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Medical ZXC

The document is a medical certificate issued by the City Health Office of San Jose Del Monte, Bulacan, certifying that a patient was examined and found physically and mentally fit. The patient reported no symptoms related to COVID-19, but their COVID-19 status could not be determined due to testing limitations. The certificate is intended for specific purposes and is not valid if altered.

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Marianne Zafe
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614 views2 pages

Medical ZXC

The document is a medical certificate issued by the City Health Office of San Jose Del Monte, Bulacan, certifying that a patient was examined and found physically and mentally fit. The patient reported no symptoms related to COVID-19, but their COVID-19 status could not be determined due to testing limitations. The certificate is intended for specific purposes and is not valid if altered.

Uploaded by

Marianne Zafe
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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Republic of the Philippines

Province of Bulacan

CITY OF SAN JOSE DEL MONTE

CITY HEALTH OFFICE


CITY HEALTH CENTER I
Brgy. Poblacion I, City of San Jose del Monte, Bulacan

MEDICAL CERTIFICATE

TO WHOM IT MAY CONCERN:

This is to CERTIFY that __________________, _____, years old a


resident of ______________________, City of San Jose Del Monte Bulacan
was seen and examined by the undersigned on ____________.

Patient denied of any coughs, colds, fever, and shortness of breath


for the past 2 weeks. Physical examination findings were unremarkable at the
time of consult.

Impression: Patient as wound to be physically and mentally fit at the time of


examination.

Remarks: COVID 19 status cannot be ascertained for testing is not possible due
to prioritization of the testing kits to high risk patients. Patient was NOT
monitored nor listed in our health facility as COVID 19 SUSPECT, PROBABLE
nor CONFIRMED.

Issued on ________________ for ________________ purposes only. Not for


medico legal.

ROSELLE T. TOLENTINO, MD, MPH, DPCOM


City Health Physician
Lic. No. 104134
*NOT VALID WITH ERASURES/ALTERATIONS*

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