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Medical Certificate: Dr. Zenia M. Quilantang-Gedangoni, M.D., D.F.M., F.P.A.F.P

This medical certificate summarizes a patient visit for a specific individual. It states the patient's name, age, gender, diagnosis following examination, whether they were admitted or seen as an outpatient, any labs or medications prescribed, and advice provided. The certificate is signed by Dr. Zenia M. Quilantang-Gedangoni to validate her assessment for whatever purpose the certificate will serve.

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ZICHRE SALVERON
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2K views2 pages

Medical Certificate: Dr. Zenia M. Quilantang-Gedangoni, M.D., D.F.M., F.P.A.F.P

This medical certificate summarizes a patient visit for a specific individual. It states the patient's name, age, gender, diagnosis following examination, whether they were admitted or seen as an outpatient, any labs or medications prescribed, and advice provided. The certificate is signed by Dr. Zenia M. Quilantang-Gedangoni to validate her assessment for whatever purpose the certificate will serve.

Uploaded by

ZICHRE SALVERON
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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DR. ZENIA M. QUILANTANG-GEDANGONI, M.D., D.F.M., F.P.A.F.

P
Diplomate and Fellow in Family Medicine
Clinic Address: Room 201, Iloilo Mission Hospital Medical Arts Bldg.
Clinic Hours: 4:00-8:00 PM (Mon-Sat)
Tel. No. 320-0315 local 6018

MEDICAL CERTIFICATE
Date _____________
To Whom It May Concern:

This is to certify that patient ______________________________, ____________ years old,


male/female, residing in _______________________________________was seen, history
reviewed and was physically examined. He/ She was assessed to have the following diagnosis:

_______________________________________________________

________________________________________________________

( ) Patient was Admitted ( ) Patient was seen Out- patient

Laboratories requested were:


_______________________________________________________

_______________________________________________________

Medications prescribed were:


_______________________________________________________

_______________________________________________________

He/ She is advised to:


____________________________________________________________

This certification is issued upon the request of Ms/Mr. _________________________.


For whatever purpose this may serve.

ZENIA M. QUILANTANG-GEDANGONI, M.D


License Number: 0074925

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