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This medical certificate certifies that Monique C. Español, a 26-year-old female, was examined and treated for dysmenorrhea and acid peptic disease at the Western Pangasinan District Hospital from May 7, 2025. The certificate is issued for work purposes and indicates that she will need medical attention for an unspecified number of days. It is signed by the attending physician and the records officer, and is not valid without a seal.

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866 views2 pages

Medical

This medical certificate certifies that Monique C. Español, a 26-year-old female, was examined and treated for dysmenorrhea and acid peptic disease at the Western Pangasinan District Hospital from May 7, 2025. The certificate is issued for work purposes and indicates that she will need medical attention for an unspecified number of days. It is signed by the attending physician and the records officer, and is not valid without a seal.

Uploaded by

vondaclag
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

Republic of the Philippines

Province of Pangasinan
WESTERN PANGASINAN DISTRICT HOSPITAL
City of Alaminos, Pangasinan
Tel. No. (075) 632-3810
"PHIC- Accredited Health Care Provider"

MEDICAL CERTIFICATE
MAY 7,2025
Date

923
Unit Number

TO WHOM IT MAY CONCERN

This is to certify that MONIQUE C. ESPAÑOL ,26 years old,


female ,single,
Name if Patient

ARWAS,BANI, PANGASINAN was Examined, Treated and confined

In this Hospital on/ from MAY 7,2025 to XXXX with the following

findings and/ or diagnosis.

= DYSMENORRHEA,ACID PEPTIC DISEASE=


XXX

And would need medical attention for ________ days barring complications.
This certification is being issued at the request of

Name of Person Requesting : SAME


Relationship: N/A
Purpose: FOR WORK PURPOSES ONLY.

ADRIAN F. BUGAYONG,MD . NIELA JOY


L. GIRON,RMT,MPH
Attending PHYSICIAN/LIC. NO. 150720 OIC - Records
Officer/LIC. NO.24525
(NOT VALID WITHOUT SEAL)

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