NAME OF THE LAB- HMCHR RT PCR LAB TestReport

Dateandtimeofreporting(dd/mm/yyyy):12hourformat 14/04/2021 Addressofthereferringfacility/Hospital HMCH, SPECIMENDETAILS Date&Timeofreceiptof specimen 12/04/2021 dd/mm/yyyy) Conditionof specimenreceived/ Qualityonarrival Undercoldchain

REPORTINGDETAILS Sl No Sample ID PatientName Age Sex Address Specimen Date of Result Department

type sample 2019- nCoV

testing (RT-PCR)

HMCHR/B/199 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

QTR NO- BL/102, BASANTI KANCHAN GUPTA COLONY, ROURKELA, NEAR BASANTI OVER BRIDGE, UDITNAGAR, RKL, SNG PIN CODE-769012 1 23 F MOB- 6371407959 HMCHR/B/201 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

FULA KUANRI BADAIK

SURDA, URMEI, SNG PIN CODE- 770035 2 47 F MOB- 9348566261 HMCHR/B/202 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

JASHODA GOUD SURDA, URMEI, SNG PIN CODE- 770035 3 26 F MOB- 9348752564 HMCHR/B/204 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

NABINA BADHEI BANDHAPALI, SUNDARGARH, PIN CODE- 770002 4 36 F MOB- 8260789238 HMCHR/B/206 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

SABA SARLIA BHUYANTOLA, KACHARU, RAMPUR, SNG, ODISHA PIN CODE- 769003 5 41 F MOB- 8895841790 HMCHR/B/217 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

KALYANI BEHERA UJWALPUR, PIN CODE- 770011 6 35 F MOB- 9438440531 HMCHR/B/218 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

PITRUS SORENG SIMDEGA, SUNDERGARH PIN CODE- 770014 7 46 M MOB- 7749859297 HMCHR/B/219 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

APARNA MISHRA PLOT NO-M-53, ROURKELA-15 PIN CODE- 769015 8 21 F MOB- 9437153154 HMCHR/B/221 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

KAMALA KANTA BALIJODI, SONAPARBATA, NAYAK HATIBANDHA, ROURKELA- 16 PIN CODE- 769016 9 51 M MOB- 7008832718 HMCHR/B/222 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

RIYA AGARWAL L-101, PH-1, BASANTI COLONY, RKL-12 PIN CODE- 769012 10 16 F MOB- 7978295918 HMCHR/B/226 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

RAM NATH ORAM SUJIT AGARWAL BUILDING, DINA NATH LANE, DAILY MARKET, SNG PIN CODE- 769001 11 42 M MOB- 8917505080 HMCHR/B/228 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

SURENDRA KUMAR B/305, SECTOR-16, CHOWDHURY ROURKELA, SUNDERGARH PIN CODE- 769003 12 49 M MOB- 8895942526 HMCHR/B/229 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

TUSHAR KUMAR D/167, CO- OPERATIVE MOHANTY COLONY, KALINGAVIHAR, RKL, SNG PIN CODE- 769015 13 30 M MOB- 8917505080 HMCHR/B/230 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

BAHALEN DANGWAR SURDA, URMEI, SUNDARGARH, ODISHA PIN CODE- 770035 14 34 F MOB- 9178677286 HMCHR/B/231 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

FAGANI EKKA BISRULI, SURUDA, SUNDARGARH, ODISHA PIN CODE- 770035 15 27 F MOB- 7008146854 HMCHR/B/232 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

NEAR COMPLEX GROUND MILAN MODI FLOOR, KACHERI ROAD, RKL-12 PIN CODE- 769012 16 47 M MOB- 8249023247 HMCHR/B/233 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

AMELIA KUJUR GIRJATOLI, JHUNMUR, SUNDERGARH PIN CODE- 770033 17 61 F MOB- 9556768255 HMCHR/B/234 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

BIRAJI ORAM SURDA, URMEI, SUNDARGARH, ODISHA PIN CODE- 770035 18 38 F MOB- 8280452405 HMCHR/B/235 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

MONALISA D/167, CO- OPERATIVE PALLAI COLONY, KALINGAVIHAR, RKL, SNG PIN CODE- 769015 19 28 F MOB- 8917505080 HMCHR/B/236 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

BABALU GOUD SURDA, URMEI, SUNDARGARH, ODISHA PIN CODE- 770035 20 27 M MOB- 7077224592 HMCHR/B/237 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

ANNAPURNA DASH SANLAPUR, BETALIGAON, PALASAHI, BHADRAK PIN CODE- 756119 21 46 F MOB- 8917505080 HMCHR/B/238 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

PREMASHILA PATEL REMANDA, ABANKELA, SUNDARGARH PIN CODE- 770019 22 56 F MOB- 7008588176 HMCHR/B/239 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

NEAR PRINCE TENT JAGJIT SINGH HOUSE, GURUDWARA ROAD, ROURKELA, SNG PIN CODE- 769001 23 46 M MOB- 8917505080 HMCHR/B/240 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

SRIMATI MADHUSUDAN PALLI, NIRMALA RAILWAY COLONY, RKL-13, MISHRA SUNDARGARH PIN CODE- 769013 24 42 F MOB- 9439032562 HMCHR/B/241 NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY

SARIF MIAN SURDA, URMEI, SUNDARGARH, ODISHA PIN CODE- 770035 25 48 M MOB- 7077224592 HMCHR/B/242 DILKUSH CONVENT, JUHU NP SWAB 13/04/2021 NEGATIVE MICROBIOLOGY TARA ROAD, JUHU CHOWPATTY, HANDMAIDS ROZY DSOUZA OF THE SACRED HEART OF JESUS, MUMBAI, MAHARASHTRA PIN CODE- 400049 26 46 F MOB- 9867571264

CheckedandApproved

CheckedandApprovedby Note:Theresultsrelateonlytothespecimenstestedandshouldbe correlatedwithclinicalfindings. Interpretationguidance:- Pleaseensureandmaintaintheconfidentiallyofthetestreport. Testingofreferredclinicalspecimenswasconsideredonthebasisofrequest/referralreceivedfrom/throughStateSurveillanceOfficer(SSO)of concerned StateIntegratedDiseaseSurveillanceProgramme(IDSP)affirmingrequirementsofthecasedefinition/s. A singlenegativetestresult,particularlyifthisis froman upperrespiratorytractspecimen,does notexcludeinfection.* Repeatsamplingandtestingof lowerrespiratoryspecimenisstronglyrecommendedinsevereorprogressivedisease.Therepeatspecimensmaybe consideredaftera gapof2 – 4 daysafterthecollectionofthe firstspecimenfor additionaltesting.* Thesputum (ifproduced),endotrachealaspirate(ETA)orbronchoalveolarlavage(BAL)fluidwouldbe appropriatefortesting.* A positivealternatepathogendoes notnecessarilyruleouteither,aslittleis yetknownabouttheroleofcoinfections. PleasenotethattheseresultsarenottobeusedforanythesisorpresentationsorforPublicationinanyJournalwithout thepriorpermissionofthe Director, ICMR-NationalInstituteofVirology,Pune