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A. KAINE, 27 Years Old, Single, Filipino, Resident of Gov. Cuenco

Miss Hyori A. Kaine underwent a medical examination at Cebu Doctors' University Hospital on December 10, 2018. She was found to have a second degree abrasion on her scalp, contusions on her left arm, and abrasions on her right elbow and left hand, caused by her hair being suddenly pulled out. The doctor, Shin D. Reila, certified that she will need medical attention for 1 to 9 days and will be unable to work for some period of time due to her injuries.

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Zenny Alduiza Jabuen
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2K views1 page

A. KAINE, 27 Years Old, Single, Filipino, Resident of Gov. Cuenco

Miss Hyori A. Kaine underwent a medical examination at Cebu Doctors' University Hospital on December 10, 2018. She was found to have a second degree abrasion on her scalp, contusions on her left arm, and abrasions on her right elbow and left hand, caused by her hair being suddenly pulled out. The doctor, Shin D. Reila, certified that she will need medical attention for 1 to 9 days and will be unable to work for some period of time due to her injuries.

Uploaded by

Zenny Alduiza Jabuen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Republic of the Philippines

City of Cebu
CEBU DOCTORS’ UNIVERSITY HOSPITAL

To Whom It May Concern: MEDICAL OPD # 43-23-45

This is to certify that as per record of this hospital, Miss HYORI


A. KAINE, 27 years old, Single, Filipino, resident of Gov. Cuenco
Ave, Banilad, Cebu City, has undergone a thorough medical
examination conducted at Cebu Doctors’ University Hospital on
December 10, 2018 by Dr. Shin D. Reila and currently suffering from
a second degree abrasion on the scalp located at the top of the head
caused by sudden pulled out of hair, on the right elbow and left hand
and contusions on the left arm. It needs to be medically attended for
a period of one to nine days and will incapacitate her from labor for
some period of time.

____SHIN D. REILA, M.D.___


Attending Physician

This certificate is issued upon the request of the Patient/Relative


whose signature is shown below.

___HYORI A. KAINE___
Patient/Relative
(Signature over Printed Name)

Prepared By:_ SHIN D. REILA, M.D._


Date :___________________

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