ARELLANO UNIVERSITY PASIG

MEDICAL CLINIC
Landline: 404-1644

Date______________

MEDICAL CERTIFICATE

To Whom It May Concern:

This is to certify that as per our clinic records _____________________________ _____y.o had consulted
and was seen__________________. Based on medical examination conducted, he/she is found
________________________.

-This certification was issued upon the request of the patient and cannot be used for medico-legal purposes.-

JEREMIAH SIMEON A. TRINIDAD III, MD

School Physician
License. Number: 106585

ARELLANO UNIVERSITY PASIG

MEDICAL CLINIC
Landline: 404-1644

Date______________

MEDICAL CERTIFICATE

To Whom It May Concern:

This is to certify that as per our clinic records _____________________________ _____y.o had consulted
and was seen__________________. Based on medical examination conducted, he/she is found
________________________.

-This certification was issued upon the request of the patient and cannot be used for medico-legal purposes.-

JEREMIAH SIMEON A. TRINIDAD III, MD

School Physician
License. Number: 106585