Republic of the Philippines

Provincial Health Office

Tarlac Provincial Hospital - Molecular Pathology Laboratory
Tarlac City
0919-069-5106; 0917-871-7329
molecularlab.tph@gmail.com

ACCESSION NUMBER TPH-2022-01297

REF. INSTITUTION TARLAC PROVINCIAL HOSPITAL-MPL
CORPUZ
PATIENT NAME SPECIMEN TYPE OPS & NPS
BETTY ALCANTARA
REQUISTIONER STEPHEN SY TU
AGE / GENDER 55 FEMALE
DATE COLLECTED JANUARY 13, 2022 10:17 AM
DATE OF BIRTH OCTOBER 02, 1966
FILIPINO DATE RECEIVED JANUARY 13, 2022 11:00 AM
NATIONALITY
CONTACT # 09274318247 RESULT RELEASED JANUARY 13, 2022 05:00 PM

PASSPORT # P5930594A

ADDRESS
STREET/SUBDIVISION BUILDING 703 PUROK MASIPAG 2

BARANGAY SAN JUAN DE MATA

TOWN CITY OF TARLAC (CAPITAL)

PROVINCE TARLAC

MOLECULAR PATHOLOGY LABORATORY TEST RESULT

TEST PERFORMED SARS-CoV-2 (causative agents of COVID-19) virus detection by Reverse Transcriptase Polymerase Chain Reaction

RESULT SARS-CoV-2 viral RNA : NOT DETECTED

REMARKS

INTERPRETATION NOT DETECTED: NEGATIVE for SARS-CoV-2 (causative agent for COVID-19)

TEST INFORMATION This test uses PCR-Fluorescence Probing System Technology to detect ORF1ab gene of SARS-CoV-2 in real time PCR assay.

Viral Inactivation HEAT qPCR Instrument BIORAD CFX-96

Technique

Nucleic Acid Zybio Nucleic Acid Test Kit BGI

Extraction Kit Extraction Kit

Lot No. 3016202106057 Lot No. 5109036

The detection of a mutation is dependent for the number of copies present in the specimen that can be detected, and
LIMITATIONS
may be affected by sample integrity, amount of isolated RNA, the presence of interfering substances or inhibitors, and
processing. The limit for this assay is 0.8 cp/mL.

TEST PERFORMED BY:

RAYSON S. GARCIA, RMT ETHEL MAE DANCEL-AVELLANOSA, RMT

MEDICAL TECHNOLOGIST MEDICAL TECHNOLOGIST
PRC LIC #: 0069865 PRC LIC #: 0050200

VERIFIED BY: NOTED BY:

VERCHEL G. ALUMISIN, RMT MICHELLE T. MIRANDA, MD, FPSP

CHIEF ANALYST MOLECULAR PATHOLOGIST
PRC LIC #: 0029629 PRC LIC #: 0104207

Facility License Number: 03-0222-22-H3-1 Validity: 01 January 2022 – 31 December 2022