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PASCUA
FAMILY MEDICINE
Doña Adela Building, 3rd floor
Corner Luzuriaga-Gatuslao Streets
Bacolod City
MEDICAL CERTIFICATE
Date:______________________________
________________________________________
Signature of Physician
DR. FILEMON D. PASCUA
FAMILY MEDICINE
Doña Adela Building, 3rd floor
Corner Luzuriaga-Gatuslao Streets
Bacolod City
MEDICAL CERTIFICATE
Date:______________________________
________________________________________
Signature of Physician