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Republic of the Philippines

Province Of Nueva Ecija

DR. PAULINO J. GARCIA MEMORIAL RESEARCH AND CENTER

CABANATUAN CITY NUEVA ECIJA

MEDICAL CERTIFICATE

________________

(Date)

To whom it may concern;

This is to certify that _____________________________________________________________


,________________________________________________________ was examined and treated at the
Municipal Health Center on_______________________________________, 20_____with the following
diagnosis_____________________________________________________________________________

_____________________________________________________________________________________
___________

___________________________________

(Dr. RONALDO L. REYES)

ATTENDING PHYSICIAN

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