Republic of the Philippines

Province of Leyte
Municipality of MacArthur

MUNICIPAL HEALTH OFFICE

July 28, 2017

DR. ERNESTO MIRALLES

Head, Blood Bank
EVRMC, Tacloban City

Dear Dr. Miralles,

May I request 2 units of B+ blood to our patient, JUANITA PIAMONTE, 58 years old
from Brgy. Danao, MacArthur,Leyte. She is diagnosed with CKD Stage 5 2 DKD and is undergoing
dialysis session 3 times a week.

MacArthur is one of the Blood Donating Municipality.

We hope for your favorable action on this matter.

Thank you and More Power to you and your staff.

Sincerely yours,

MILDA A. CLOSA-MAROHOM, MD
Municipal Health Officer