MEDICAL CERTIFICATE

Date: 01/09/2024
To whom it may concern:

This is to certify that Jeck Gabionza

34 years old, M , residing at B8 L23 Salvacion HOA,Pechayan, Brgy. 178,
Caloocan City consulted with the undersigned, due to
Check-up

Impressions:
Essentially well adult

Recommendations:
No symptoms at the time of consultation.
Fit to work.

This certificate is being issued upon the request of the above-mentioned name
this 01/09/2024
___________ for whatever purpose it may serve except medico legal.
Disclaimer: Information provided in this certificate is clearly based on clinical history alone as
provided by the patient via teleconsult. He/she was not seen nor examined physically. Final discretion
is still based on the company’s doctor or safety officer.

NESSA MARUJA D. CHAN, MD

General Practitioner
License No.: 149786
PTR No.: 9987702

To verify this document, Scan the QR code above or send an email to contactus@ekonsultaclinic.ph

Consult via teleconsult. If symptoms persist, proceed to the nearest emergency room

IMPORTANT: Any kind of counterfeiting or imitating any handwriting, signature or rubric; making untruthful statements in a narration of facts; altering true dates; tampering, alteration, or intercalation of this
document; or issuing in an authenticated form a document purporting to be a copy of this document, or including in such a copy a statement contrary to, or different from this document is punishable by law.