Unit 302 RNV Bldg., #15 C.

Raymundo Avenue, Barangay Rosario,

Pasig, Philippines

Patient: Jericho Agravante Date: March 17, 2024

Patient ID: M-024 AGE: 37 Sex: Male
Address: 38 M. Flores St., Bagong Ilog, Pasig City

FIT TO WORK CERTIFICATE

This certification is issued upon request of Jericho Agravante, 37 male, of 38

M. Flores St., Bagong Ilog, Pasig City who undergone tooth extraction, under
the care of Dr. Alejandro Bimbo Diaz, DMD, FPCP, FACE, of the following dental
procedure:

SIMPLE TOOTH EXTRACTION

REMARKS AND RECOMMENDATIONS:

Mr. Agravante is advised to take THREE (3) DAY/S REST starting from the day of
procedure to complete medication provided by the physician.

Patient may RETURN TO WORK on March 20, 2024 (Wednesday), PROVIDED work
environment should not exhaust the patients orthodontic procedure.

To comeback after 7 days.

Disclaimer:
This certificate is issued upon the request of the above mentioned and can be
used for any purposes, except Medico-Legal.

______________________________________
Dr. Alejandro Bimbo Diaz, DMD, FPCP, FACE
PRC # 55177
PHIC No: 05250010638
This certificate is being used upon the request of the above-mentioned for whatever purposes it may serve, except those of
medico-legal-nature. For validation purposes:
email: Alej_hatchidental@gmail.com Page 1 of 1
Contact No: 09367659272