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ne Janine Paola T. Rangel, M.D. FPCP, FPCC,FPSE Internal Medicine ‘Adult Cardiology ~ Subspecialty in Echocardiography | Dagupan Doctors vial Memoria! Hospital Rangel Medical nie | Mayor Distr, Dagupan City ‘1 Rizal Stree, Malasiau | Room 208 Medical Arts Annex Building ‘Monday to Friday: 2 PM to 7 PM Monday o Friday: 9AM to 12 PM; St: by appointment | Date:_JUM_", %fo MEDICAL CERTIFICATE rownomrr may concerw:/ «Villa histo certs trae A Govalre Modan Hr/ntlu was examined and treated by the undersigned on_UM#s_l via puscnosis: etal oral OV fren ct to tm ge Crattvrdind Ano pl fiacit REMARKS/ RECOMMENDATIONS: > thew cued Fg HY day idl wc. > He Ieee ile cymphons. Baved on tla Case Cota Lie tele, Wa ba Low Mex 0.9 fF (%y cardia’ complrkoas HE/SHE is deemed: ( ) FITTO WORK (/SCLEARED for contemplated procedure from Cardio-pulmonary standpoint. “This certification is being issued upon the patient’s and may not bBAised for medicorlegal purposes. min ‘auazoue || prazrramas “TmaveR MULTIDEX ico AME |] Sneorae || Plerctin anbucam |] Cite || tunaniw/ Decent DAGUPAN CARDIOVASCULAR DIAGNOSTIC CENTER INC. Dagupan Doctors Villaflor Memorial Hospital Department of Echocardiography and Vascular Laboratory PATIENT INFORMATION NAME : Address : we Previous studies : MERIDOR, Giovannie Murillo Binmaley, Pangasinan He: Referring Physician Dr.Janine Paola T. Range Clinical Information (PE. Findings) : wo wweso weov twesv (0) s(s) ve (0) www (5) Lv mass index weer ‘Normal Range 54M: 48-580n F: 38-52cm | Brplane 34M: 25-400n | Doppler F:21-35em [oo 139 m:62-150m | ct 46 = 105 mt 2 imi | MeMode Fi1¢-azm | Sirgsois 14 M:06-10em | Tecote F:06-o90n [rs 2a wer Zi 4:05-100n F:06-09¢n 19 24M: <115 9mm? F695 amin? om 40Ymin > 25 ming? 230% 230% 27% 28-41% 265-225 meee 18-24em 45-200 43-210n <21en > 506 8-1zomsec 17-28em Procedure Date June 9, 2020 oro 6-20-45150 OR No. : Location : Echo.No, DvD No. Sex: Male Date of Birth :06/19/197 e FCG: Contact No, jo reac am Dastle 129 syste 56 ‘apse RV wall ties wa) 28 aya uw 16 RACY) 23 RAs BsA oR ‘onus i sow 23 so 23 Procascending 26 Mv Annus 2 [Tv Anadis 2 PV Annus FE 050m M:30-40em F:27-33en Ms48-23 enn? F:45-23 0m << 34m? <44on om? 25296: <25 <37F: 222 1232229 <34F:<34 en 43-28em 47-23en a msec. mmntig (on) an on oe meee, wor 7av oa Ey 2 708 EI feed eae cee ee A ose 0.49 1.09 os7 ee raiment. [een |e ial west alsa | Meme see ror ee eae ee t ma ae I eR = DAGUPAN CARDIOVASCULAR DIAGNOSTIC CENTER INC. ‘OR. No. : Dagupan Doctors Villaflor Memorial Hospital Procedure Date :June 9, 2020 Department of Echocardiography and Vascular Laboratory locaton: PD choo. 62045150 DVO No, PATIENT INFORMATION 7 NAME: MERIDOR, Govannle Marlo sex: Male Address: Bhnmaley, Pangasinan Date of Bit 0619/1977 We i Bsa eP: Previous sues 0G: Refering Physician DrJanine Fool T. Rangel Contac No Ginial Information (P.E. Findings): ‘Normal Value 101-176 meee 23 60-0 msec Ht 101-176 msec T

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