Casa Marinero, General Luna St, Intramuros, Manila, 1002 Philippines

PATIENT NAME (LAST, FIRST MIDDLE NAME) PIN OR NO. SPECIMEN CODE:

ERESO, RHODORA D. P2100001734 T2100002728 IML2100002723

AGE/GENDER BIRTHDATE SPECIMEN COLLECTION DATE/TIME SPECIMEN TYPE AUTHENTICITY

VALIDATION
44/Female MAR/06/1977 MAR/15/2021 02:00:32 PM NASO/OROPHARYNGEAL SWAB
INSTITUTION SPECIMEN SUBMISSION DATE/TIME

Notre Dame Medico Dental Clinic MAR/15/2021 04:07:03 PM

Inc.
REQUESTING PHYSICIAN RELEASING DATE/TIME
MARCO ANTONIO R. GANALON MAR/16/2021 01:21:02 AM
SCAN QR CODE

TEST: *SARS-CoV-2 VIRAL RNA DETECTION VIA REAL-TIME RT-PCR

*Severe Acute Respiratory Syndrome-Coronavirus-2 (causative agent of COVID-19) viral ribonucleic acid detection via real-time reverse transcription
polymerase chain reaction. Test results should be correlated with all clinical data and diagnostic findings

RESULT: SARS-CoV-2 VIRAL RNA DETECTED

INTERPRETATION: POSITIVE for SARS-CoV-2.

TEST PRINCIPLE: RNA was extracted using magnetic particle technology and amplified via one-step RT-PCR to detect ORF1ab and N gene
of SARS-CoV-2.
SIGNIFICANCE: SARS-CoV-2 viral RNA will be detected from nasopharyngeal/oropharyngeal swabs and lower respiratory tract specimen
of patients.
LIMITATIONS: Detection sensitivity is dependent on the patient’s viral load during specimen collection and the clinical course of the
disease. Pre-analytic variables like specimen collection, handling and storage might affect the results. Limit of detection
for the test kit is 200 copies/mL
QUALITY CONTROL: Internal control was incorporated in the test to monitor efficient RNA extraction and possible inhibition of RT-PCR.
SARS-CoV-2 Negative and Positive Controls were ran in parallel with the sample to ensure test accuracy and validity.

Performance characteristics have been validated and continuously monitored at Intramuros Molecular Laboratory; this
molecular diagnostic facility has engaged in external proficiency testing as part of quality assurance program.

THIS RESULT HAS BEEN ELECTRONICALLY SIGNED OUT.

PERFORMED BY:

MA. QUENNIE CEBRERO, RMT WENSHIE MONTEROLA, RMT JOAN A. GARCINES, RMT

MEDICAL TECHNOLOGIST MEDICAL TECHNOLOGIST MEDICAL TECHNOLOGIST

PRC ID : 78552 PRC ID : 73085 PRC ID : 78907

CHECKED BY: VERIFIED BY: NOTED BY:

JOAN A. GARCINES, RMT ROSSANA S. TUNGOL, MD Emilio Q. Villanueva III, MD, MSc, DPSP

SHIFT SUPERVISOR PATHOLOGIST HEAD OF THE LABORATORY

PRC ID : 78907 PRC ID : 67919 PRC ID: 0125827

DOCUMENT CODE: DOH LTO LICENSE NUMBER:

IML-LRF-20v.1/OCT2020 13-0002-2021-CT-2