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Dr. Gamot Gamotan Abo-La-Rio St. Peter's Medical Hospital Sinampalukan, Manila

A medical certificate issued by Dr. Gamot Gamotan Abo-La-Rio on June 1, 2015 certifies that Anna Batungbakal, a 27-year-old female from Sampaloc, Manila, was examined and found to have a 0.5 x 2.5 cm contusion on her symphysis that is slightly deviated to the left, as well as a 1x1 cm contusion on her left zygomatic bone. The doctor recommends she take a 7-day rest from work and may return once her symptoms subside. The certificate was issued at the patient's request for legal purposes.

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0% found this document useful (0 votes)
58 views1 page

Dr. Gamot Gamotan Abo-La-Rio St. Peter's Medical Hospital Sinampalukan, Manila

A medical certificate issued by Dr. Gamot Gamotan Abo-La-Rio on June 1, 2015 certifies that Anna Batungbakal, a 27-year-old female from Sampaloc, Manila, was examined and found to have a 0.5 x 2.5 cm contusion on her symphysis that is slightly deviated to the left, as well as a 1x1 cm contusion on her left zygomatic bone. The doctor recommends she take a 7-day rest from work and may return once her symptoms subside. The certificate was issued at the patient's request for legal purposes.

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DR.

GAMOT GAMOTAN ABO-LA-RIO


St. Peters Medical Hospital
Sinampalukan, Manila

MEDICAL CERTIFICATE
June 1, 2015

This is to certify that, Anna Batungbakal, 27 years olde, female, of Sampaloc,


Manila, after careful personal examination of the case is suffering from:
(1) contusion .5 x 2.5 symphysis slightly deviated to the left; and
(2) 1x1 cm. contusion left zygomatic bone
For that, I recommend her to take a rest for the period of 7 days from any work and
may go back to work once symptoms subside.

This certificate was made upon the request of patient for legal purposes.

GAMOT GAMOTAN ABO-LA-RIO, M.D., LI.B


Medico-Legal Consultant

License No. 1234123

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