Report ID: DTO-R03

DEPARTMENT OF HEALTH
DOCTOR’S POLYCLINIC AND DIAGNOSTICS
CMC BLDG., DIAZ ST., MARCOS DISTRICT (POB). TALAVERA NUEVA ECIJA

RADIOGRAPHIC REPORT

Name: DELA CRUZ, ARIEL JR, ILAGAN Case No: 22-584

Age: 22 Gender: Male Report Date Time: 01/31/2024 11:02:24AM
Address: Brgy. San Cristobal Licab, Nueva Ecija

CHEST PA:
No abnormal pulmonary densities seen.
The heart is normal in size.
Aorta is unremarkable.
Hemidiaphragms, costophrenic sulci and the visualized bones are intact.

IMPRESSION:

NORMAL CHEST FINDINGS.

ANTHONY L. ALVAREZ M.D. FPCR

RADIOLOGIST

This is a DOH-DDB IDTOMIS generated report

*The abovementioned report is based on radiologic findings and must be correlated with clinical, laboratory and other diagnostics parameters.

DEPARTMENT OF HEALTH
RONQUILLO POLYCLINIC AND DIAGNOSTICS
DRUG TESTING CENTER
CMC BLDG., DIAZ ST., MARCOS DISTRICT (POB). TALAVERA NUEVA ECIJA

QH941601 DRUG TEST REPORT

87

CCF No: 2024050330002 Transaction Date Time: 01/31/2024 12:05:30PM

Name: DELA CRUZ, ARIEL JR, ILAGAN Report Date Time: 01/31/2024 01:35:04PM
Birthdate 05/16/2001 Age: 22 Gender: M

Test Method: TEST KIT Purpose: Private Employment

Results:
FECALYSIS
PHYSICAL EXAMINATION MICROSCOPIC EXAMINATION
COLOR: BROWN WBC: 0–2 /HPF
CONSISTENCY: SOFT RBC: 0–2 /HPF
BACTERIA: +4
FAT GLOBULES:
YEAST CELL:
RESULTS NO OVA OR PARASITE SEEN.

69 MARK J. REGUYAL, RMT DR. JUANITA T. LACUESTA MD FPSP 86

Medical Technologist Pathologist
PRC LIC. NO. 0050161 PRC LIC. NO. 0079765

Valid Within 12 Month/s from Transaction Date

This is a DOH-DDB IDTOMIS generated report

 Report ID: DTO-R03
DEPARTMENT OF HEALTH
DOCTOR’S POLYCLINIC AND DIAGNOSTICS
DRUG TESTING CENTER
CMC BLDG., DIAZ ST., MARCOS DISTRICT (POB). TALAVERA NUEVA ECIJA
QH941601
87 DRUG TEST REPORT

CCF No: 2024050330002 Transaction Date Time: 01/31/2024 12:05:30PM

Name: DELA CRUZ, ARIEL JR, ILAGAN Report Date Time: 01/31/2024 01:35:04PM
Birthdate 05/16/2001 Age: 22 Gender: M

Test Method: TEST KIT Purpose: Private Employment

Results:
URINALYSIS
Examinations Reference Results Microscopic Examinations Results
COLOR YELLOW YELLOW WBC 0 – 2 / HPF
APPEARANCE CLEAR CLEAR RBC 0 – 2 / HPF
REACTION/PH 4.8-7.8 6.0 EPITHELIAL CELLS RARE
SPECFIC GRAVITY 1.015-1.025 1.010 MUCUS THREAD RARE
PROTEIN NEGATIVE NEGATIVE A.�URATES/PHOSPATES FEW
GLUCOSE NEGATIVE NEGATIVE BACTERIA
BLOOD NEGATIVE NEGATIVE CRYSTAL
BILIRUBIN NEGATIVE NEGATIVE CAST
URUBILINOGEN NORMAL NORMAL YEAST CELLS
LEUKOCYTES NEGATIVE NEGATIVE OTHERS:
NITRITE NEGATIVE NEGATIVE
KETONE NEGATIVE NEGATIVE

69 MARK J. REGUYAL, RMT DR. JUANITA T. LACUESTA MD FPSP 86

Medical Technologist Pathologist
PRC LIC. NO. 0050161 PRC LIC. NO. 0079765
Valid Within 12 Month/s from Transaction Date

This is a DOH-DDB IDTOMIS generated report

Report ID: DTO-R03

DEPARTMENT OF HEALTH
RONQUILLO POLYCLINIC AND DIAGNOSTICS
DRUG TESTING CENTER
CMC BLDG., DIAZ ST., MARCOS DISTRICT (POB). TALAVERA NUEVA ECIJA

QH941601 DRUG TEST REPORT

87

CCF No: 2024050330002 Transaction Date Time: 01/31/2024 12:05:30PM

Name: DELA CRUZ, ARIEL JR, ILAGAN Report Date Time: 01/31/2024 01:35:04PM
Birthdate 05/16/2001 Age: 22 Gender: M

Test Method: TEST KIT Purpose: Private Employment

Results:
Drug/Metabolite Results Remarks
METHAMPHETAMINE NEGATIVE PASSED
TETRAHYDROCANNABINOL NEGATIVE PASSED

69 MARK J. REGUYAL, RMT DR. JUANITA T. LACUESTA MD FPSP 86

Medical Technologist Pathologist
PRC LIC. NO. 0050161 PRC LIC. NO. 0079765

Valid Within 12 Month/s from Transaction Date

This is a DOH-DDB IDTOMIS generated report