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PHILIPPINE RED CROSS

MOLECULAR LABORATORY
37 EDSA CORNER BONI AVENUE, MANDALUYONG CITY

CERTIFICATION

Client Name : Passport/ID No:

Address :

Barangay: City :
Province : Region :

Email: Phone:

Date Tested: Birthday :

This certifies that the Philippine Red Cross (PRC) performed SARS-CoV-2 (causative agent od
COVID–19) virus detedtion by Real Time Polymerase Chain Reaction(PCR) to the above men-
tioned client. T

TEST RESULT GENERATED:

 SARS-CoV-2 (causative agent of COVID-19 =

This Certificate is issued after a thorough medical examination determining that the bearer has
no medical signs and symptopms related to COVID-19 as of date and hereby granted to return to
residence as stated.

Issued this day of 2020

SEN. RICHARD J. GORDON FRANCISCO T.. DUQUE III


CHAIRMAN AND CEO SECRETARY
PHILIPPINE RED CROSS DEPARTMENT OF HEALTH
PHILIPPINE RED CROSS
MOLECULAR LABORATORY
37 EDSA CORNER BONI AVENUE, MANDALUYONG CITY

CERTIFICATION

Client Name : Passport/ID No:

Address :

Barangay: City :
Province : Region :

Email: Phone:

Date Tested: Birthday :

This certifies that the Philippine Red Cross (PRC) performed SARS-CoV-2 (causative agent od
COVID–19) virus detedtion by Real Time Polymerase Chain Reaction(PCR) to the above men-
tioned client. T

TEST RESULT GENERATED:

 SARS-CoV-2 (causative agent of COVID-19 =

This Certificate is issued after a thorough medical examination determining that the bearer has
no medical signs and symptopms related to COVID-19 as of date and hereby granted to return to
residence as stated.

Issued this day of 2020

SEN. RICHARD J. GORDON FRANCISCO T.. DUQUE III


CHAIRMAN AND CEO SECRETARY
PHILIPPINE RED CROSS DEPARTMENT OF HEALTH
METRO LIPA MEDICAL CENTER
J. P. LAUREL HIGHWAY BRGY MARAOUY LIPA CITY BATANGAS PHILIPPINES

Tel No: (043) 756-0549 , 702-5443 , Direct 525-5045

Case No. 2140 Rendered Date : AUG-14-2020


Patient Name CABABAN,
: VIDEZ ANNE M. Age : 35 Release Date : AUG-14-2020
Room No: 0 Gender : F Release Time: 12:05PM

COVID-19 Rapid Antibody Test

SPECIMEN : WHOLE BLOOD


RESULTS
IgM: NEGATIVE
IgG: NEGATIVE

INTERPRETATION
SYMPTOM IgM IgG RECOMMENDATION
(-) (-) (-) Adhere to quarantine protocol implemented in the area

(-) ( +) (+) Considered recovered, No RT-PCR testing needed

(-) (+) (-) Isolate for 14 days the repeat testing. If Health Care Worker, swab for RT-PCR

(-) (-) (+) Considered recovered, No RT-PCR testing neede

(-) regardless regardless Isolate and swab

NOTE:
1. Rapid antibody based test kits shall not be used as stand alone test to definitely diagnose or rule
out COVID-19 because this must be in conjunction with RT-PCR.
2. Only Results of RT-PCR test shall be included in COVID-19 reports published by DOH
3. Only medical doctors can prescribe and interpret the use of antibody based test kits.

LUNGENE COVID-19 IgG/IgM RAPID TEST (LATERAL FLOW)


Laboratory License Number: 4A-0311-20-H2-2

REMARK

TEODORA MILYN CARDANO, RMT MARITESS TERESITA M. TORIO MD., FPSP


LIC. NO.31071 LIC. NO.7067
Medical Technologist Pathologist
PHILIPPINE RED CROSS
MOLECULAR LABORATORY
37 EDSA CORNER BONI AVENUE, MANDALUYONG CITY

CERTIFICATION

Client Name : VIDEZ ANNE M. CABABAN Passport/ID No: PHILHEALTH ID


09-0253012403
Address : 208 J. LINGAO ST

Barangay: LODLOD City : LIPA


Province : BATANGAS Region : IV-A CALABARZON

Email: HAENACUH@GMAIL.COM Phone: 741-1707


Date Test- AUGUST 10, 2020 Birth- NOVEMBER 26, 1984

This certifies that the Philippine Red Cross (PRC) performed SARS-CoV-2 (causative agent of
COVID–19) virus detection by Real Time Polymerase Chain Reaction (PCR) to the above
mentioned client.

TEST RESULT GENERATED:

 SARS-CoV-2 (causative agent of COVID-19 ) RNA NOT DETECTED (-)

This Certificate is issued after a thorough medical examination determining that the bearer has
no medical signs and symptoms related to COVID-19 as of date and hereby granted to return to
residence as stated.

Issued this 12TH day of AUGUST 2020

SEN. RICHARD J. GORDON FRANCISCO T. DUQUE III


CHAIRMAN AND CEO SECRETARY
PHILIPPINE RED CROSS DEPARTMENT OF HEALTH

CONTROL NO: MTPCV120014

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