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Template Drugtest

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DEPARTMENT OF HEALTH

ST.MICHAEL MEDICAL CENTER


L2 Trinisia Building , Arayat Street, San Martin De Porres , San Martin De Pores , 1111 Quezon City , Metro Manila
Mobile: 0967-420-2127/0954-450-4298
Email: stmichael@medicalcenter
CDRRHR-RRD LTO No: IV - M- 2904193196

CCF No: 202405060006 Transaction Date Time: 06/28/2024 12:30:00 PM


Name:GAMIDO, JEREMIE P. Report Date Time: 06/28/2024 12:40:00 PM
Birthdate: JULY 18, 2000 Age:23 Gender: M

Test Method TEST KIT

Purpose
Private Employment

Result
Drug/Metabolite Result Remarks
METHAMPHETAMINE NEGATIVE PASSED
TETRAHYDROCANNABINOL NEGATIVE PASSED
Test Conducted Approved By
ST.MICHAEL MEDICAL CENTER
L2 Trinisia Building , Arayat Street, San Martin De Porres , San Martin De Pores , 1111 Quezon City , Metro Manila
Mobile: 0967-420-2127/0954-450-4298
Email: stmichael@medicalcenter
CDRRHR-RRD LTO No: IV - M- 2904193196

CCF No: 20240509009 Transaction Date Time: 06/28/2024 12:50:00 PM


Name:DACER,JONATHAN A. Report Date Time: 06/28/2024 01:00:00 PM
Birthdate: September 03,1996 Age: 27 Gender: M

Test Method TEST KIT

Purpose
Private Employment

Result
Drug/Metabolite Result Remarks
METHAMPHETAMINE NEGATIVE PASSED
TETRAHYDROCANNABINOL NEGATIVE PASSED
Test Conducted Approved By

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