2629 New Panaderos Street, Santa Ana, Manila, Philippines 1009

Tel. Nos: +63(2)5166153, +63(2)7084724, +63(2)7084726

MEDICAL CERTIFICATE

To whom it may concern:

THIS IS TO CERTIFY THAT ______________________________________________________ of

(Name of Patient)

____________________________________________________ was examined and treated at Santa Ana

(Address)

Hospital on this _____ day of ______________________ with the following diagnosis:

The examiner has advised that, for the sake of the individuals overall health, she should be

All owed absence from her company duties for two (2) days.

Ma. Anna L. Magdalena Lorna Aguila, M.D.

Medical Officer General Physician
288-357-291 Lisence No. 0138728