September 7, 2023

RELEASING DEPARTMENT
Hi-Precision Diagnostics
Osmeña Boulevard, Fuente Branch
Cebu City

To the Officer in charge:

Good day!

I, ADAMS RALPH JORDAN S. ELEGINO, hereby authorize Jastine Mae P. Empenida, to claim and
sign on my behalf my result in the Urinalysis and Chest X-ray at your diagnostic Laboratory,
which was taken today, September 7, 2023. Attached is a copy of my Identification Card as proof
of my authority.

Thank you.

ATTY. ADAMS RALPH JORDAN S. ELEGINO

Client