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  • Medical Certificate: To Whom It May Concern

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    Barangay Guinayang San Mateo
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    This medical certificate certifies that a patient named ______________, who is ___ years old from ______________, showed no signs or symptoms of COVID-19 when examined on ______________. The patient is not suspected, probable, or confirmed to have COVID-19 and is cleared to travel to _______________ between _______________ and _______________, according to the examining physician _______________.

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    Original Title

    Med.-Cert-forTravel

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    This medical certificate certifies that a patient named ______________, who is ___ years old from ______________, showed no signs or symptoms of COVID-19 when examined on ______________. The patient is not suspected, probable, or confirmed to have COVID-19 and is cleared to travel to _______________ between _______________ and _______________, according to the examining physician _______________.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    3K views2 pages

    Medical Certificate: To Whom It May Concern

    Uploaded by

    Barangay Guinayang San Mateo
    This medical certificate certifies that a patient named ______________, who is ___ years old from ______________, showed no signs or symptoms of COVID-19 when examined on ______________. The patient is not suspected, probable, or confirmed to have COVID-19 and is cleared to travel to _______________ between _______________ and _______________, according to the examining physician _______________.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    MEDICAL CERTIFICATE

    _________________________
    Date

    TO WHOM IT MAY CONCERN:

    This is to certify that I have seen and examined


    ______________________________,

    ___y/o,of ________________________ on ___________________,

    The above mentioned name has no signs and symptoms related to COVID-19
    at the time of examination.

    Is not included in the list of SUSPECT, PROBABLE, CONFIRMED CASES at


    the
    time of exam.

    Patient is FIT TO TRAVEL on _______________,

    This certificate is for TRAVEL PURPOSE only valid until _________________,

    DESTINATION : ___________________________,

    CERTIFIED BY:

    Gen. Lune Ave. Guitnang Bayan I, San Mateo, Rizal 1850 www.sanmateo.gov.ph
    Fax & Tel. No: (8297-81-00 Loc. 148)
    _____________________, M.D.

    Gen. Lune Ave. Guitnang Bayan I, San Mateo, Rizal 1850 www.sanmateo.gov.ph
    Fax & Tel. No: (8297-81-00 Loc. 148)

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