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Printed: 30-AUG-2020 01:25 AM

# 2 Amorsolo St.,
City of Makati, Philippines 1229
DEPARTMENT OF PATHOLOGY AND LABORATORIES

Patient Name :
BERNABE, BERNARD DAVID GERIANE Lab No : 20434340
Date of Birth: 27-NOV-1998 Age: 21Y Gender: MALE Ordered : 29-AUG-2020 11:13 AM
Patient ID #: 877307 Source: OU Laboratory Received: 29-AUG-2020 01:29 PM
Physician: , Room No. Released: 30-AUG-2020 01:25 AM

Test Name

MOLECULAR.

COVID-19 TEST
TEST PERFORMED:
SARS-CoV-2 (Causative agent of COVID-19) virus detection by Real-Time PCR

TEST RESULT:
* SARS-CoV-2 (causative agent of COVID-19) viral RNA not
detected INTERPRETATION OF RESULTS
* Negative for SARS-CoV-2 (causative agent of COVID-19)
SPECIMEN TYPE: Nasopharyngeal swab/s and Oropharyngeal swab/s
DATE AND TIME COLLECTED: August 29, 2020 at 1125H
DATE AND TIME RECEIVED: August 29, 2020 at 1329H

Remarks:
Detection of COVID-19 through PCR methods is currently the most reliable laboratory diagnostic test. However,
as with all other laboratory tests, the result should be correlated with clinical and other pertinent ancillary
findings by a qualified, licensed physician. Repeat testing is suggested if warranted.

Limitations:
The detection of a viral RNA is dependent on the viral load retrieved from the specimen. The sensitivity
varies in the disease course. Pre-analytical variables, (i.e. specimen collection and quality, handling/shipping)
may also affect the results.

The performance characteristics of this laboratory developed test have been validated at the Molecular
Pathology, and is continuously being monitored as part of its quality assurance procedures,
including enrollment with external proficiency testing at Research Institute for Tropical Medicine (RITM).

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

Ana Marie S. Mondejar, RMT Albert Joseph B. Lupisan, MD & Warren O. Koa, MD
Medical Technologist Clinical Pathologist

0069472 | 10/28/2021
0122999 | 07/26/2021, 113687 | 05/07/2023
PRC License No. | Expiry Date PRC License No. | Expiry Date

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