Result:
10/8/2022 10:04:37 AM 10/8/2022 11:27:35 AM 10/8/2022 2:59:15 PM

LABORATORY TEST PERFORMED: SARS-CoV-2 (causative agent of COVID-19) virus Detection by Real-Time Polymerase Chain
Reaction
RESULT AND UNITS AND MEASUREMENTS: NONE
BIOLOGICAL REFERENCE INTERVALS: NONE
INTERPRETATION OF RESULTS:

ASSAY INTERPRETATION
SARS-CoV-2 (causative agent of COVID-19) viral NEGATIVE SARS-CoV-2 (causative agent of COVID-
RNA NOT DETECTED 19)

This laboratory result should be interpreted together with the available clinic epidemiological information.
TEST INFORMATION The Novel Coronavirus (2019-nCoV) Nucleic Acid Diagnostic Kit PCR test is performed for the
METHODOLOGY: qualitative detection of ORF-1ab and N gene of SARS-CoV-2. This test adopts PCR-Fluorescence
Probing system technology to detect the COVID-19 genes in real time PCR assay.
LIMITATION/S: The detection of a mutation is dependent on the number of copies present in the specimen that can
be detected, and may be affected by sample integrity, amount of isolated RNA, the presence of
interfering substance or inhibitors, and processing. The limit of detection for this assay is 200 viral
copies/ml.
NOTE: NEGATIVE FOR NUCLEIC ACID TEST

Test performed by: Verified by: Noted by:

JEZEL L. BALAGBIS, RMT LOVELY DIANNE V. DAMOT, RMT FRANK GERALD C. PAGDUNZULAN, MD, DPSP
PRC LIC No. : 0072049 PRC LIC No. : 0094189 PRC LIC No. : 0113100
Medical Technologist Medical Technologist Pathologist
 MEDICAL CERTIFICATE

This is to certify that MENDOZA, ANTHONY RECONES is declared medically fit with evidence of
NEGATIVE result in Polymerase chain reaction (PCR Test) done on October 08, 2022.

Remarks/Recommendations:
Ø NO COVID-19 related signs and symptoms at the time of examination
Ø Fit to travel.

Issued on October 08, 2022 at Malate Manila

Roberta Maria N. Cawed-Mende, MD, FPCP, DPCC

License no.0108254

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