Professional Documents
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Dr. Salinas Format
Dr. Salinas Format
Salinas
Family Medicine
Baares Bldg. South Fundidor, Molo Iloilo City
Tel No. 5019563/ 09351136667
Schedule: 8:00 AM to 12:00 Noon ; 2:30- 5:00 PM MON-FRI
MEDICAL CERTIFICATE
Date: __________________
This Medical Certificate was issued upon the request of
__________________, ______ yrs. Old and has been diagnosed with
_______________________________________. He/She was advised to
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
___________________________________________________________.
M.D.
LIC No.
PTR No.