Gender:  

Age:  

Department:  

Type:

Equipment Name:

Applying for: COVID-19 Nucleic Acid Test (Throat Swab)

Serial No.

Item

Code

Result

Unit

Sign

Reference Range

1

COVID-19 Nucleic Acid Test

Negative (-)

Time

Negative (-) Time

Remarks:

Statements:

This test consists of two gene segments: COVID-19 ORFlab and COVID-19 N gene.

The test results may be affected by sampling time, sampling site, methodological limitations and other factors, so they need to be analyzed in combination with the clinical manifestation.

The negative can not be excluded; if positive, please considered in comnination with the clinical manifestation; if suspicious, it is recommeded to be sampled again.

One result in total

Sampling time:                                        Report time:

Applicant: Self-service machine            Applicant’s phone No.:

Inspected by:                                          Reviewed by:

**The result is only responsible for the sample**                                   Page: 1/1