LAGUNA DOCTOR’S HOSPITAL, INC.

P. Guevarra St., Sta. Cruz, Laguna

_____________________________________________________________________________________________

MEDICAL CERTIFICATE

OPD

IN-PATIENT _____________________

DATE

TO WHOM IT MAY CONCERN:

This is to certify that __________________________________________________ of

(Name of patient)
___________________________________________, ___________, ______________was
(Address) (Age) (Sex)

examined and treated / confined in this hospital from _________________ to ________________

with the following findings and / or diagnosis

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

This certificate was issued per patient’s request for information purposes and is not valid for
MEDICO-LEGAL PURPOSES.

ARGINIO ROMEO V. DORADO ,MD,FPCP,DPSN

___________________________________
(Attending Physician) / (Resident Doctor)
PTR. 7357194
License No. 125050