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RECUENCO GENERAL HOSPITAL

68 Sampaloc Ext, Taguig, 1630 Metro Manila


(02) 87331590 OPEN 24 HOURS MON-SAT

M E D I C A L C E R T I F I C A T E

This is to certify that Mr/Ms./Mrs. ______________________ residing at


__________________ had been examined/admitted on________________ due to the
following diagnosis:

REMARKS:

___________________
ATTENDING PHYSICIAN
LIC NO:____________

This certification is being issued upon the request of the patient for whatever purpose he/she may
deem proper except for medico legal.

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