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REPUBLIC OF THE PHILIPPINES

PROVINCE OF NUEVA ECIJA


MUNICIPALITY OF SANTA ROSA

MUNICIPAL HEALTH OFFICE

MEDICAL CERTIFICATE

This is to certify that MR. LORENZ RAEDWALD BONIFACIO MORALES, male,


23 years old, a bonafide resident of Barangay San Roque, La Paz, Tarlac was seen
and examined at Santa Rosa Rural Health Unit II on January 4,2024

Diagnosis:

Peptic Ulcer Disease causing stomach pain

And advise for rest: 1-2 days, it is necessary for the restoration of his own health.

This certification is given upon the request of the bearer for whatever purpose it may serve.
Issued this 4th day of January 2024 at Santa Rosa Rural Health Unit II.

JOSANNE LILAC WADWADAN- DE CASTRO, MD.


Municipal Health Officer
License No.0128955

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