Republic of the Philippines

CITY OF TANGUB
The Christmas Symbol capital of The Philippines
CITY HEALTH OFFICE
Purok 1 Barangay I, Tangub City, Misamis Occidental
Contact Number: (088)545-1862
Email Address: chotangubcity@yahoo.com

DATE: ________________

MEDICAL CERTIFICATE
TO WHOM IT MAY CONCERN:
This is to certify that _______________________________, ________years old, female/male a
resident of _______________________________________________, Patient was seen and examined by
the undersigned with;

ESSENTIALLY NORMAL FINDINGS

NOT Person Under Monitoring (PUM) nor Person Under Investigation (PUI)
Issued on this ______ day of __________________ 2021 for whatever purpose this may serve best.

DR. JANICE C. BIETE, MD

City Health Offices II
Lic. No. 117803