TEST INFORMATION

Test performed at Monogram Biosciences.

For clinical utility and more information on interpreting this report, please visit http://www.monogrambio.com/hiv/resistance-testing/phenotype/phenosense.

PATIENT REPORT

Patient's results from Monogram Biosciences continue on following page(s).

Patient: DOB: Age: 51 Gender: MPatient Identifiers:

Visit Number (FIN):

Client:

Physician:

ARUP Test Code: 0092050

Collection Date: 03/20/2018Received in lab: 03/22/2018Completion Date: 04/07/2018

Human Immunodeficiency Virus (HIV) Phenotype Comprehensive

ARUP Enhanced Reporting | April 07, 2018 | page 1 of 3

Chart continues on following page(s)

Patient: ARUP Accession: 18-079-141544

ARUP Enhanced Reporting | April 07, 2018 | page 2 of 3

Chart continues on following page(s)

Patient: ARUP Accession: 18-079-141544

ARUP Enhanced Reporting | April 07, 2018 | page 3 of 3

END OF CHART

Patient: ARUP Accession: 18-079-141544