COVID-19 TEST REPORT Date and time of reporting : 29-12-2021 06:03 PM 30-01-2022 12:37 PM Specimen Details Reporting Details Referred by - Name of facility / Self : POONOOR DIAGNOSTIC CENTRE Date and time of testing : Specimen Type : Date and time of sample collection : SRF ID : Passport No : 29-12-2021 06:28 PM Nasopharyngeal/Oropharyngeal swab 695/KZD/2021111958 Laboratory is approved for COVID - 19 test by Indian Council of Medical Research, Govt of India through Department of Health and Family Welfare Government of Kerala Patient ID Sample ID Patient Name & Address Age Sex Type of Test COVID-19 Result P- 695/202111 1942 01047224 Mr. SHAJAHAN KAKKATTUMMEL UNNIKULAM PO WARD NO 6, 46 Year Male RT-PCR Negative Ph.D BIOTECHNOLOGY/MSc BIOCHEMISTRY Dr. REMITHA RABINDRAN Scan this QR Code to verify the Authenticity of this Report Online ICMR Registration No. : AZADCKK Checked By : ASHKAR M Note : This Results relate only to the specimenstestedand should be correlatedwith clinical ndings interpretationguidance. 1. Testing of referred clinical specimenswas consideredon the basis of request/referralreceived from throughstate surveillance o cer(SSO) of concernedState IntegratedDisease Surveillance Programme/ any other health care facility a rming requirementsof the case de nition’s 2. A single negativetest result , particularly if this is from an upperrespiratory tract specimendoes not exclude infection* 3. A positive test result is only tentativeand will be recon rmedby retesting 4. Repeat sampling and testingof lowed respiratory specimenis strongly recommended in severe or progressivedisease. The repeatspecimensmay be consideredafter a gap of 2-4 days after the collection of the rst specimenfor additionaltest if required* 5. A positive alternatepathogendoes not necessarily rule out either, as little is yet known aboutthe role of co infections. 6. Please not that these are not to be used for any thesis or presentations or publicationsin any journal withoutthe prior permission of the Director General, ICMR Page 1 of 1