Maghari Medical Center

280 National Highway, Surallah, South Cotabato, Philippines

Tel. No. (083) 238-3124

Medical Certificate
Name: ___________________________________ Age: ____________ Status: ______
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Address: __________________________________________________ Sex: ______

FINDINGS/RECOMMENDATIONS:
This is to certify that I have examined the above name and was found with the
______________________________________________________________________
following pertinent findings; he/she is advice
______________________________________________________________________
______________________________________________________________________
to leave or rest for at seven days,.

Done this _____day of ___________________, 2020 at the Municipal Health

Office, Surallah, South, Cotabato, for whatever legal purpose it may serve.

ALLEN P. MAGHARI,M.D.
Medical Director