Republic of the Philippines

DEPARTMENT OF HEALTH
Cotabato Regional and Medical Center
DEPARTMENT OF PATHOLOGY
Molecular Laboratory
Sinsuat Avenue, Cotabato City
Tel. No. (064) 421-2022 local 450

LABORATORY RESULT FORM

70 A21-18443_PONTILAR_GRETCHEL_CONDINO FALSE
Name of Patient: PONTILAR, GRETCHEL CONDINO.
Age 34 Y Sex FEMALE Date of Birth: 03/13/1987
Address:
(Prov, City/Mun, Brgy, SARANGANI, GLAN, POBLACION, PUROK 9-A STREET
Street/Purok/Sitio)

Health Facility: GLAN MEDICARE COMMUNITY HOSPITAL

Date Collected: 5/6/2021 Date Received: 5/8/2021
Specimen Type: OPS & NPS Specimen ID: A21-18443
Specimen No: 1ST Date Result Released: 05/10/2021

LABORATORY TEST RESULT

LABORATORY TEST PERFORMED Virus detection by Conventional RT-PCR for SARS-CoV-2

TEST RESULT: SARS-COV-2 POSITIVE

REMARKS:
Note: This laboratory result should be interpreted together with the available clinical and epidemiological information.

INTERPRETATION OF RESULTS WHEN APPROPRIATE

FINAL RESULT INTERPRETATION
SARS-CoV-2 POSITIVE The 2019 novel coronavirus (SARS-CoV-2) target nucleic acids are detected.
SARS-CoV-2  The 2019 novel coronavirus (SARS-CoV-2) nucleic acids may be present.
PRESUMPTIVE
POSITIVE / EQUIVOCAL Remarks: New sample should be collected and re-tested.
SARS-CoV-2 NEGATIVE  The 2019 novel coronavirus (SARS-CoV-2) target nucleic acids are not detected.

• Presence or absence of the 2019 novel coronavirus (SARS-CoV-2) nucleic acids

INVALID __cannot be determined
Remarks: New sample should be collected and re-tested.

Analyst: Reviewed by: Noted by:

SITTIE ASHMIERA K. SABDULA, RMT JOSEPH ROMY B. PASCASIO, RMT SHERJAN P. KALIM, MD, FPSP
Lic. No: 0088020 Lic. No: 0050727 Lic. No.: 0103706

Line List Filename: CDRS_Template8.2 MS-PAT-ML-F-04 Rev. 1