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  • Medical Certificate Sample PDF

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    Zaira Kim
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    This medical certificate certifies that an individual was seen on June 1, 2020 at 10:00 for a medical clearance. Upon examination, the individual was found to be essentially normal with no fever, cough, or other symptoms. They were asymptomatic for the past 14 days with no travel history or known exposure. Recommendations included observing preventive measures like cough etiquette, physical distancing, and handwashing.

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    This medical certificate certifies that an individual was seen on June 1, 2020 at 10:00 for a medical clearance. Upon examination, the individual was found to be essentially normal with no fever, cough, or other symptoms. They were asymptomatic for the past 14 days with no travel history or known exposure. Recommendations included observing preventive measures like cough etiquette, physical distancing, and handwashing.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    2K views1 page

    Medical Certificate Sample PDF

    Uploaded by

    Zaira Kim
    This medical certificate certifies that an individual was seen on June 1, 2020 at 10:00 for a medical clearance. Upon examination, the individual was found to be essentially normal with no fever, cough, or other symptoms. They were asymptomatic for the past 14 days with no travel history or known exposure. Recommendations included observing preventive measures like cough etiquette, physical distancing, and handwashing.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    MAKATI MEDICAL CENTER

    MMC HealthHub
    FlrttFloor'To$lorlcont.ctNo.E!E8.0l9Lo€l2l!9,2032Emrll:li${cHc.ltiHub@.bum.d'n.tPh

    MEDICAL CERTIFICATE

    Name: Birth Date:


    Dato and Tlmo ol JUN 1,2020 10:00
    HilO / ComPanY:
    Con3ultation:

    due to
    by the undeEignod ln this clinic
    Thi! to certify that the abovementloned was seen and examined
    iB
    For medical clearance

    THE TIME oF CoNSULTATION


    Arsessmsntt Diagnosts: ESSENTTALLY NORMAL PHYSICAL EXAM AT

    breathing;
    Cunently no fever/headache/cough/coldVsorethroaUchills/difficulty
    Asymptomatic for the past 14 days; No travel history, no exPosurei
    No history of Pneumonia/TB/Asthma'

    etiquette' physical distancing and


    Recommendatlons: AhJvays observe prevenlive measures: Cough
    handwashing. l/lbaring of appropriate face mask at all times'

    DlspoBition:

    Dayc ol Slck Leave ' Number (Words):

    Follow - UP:

    [sy Roturn to Work on:

    / PRC 116586 Jun 1. 2020 10:21


    GERONIMO IQUIN. MD. Dato and Time
    of ing Physiclan
    Slgnstutr sbov. Printed Name

    Ftt - l*rrc - HH 'OOa ReY O0 Dec 2015

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