Test Report TEMPLATE

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TEST REPORT

PATIENT DETAILS

Name : Report No
Date dd/mm/yyyy hh:mm PM
IC/ Passport No : Specimen ID

Address :

REQUESTER (GP) DETAILS

Collection Date : Name :

Collection Time : Address :

Date Received
by Lab :

TESTING DATE SPECIMEN TYPE TESTING METHOD CT VALUE RESULT

Detection of SARS- - NOT


dd June yyyy NPS and OPS RT-PCR
CoV-2 Virus DETECTED

Verified by: Nor Farhana Ruslan- Research Officer (Biomedic BSc)

Notes:
1. If Negative but clinically indicated, retesting is suggested with new specimen.
2. RTK-Ag is not confirmatory test. Retesting with Rt-PCR is suggested for confirmation.
3. SARS-CoV-2 virus may not be detected for reasons indluding, but not limited to:
-Very low viral load which is below the detection limit of the testing
-Pre-analytical factors related to collection, transport and storage of the specimen.
4. This is a computer-generated report. No signature required

-END OF TEST REPORT-


This report is strictly not for circulation or advertising purpose and cannot be reproduced without written approval of the laboratory.
The results relate to the items tested ONLY. All analysis are carried out to the best of our knowledge and ability and our responsibility is limited to the
correctness of the result.
Any enquiry, please contact us.

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