Santos, Rowena

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Our Lady of the Assumption Hospital

Formerly E.S Garcia Hospital


DOH License No. 03-0132-21-1-2
71 Malusak St. Sta Ana Bulakan Bulacan
Contact No. (044) 792-0084
Email add: olahosp2021@gmail.com

PATIENT NAME: SANTOS, ROWENA NARCISO Age / Sex: 48 / Female

SPECIMEN SOURCE: NASOPHARYNGEAL SWAB REFERENCE


NO.: OLAH-0000503
DATE AND TIME
COLLECTED: 2022-07-31 20:13:00

ADDRESS: DULO STA ANA BULAKAN BULACAN

LABORATORY RESULT

LABORATORY TEST PERFORMED: COVID - 19 RAPID ANTIGEN TEST

TEST PRINCIPLE: LATERAL FLOW IMMUNOASSAY

ANTIGEN TEST KIT USED: SARS-CoV-2 RAPID ANTIGEN TEST

MANUFACTURER: WONDFO (FDA


APPROVED/RITM VALIDATED)

TEST RESULT:
NEGATIVE

REMARKS:

POSITIVE RESULT: For confirmatory testing using RT-PCR within 48 hours is compliance to mandatory reporting of
notifiable disease to the Department of Health.

NEGATIVE RESULT: Concentration of antigen in the specimen maybe below the detectable limits of the test kit and
does not eliminate the possibility of SARS-CoV-2.

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