Republic of the Philippines

Department of Health
SAN LAZARO HOSPITAL
Manila, Philippines

Name : TRAJANO , JOSEPHINE MENDOZA Patient ID : 000000001933279 Specimen ID : SLH-COVID-2-763

Age/Gender : 55Y 3M 28D/F OR/Adm # : Order Type : ROUTINE
Physician : Dr.X, X Pavillion/Bed # OPD SLHCT Date Requested : 02/03/2021 10:00:00
Hospital/Agency (DRU):SLH-OPD : TJM090225
D/T of Specimen Collection: 02/03/2021 0:00:00

MOLICULAR DETECTION REPORT OF SARS-COV-2 (COVID-19)

Specimen Type: NPS/OPS________________________________

LABORATORY TEST PERFORMED: SARS-CoV-2 (causative agent of COVID-19) virus detection by Real-Time Polymerase Chain
Reaction (qRT-PCR)

TEST RESULT

SARS-CoV-2 (causative agent of COVID-19 VIRAL RNA Not Detected

This laboratory result should be interpreted together with the available clinical epidemiological information

Manner of interpretation

SARS-CoV-2 (causative agent of COVID-19) Viral RNA Positive for SARS-CoV-2 (causative agent of COVID-19)
Detected
SARS-CoV-2 (causative agent of COVID-19) Viral RNA Not Negative for SARS-CoV-2 (causative agent of COVID-19)
Detected
Negative for test internal control (most likely due to poor
Invalid due to specimen quality specimen quality

REMARKS:

GLENN JOSEPH A. DE GUZMAN, RMT FE.C. VILLARAMA, RMT DORCAS V. UMIPIG, MD, FPSP
Medical Technologist Medical Technologist Pathologist
PRC LIC #: 0061373 PRC LIC #: 0031302 PRC LIC #: 0068041

Date and Time Received: Date and Time Released:

02/03/2021 10:00:00 02/04/2021 14:10:00

FM-MS-LAB-065
Date Effective: March 16, 2020, Rev. 0