OSPITAL NG MAKATI

Sampaguita Street, Pembo, 1218 Makati, Philippines

Tel. No. 8-818-6232

August 14, 2020

To whom it may concern:

This certifies that Mr. / Mrs. / Ms. _____________________________________________,

______ years old, Male / Female, residing at
__________________________________________ was admitted at Ospital ng Makati on
_______________________ due to
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

This certification was issued upon patient’s / patient’s relatives’ request.