HOLY ROSARY OF CABUYAO HOSPITAL

Rosario Village, Sala, Cabuyao City, Laguna

Tel. No.: (049) 502-3960
Mobile: 09264177248

MEDICAL CERTIFICATION
Date
To whom it may concern:

THIS IS TO CERTIFY that

of

was examined and treated at the Holy Rosary of Cabuyao Hospital on _____________,
20_____ with the following diagnosis:

And would need medical attention for

days barring complication.

Signature of Physician:
Name of Physician:
Lic. No.:
PTR No.: