Professional Documents
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Department of Justice
OFFICE OF THE PROSECUTOR
VIGAN CITY
JORDAN UGALE
Complainant
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COMPLAINT-AFFIDAVIT
jugale
JORDAN UGALE
Complainant
jtamag
JOHNLEN TAMAG
ASST. CITY PROSECUTOR
CERTIFICATION
jtamag
JOHNLEN TAMAG
ASST. CITY PROSECUTOR
MCLE Compliance 123456778
April 21, 2020
ANNEX “A”
JUAN U. QUINTO, MD
Department of Ophthalmology
Gabriela Silang General Hospital
Quirino Boulevard, Vigan City Ilocos Sur
Clinic Hours 10:00 AM – 3:00 PM TTHS
MEDICAL CERTIFICATE
This is to certify that JORDAN UGALE, age 20, male, with the
postal address at Tamag, Vigan City was examined/ hospitalized at
Gabriela Silang General Hospital starting on August 2 nd of 2020; that
the patient is diagnosed to have suffered from swollen left cheek and
cracked eye socket which required confinement and treatment for 45
days; that even after surgery, his left sight cannot be restored and is
considered to have permanently loss his left vision.
Thank you!
jquinto
JUAN QUINTO, M.D.
License no: 101234
ANNEX “B”
MEMORANDUM
FROM : Officer-in-charge
Vigan Police Station
tuy
PO2 Helen R. Unzo Ty Uy
Drafter Police Senior Inspector