DRLOGY PATHOLOGY LAB COVID-19 (SARS-CoV-2) Positive Report Format Example Sample Template

Sep 16, 2026

Uploaded by Fahsai

DRLOGY PATHOLOGY LAB RT-PCR report template for SARS-CoV-2 (COVID-19) qualitative testing. It records patient identifiers (name, age, sex, UHID), sampling and collection details (collector and referrer), and test status with the specimen type: nasopharyngeal/oropharyngeal swabs. The report includes result interpretation guidance, limitations of negative results, and alignment with approved kit standards, followed by comments on coronavirus disease and the physician sign-off.

LanguageEnglish

CategoryForms

FormatPDF

Pages1

AccessFree to download

Sample and Patient Details

Test Information (SARS-CoV-2 Qualitative RT-PCR)

Result and Notes

Comments and Sign-Off

DRLOGY PATHOLOGY LAB Accurate | Caring | Instant 0123456789 | 0912345678 [drlogypathlab@drlogy.com](drlogypathlab@drlogy.com) 105-108, SMART VISION COMPLEX, HEALTHCARE ROAD, OPPOSITE HEALTHCARE COMPLEX. MUMBAI-689578 [www.drlogy.com](www.drlogy.com) Yashvi M . Patel Age : 21 Years Sex : Female UHID : 556 Sample Collected At: 125, Shiv complex, S G Road, Mumbai Sample Collected By: Mr Suresh Ref. By: Dr. Hiren Shah Registered on: 02:31 PM 02 Dec, 2X Collected on: 03:11 PM 02 Dec, 2X Reported on: 04:35 PM 02 Dec, 2X | SARS-CoV-2 (COVID-19) QUALITATIVE | | | | | --- | --- | --- | --- | | Investigation | Result | Reference Value | Unit | SARS-CoV-2 (COVID-19) QUALITATIVE REAL TIME RT-PCR Type of Specimen Result : Nasopharyngeal / Oropharyngeal Swabs : Positive Note : 1. ICMR Registration number for Covid-19 is LABXX01 . Please scan the QR code given at end of this report to check the authenticity of the report. 2. Negative result does not rule out the possibility of Covid-19 infection. Presence of inhibitors, mutations & insufficient RNA specific to SARS-CoV-2 can influence the test result. Kindly correlate the results with clinical findings. A negative result in a 3. 4. 5. ineroelenreutsipeowver lreuernepiastirtyosrracty tracsPtamsapamlepdleotselsikhneot ruSpoulteu, , SgET-CoaVsyp-i2rainteaLcrteinp. Heproceriationessuachmrplassesesercoeipalelayinsasvlree Covid-19 Test conducted as per kits approved by ICMR / CE-IVD / USFDA. KinThiliyscaonsultqualitreatfievreringtestPhTysheicCiatnva/l AueustDhdoorioosovipditegaalsoeyraappsurcopofrvioai teral fllaluupe .to inherent variability in sampling According to ICMR guidelines Ct values should not be used to gauge the severity of the disease.) should and and kits. 6. It is recommended that RTPCR test not be repeated in any individual who has tested positive once either by RAT or RTPCR (ICMR guidelines) . 7. No testing is required for COVID-19 recovered individuals at the time of hospital discharge in accordance with the discharge policy of MoH&FW ( [https:// www. mohfw.gov.in/ pdf/ ReviseddischargePolicyforCOV/019.pdf](https:// www. mohfw.gov.in/ pdf/ ReviseddischargePolicyforCOV/019.pdf)) . Comments : Coronaviruses (CoV) are a large family of viruses that cause illness ranging from the common cold to more severe diseases such as Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV) . Coronavirus disease (COVID-19) is a new strain that was discovered in 2019 and has not been previously identified in humans. Common signs of infection include respiratory symptoms, fever, cough, shortness of breath and breathing difficulties. In more severe cases, infection can cause pneumonia, severe acute respiratory syndrome and kidney failure. Thanks for Reference Medical Lab Technician (DMLT, BMLT) To Check Report Authenticity by Scanning QR Code on Top [www.drlogy.com](www.drlogy.com) ****End of Report**** Dr. Vimal Shah (MD, Pathologist) (MD, Pathologist) Generated on : 02 Dec, 202X 05:00 PM Page 1 of 1 Sample Collection 0123456789

FAQs

What type of specimen is used for the SARS-CoV-2 RT-PCR test in this report?

The specimen type is nasopharyngeal/oropharyngeal swabs.

What does a “Negative result does not rule out” note mean in this template?

It indicates that a negative result cannot completely exclude COVID-19 infection due to factors like inhibitors, mutations, or insufficient viral RNA, and results should be correlated with clinical findings.

How is report authenticity checked according to the template?

The template instructs scanning the QR code at the end of the report to check authenticity, referencing the ICMR registration number.

Sep 16, 2026

Uploaded by Fahsai