Milan P. Tambunting, M.

D
Interna Medicing- Nephrology

MEDICAL CERTIFICATE
TO WHOM IT MAY CONCERN:
This is to certify that _________________________________________, _____ years old (Male,
Female), (Single, Married), Child, residing at
________________________________________________________
_____________________________________________________________________________________
__
(Confined, Consulted, Treated) in this hospital on _________________________ from ______________
to _________________ because of
____________________________________________________________
_____________________________________________________________________________________
__
DIAGNOSIS:
___________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
____________________
Remarks/Recommendation: _____________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
This certification is issued upon the request of the interested party for whatsoever purpose may serve