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    Medical Certificate

    Uploaded by

    J'mhaeGamboa
    med ccert pdf sample

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Medical Certificate

    Uploaded by

    J'mhaeGamboa
    3 views1 page
    med ccert pdf sample

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    med ccert pdf sample

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    3 views1 page

    Medical Certificate

    Uploaded by

    J'mhaeGamboa
    med ccert pdf sample

    Copyright:

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

    MEDICAL CERTIFICATE

    Date: ______________________

    To Whom It May Concern:


    This is to certify that Mr./Ms./Mrs. ____________________________
    _______________ years old. single/married and presently residing at
    _________________________________________________________
    has been seen and examined in this clinic on _________________ and
    the following diagnosis/medication was given:
    _________________________________________________________
    _________________________________________________________
    _________________________________________________________
    _________________________________________________________
    Remarks;

    _________________________________________________________
    _________________________________________________________
    _________________________________________________________

    This certificate is issued upon of the patient. Thank You.

    Mitomadung S. Pagompatun, M.D. Ma. Theresa Pagompatun, M.D.

    Lic No. 99758 Lic. No. 104284

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