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

, Mandaluyong City

SPECIMEN # 21-CVD-1290850 RESULT RELEASED 10/25/2021 04:34 PM

REF. INSTITUTION: Philippine Airlines PHYSICIAN

PATIENT NAME DELDOC, MERVIN PIDIGOFITCHANT DATE OF BIRTH 07/18/1972

CONTACT # 639178317657 AGE 49

ADDRESS C12 B PEACH STREET MILLBRAE ESTATES GENDER Male

BARANGAY MARCELO GREEN VILLAGE NATIONALITY FILIPINO

CITY CITY OF PARAÑAQUE PASSPORT # P7973057A

PROVINCE NCR

TEST NAME COVID-19 RT-PCR (NUCLEIC ACID AMPLIFICATION TEST - NAAT)

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

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

SPECIMEN Nasopharyngeal swab / Oropharyngeal swab

DATE COLLECTED 10/25/2021 07:02 AM

DATE RECEIVED 10/25/2021 09:00 AM

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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, amount of isolated RNA, the presence of interfering substances or inhibitors, and
processing. The limit of detection for this assay is 200 viral copies/ml.

Test performed by: Verified by:

Mary Joy A. Bagsic, RMT Maria Mikaela J. Libunao, RMT

Medical Technologist Medical Technologist

PRC No: 0058146 PRC No: 0082437

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Michelle Hernandez Diwa, MD Daphne Chua-Ang, MD

Clinical Pathologist Clinical Pathologist

PRC No: 0096316 PRC No: 0102523