my c eo e ee aren, ws) 2 Hamad Medical Corporation Zot pect Byte pi GuuwGo pata HeacTH cane ConPonaTxOn MEDICAL / SICK LEAVE CERTIFICATE Parent Name: ROLANDO JR LLAMIDO BULAWIN Over ID: ‘6a240N908 Te Number: HC04596301 Onder Date: ore n/2021 1720 Date Orin: VFEBISTS Eacountr 1D: 0108238736 Gender; Male [Admission Visit Date: O2/FEB/2021 10:40 aw, 27560820007 pected Discharge Date: 02FEB/2021 Passport No Modical Service Emergency Medicine anally: Pipe act Hamad General Hospital ‘Reason for Visit / Diagnosis Primary Dingnosis; Dog bite ‘Special Instructions / Comments (Any Effective from: OMFEB2N21_ to _ONFEB/2021 Practitioner / Facility Details Praciioner Name De Saidatut Amsinah Bint Osman — 041542 — Spectallt ~ Emengeney Medicine Corporation /QCHP No: O41S42/ P8887 ‘Signature Line Becrorcally Signed on OD/FEI2021 17:20 Dr. Saiatul Aminah Bioti Onman ~ 041542 ~ Specialist ~ Emergensy Medicine ~ ad ds mot require PHYSICIAN Signature and FACILITY Stamp, jorganization School within 7 days sho orespond to the ptine Layagan ~ 453372 — Covid Volumeer Nurse Pai Date : O2FEB/2021 17:34:41