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FED Dactiran Doctors VILLAFLOR MEMORIAL HOSPITAL MEDICAL CERTIFICATE June 18, 2020 Date Record No. TO WHOM IT MAY CONCERN: This is to certify that GIOVANNI M. MERIDOR 43y MALE MARRIED (Patient's Name) Age ‘Sex Status of #274 SAN ISIDRO SUR BINMALEY, PANGASINAN was examined and treated/confined inthis hospital on/from 06/15/2020 07:36 AM. to 06/17/2020 01:33 PM. DIAGNOSIS : Calculous Cholecystitis Sip Laparoscopic Cholecystectomy (6/15/2020) and would need medical attention for days of barring complications, This certification is being issued at the request of PATIENT for REFERENCE PURPOSE VIVENCIO hop 4 MILLAFLOR Ul, M.D. FPCS,FACS/FPSGS,PALES SAUDIA A. MALLARI Medical Records Clerk (NOT VALID WITHOUT SEAL) License No.: 81913 DDVMH-MRD-03-02-00 (30.9001 2015 TIFIED Mo Arthur Highway, Mayombo District, #63.75.5282222 +63.75.5220611 wane villalorhosptal.com.ph ° Dagupan City 2400, Priipaines i) @ 8

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