ANNEX 5

REPORT ID: DTO-R03

DEPARTMENT OF HEALTH
HI-PRECISION DIAGNOSTICS
440-442 W. LONG BLDG., DEL MONTE AVE. COR. BIAK NA BATO, BRGY. SIENNA,
QUEZON CITY, METRO MANILA
Tel. No: 741-7777 Fax No: 712-3471

DRUG TEST REPORT

CCF No.: 20140903000011 Transaction Date Time:

10/10/2014 6:53:00PM
Name: ROSALES, RIVERO N. Report Date Time: 10/20/2014
7:15:38PM
Birthdate: 01/20/1973 Age: 41 Gender: M

Test Method TEST KIT

Purpose Requesting Parties

Others PERSONAL

Result
Drug Metabolite Result Remarks
PHENCYCLIDINE (PCP) NEGATIVE PASSED
BARBITURATES NEGATIVE PASSED
BENZODIAZEPINES NEGATIVE PASSED
COCAINE NEGATIVE PASSED
ECSTACY NEGATIVE PASSED
METHALDONE NEGATIVE PASSED
METHAMPHETAMINE NEGATIVE PASSED
MORPHINE NEGATIVE PASSED
OPIUM NEGATIVE PASSED
TETRAHYDROCANNABINOL NEGATIVE PASSED

Test Conducted By Approved By

7 ANNA REYES DR. MIGUEL H. MATIAS 6

7 Analyst Head of Laboratory 8

Valid Within 12 Month/s from Transaction Date

This is a DOH-DDB IDTOMIS generated report