Unit 204 High Pointe Medical Hub, #241 Shaw Blvd.

, Mandaluyong City

PATIENT NAME CAYANAN, ROD ANDREW G SPECIMEN # 20-CVD-294738

DATE OF BIRTH 02/28/1996 AGE 24 RESULT RELEASED 08/29/2020 02:11 AM

GENDER Male PHYSICIAN

CONTACT NUMBER 09617264889

ADDRESS GARDEN PLAZA 1002 BELEN STREET PACO MANILA

Test Name COVID-19 RT PCR

RESULT SARS-CoV-2 (causative agent of COVID-19) viral RNA NOT detected

INTERPRETATION NEGATIVE FOR SARS-CoV-2 (causative agent of COVID-19)

SPECIMEN Nasopharyngeal swab
DATE COLLECTED 08/28/2020 09:13 AM
DATE RECEIVED 08/28/2020 03:37 PM

TEST INFORMATION
METHODOLOGY: The Novel Coronavirus (2019-nCoV) Nucleic Acid Diagnostic Kit PCR test is performed for the
qualitative detection of ORF-1ab, N, or E 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, amout of isolated RNA, the
presence of interfering substances or inhibitors, and processing. The limit of detection for this
assay is 200 viral copies/ml.

Referring Hospital/Institution: EL ROI MEDICAL CLINIC & DIAGNOSTIC CENTER, INC.

Test performed by: Verified by:

Mary Joy A. Bagsic, RMT Rachelle Ann Fortuno, RMT

Medical Technologist Laboratory Supervisor
PRC No: 0058146 PRC No: 0063276

*** This is a computer generated form and if issued without any alteration, this does not require a signature ***

Michelle Hernandez Diwa, MD Daphne Chua-Ang, MD

Clinical Pathologist Clinical Pathologist

PRC No: 0096316 PRC No: 0102523