.

,_, �I � ,­
..J�
GOVERNMENT OF DUBAI �Al HEALTH AUTHORITY ,.
Sick Leave Certificate
�JA 3J�I O.>�

·~�--�=-�U-���
Date: 17-12-2023
�i!latio_r:L,.. �- .....• .,_: .�:_-�:..�,.:.......,���--�,·-��...:. -�
Patient Name SAJANA BUDDILA WADUGE ._,;,,,y,J I f'-"I

Patient File No. 220015886 .j:y_;Al I JJ.o i"9J

Visit Type Outpatient oJyjJI t�

. l:i
Date of Admission N/A J ?. .JI�.J

Date of Discharge N/A �9p.ll t,>..>l:i

Patient Passport No/Emirates ID N/A / 784199440097824 _>WI jl� �J / <Y.�I �lb./ �J

.
Employer Private .
�, �
Employer Name N/A �I� ('W'[

:sfoR-Ceave rnforniation -....���

Diagnosis - ICD Code Pain in shoulder (M25.5) Unspecified �I1"9J.9('W'I
shoulder pain(S49.0)
Sick Leave From, To 25-10-2023 ..,J!, .:,.o �->"11 oj�jl

Sick Leave Period �->"11 oj�j1;;.,__.

Physician Remarks '-&101.b::.lA

Physician Name Nadir Dawood

, ••
Physician Title Specialist-Internal Medicine ..
..........b.11
. �
Healthhub (Br.Alfuttaim healthcare
Facility Name
Single Person Company LLC

Physician Signature r

Physician Stamp

Remarks: Specialist - Internal Medicine

:01.b::.lA
• This certificate is electronically issued and does not req 'lll"�i/1.tamp or :Mlfil.ftng 7028_9_5__
3 6__..-l_�...,,.i, ,1 41;<ll F'" .,.U,,, ;, r,;,�! bi.,:JI ,:...;I-""! ("'l.
DHA for manual attestation.
:�.I..! �t � �9-'I CJ � ✓.>:! , i.>1+:JI o.la ,:..a �I ....,0)-iJ •
- For the purposo of verification of this certificate, please visit DHA Website:
https://sorvlcos.dha.gov.ao/sheryanJwps/portaVhome/services.profossional/online.
htlps://sorvices.dha.gov.ae/shoryan/wps/portaVhome/services-professionaVontine­
,oU.11 .:,,,.J,S.Wl 6.1\+:JI �J ,�J Jl!i..11,g verification
verification and enter the Security code & Certificate No. mentioned below.

PIN: 5545
CP_10.2 F-08
l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l il l l l l l
9656107548833