Exhibit B

Republic of the Philippines

Department of Health
OSPITAL NG MAYNILA

Form no: MS-HIM-004

Health information management office Revision no: 1
MEDICO-LEGAL CERTIFICATE Effectivity date: July 1, 2015

April 2, 2019
___________________
Date
TO WHOM IT MAY CONCERN:
MARIA CLARA DE LOS SANTOS-IBARRA (Male_ Female_
This is to certify that ______________________________________ 28of age,
) ___
(Name of patient)
Unit 401 Le Metropole Bldg. H. V. dela Costa St., Salcedo Village, Makati City
From _______________________________________________________________________
(Address)
April 2, 2019
was examined and treated/confined in this hospital on/from ___________________to ________________
for the following:

CHLAMYDIA

10:30 AM
TIME OF ARRIVAL ___________________________________________ AM/PM
herself
Brought by:_________________________________________ Relationship: ____________
Address: ____________________________________________________________________

7
Treatment will take from ____________ 14
to _____________ days for the above conditions/injuries to heal
/recover unless complications will arise.

PROVISIONAL
FINAL

DY LIM, MD
License No. 214412
Department of ORL-HNS
Attending Physician/ Medico-legal Officer