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    Certificate of Confinement

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    sonya
    The certificate certifies that a patient was confined in the hospital from a start date to an end date under the care of a physician. It was issued at the request of a requester for their purposes. The certificate provides the patient's name, age, gender, civil status, and address as well as the physician's name and their professional license and registration numbers.

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    © All Rights Reserved
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    Certificate of Confinement

    Uploaded by

    sonya
    12K views1 page
    The certificate certifies that a patient was confined in the hospital from a start date to an end date under the care of a physician. It was issued at the request of a requester for their purposes. The certificate provides the patient's name, age, gender, civil status, and address as well as the physician's name and their professional license and registration numbers.

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    The certificate certifies that a patient was confined in the hospital from a start date to an end date under the care of a physician. It was issued at the request of a requester for their purposes. The certificate provides the patient's name, age, gender, civil status, and address as well as the physician's name and their professional license and registration numbers.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    12K views1 page

    Certificate of Confinement

    Uploaded by

    sonya
    The certificate certifies that a patient was confined in the hospital from a start date to an end date under the care of a physician. It was issued at the request of a requester for their purposes. The certificate provides the patient's name, age, gender, civil status, and address as well as the physician's name and their professional license and registration numbers.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    CERTIFICATE OF CONFINEMENT

    ______________
    (Date)

    TO WHOM IT MAY CONCERN:

    THIS IS TO CERTIFY that _____________________________________, _______ years old,


    (Name of Patient) (Age)

    _____________, _____________ from ___________________________________ was examined and


    (Gender) (Civil Status) (Address)

    confined in this hospital on / from ___________________________ to __________________________

    under the service of ________________________________.


    (Name of Physician)

    This certification is being issued upon request of ____________________________ for


    (Name of Requester)
    whatever purpose it may serve them.

    ______________________________
    Attending Physician

    PRC Licence No.: ___________________

    PTR No.: ___________________

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