No.

Republic of the Philippines

Province of Negros Occidental
OFFICE OF THE SENIOR CITIZENS AFFAIRS
MUNICIPALITY OF CAUAYAN I
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Name: u'~,J.i1.:.\J u.LJJ .G.u U.:t!.~i.J JLLL..~., ..
Address: 71ILJLJI~G:\i..\i, G.!\TL\Y.:\N, -NEG. 0(:(:.
.\1l'!u1 1~, 1 ~, 55 }1 :\ 1->!iJJ_, no, !lf115
Date of Birth/Age Sex Date of Issue
THIS CARD IS NON-TRANSFERABLE AND
VALID ANYWHERE 1·N THE COUNTRY
Printed Nilnte and Signature/Thumb Marie
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Benefits and Privileges under Republic Act No. 9257
* Free medical and dental consultation, diagnostic & laboratory
service in any government facilities.
* 20% discount in purchase of unbranded generic medicines.
* 20% discount in hotels, restaurants, recreation centers, etc.
* 20% discount on theaters, cinema houses and concert halls, etc.
* 20% discount on medical & dental services, diagnostic
& laboratory fees in private facilities and funeral parlors.
* 20% discount in fare for domestic air, sea travel and public land
transportation.
Only for the exclusive use of Seniors Citizens; abuse of
privileges is punishable by law.
Persons & Corporations violating RA 9257
shall be punished.
JO~~TABUJARA
unicipal Mayor
 Crystami Hope Gavan-Abad, MD, DPBO
Comprehensive Ophthalmology , Cataract and
Glaucoma Specialist .
Rm 2M10 Simplicio Palanca Medical Arts Bid Monday Thursday Friday 10am
contact number: 09311 534251 g • 2pm
By appointment only

Name: Emmanuel Elbanbuena Date: November 21, 2022

Address: Cau ayan Age : 67 Yrs

Rx 1
Brlnzolamlde, Brlmonldlne Tartrate (SIMBRINZA) 10mg/2mg per
ml/ Eye Drops #4
Sig : 1 drop to left eye 3 x a day
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2 Sodium Hyalurnate (HYABAK) f

Sig : 1drop to each eye 3-4x a day
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Signature
Crystami Hope
Ophthalmology
License No. 114586
PTR No . 4450523
PHIC No.

Gavan-Abad Eye Clinic I Online Clinic

For clinic schedules & more, scan QR code or visit: https://
seriousmd .com/doc/crystami -abad