PHILIPPINE RED CROSS

MOLECULAR LABORATORY
37 EDSA CORNER BONI AVENUE, MANDALUYONG CITY

COVID-19 RT-PCR TEST REPORT & CERTIFICATION

Name: PAEL, TOBIAS G

Birthday: 09/17/1994 Age: 26 Nationality: PHILIPPINES

Civil Status: SINGLE Gender: MALE Passport/ID No: P0680473B
Address: PROPER

Barangay: ALTAVISTA City: MATALOM

Province: LEYTE Region: REGION VIII (EASTERN VISAYAS)
Email: PAELTOBIAS@GMAIL.COM Phone: +639566680219

Result: SARS-CoV-2 (causative agent of COVID-19) viral RNA NOT DETECTED

Interpretation: NEGATIVE for SARS-CoV-2 (causative agent of COVID-19)

Remarks:

Specimen: NASOPHARYNGEAL/OROPHARYNGEAL SWAB

Date Collected: 09/27/2020 23:04 Result Date: 09/29/2020 07:16

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.

Note: This Laboratory Result should be interpreted together with available clinical and epidemiological information.
This Certificate may be verified at c19.redcross.org.ph/verify, via the QR code below, or via the Philippine Red Cross
COVID-19 Hotline 1158. This is a computer generated form and if issued without any alteration, this does not require
a signature.

Test Performed by: Verified by:

MAAN B. DE GUZMAN, RMT JESSIELYN M. PEDREZA, RMT ROZEL DANELLA AISNE C. RAQUEÑO
MEDICAL TECHNOLOGIST RMT
MEDICAL TECHNOLOGIST PRC ID NO 55632 MED TECH
PRC ID NO 59139 PRC ID NO 0087061

Noted by: Lab Number: PORT092820-3531

Control Number: NAIA179188
Certificate Issued: 09/29/2020 07:18

ERICK MARTIN H. YTURRALDE, RMT

PATHOLOGIST
PRC ID NO 0128644