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A.C.

HEALTHCARE LABORATORY
BLK. 78 LOT 13, SAMPAGUITA ST. ZAPOTE ROAD AREA D. CAMARIN, CALOOCAN CITY
CONTACT NUMBER: 0945-5919934/09560083576/0951-0031975/82935095
Email: healthcarelaboratory@yahoo.com / laboratoryhealthcare@gmail.com

NAME: WENNIE E. CARVAJAL DATE: 05-19-21 CASE:602

AGE: 34/F

COVID-19 RAPID TEST


TEST RESULT

IgM NEGATIVE

IgG NEGATIVE

GABRIEL J. CRUZ, MD FPSP


KENJI SAKATA, RMT. CHIEF PATHOLOGIST-Lic#74744
MEDICAL TECHNOLOGIST – LIC.# 56420

KENJI SAKATA, RMT. GABRIEL J. CRUZ, MD FPSP


MEDICAL TECHNOLOGIST – LIC.# 56420 CHIEF PATHOLOGIST-Lic#74744
A.C. HEALTHCARE LABORATORY
BLK. 78 LOT 13, SAMPAGUITA ST. ZAPOTE ROAD AREA D. CAMARIN, CALOOCAN CITY
CONTACT NUMBER: 0945-5919934/09560083576/0951-0031975/82935095
Email: healthcarelaboratory@yahoo.com / laboratoryhealthcare@gmail.com

MEDICAL CERTIFICATE
To Whom It May Concern:
This is to certify that Ms. WENNIE E. CARVAJAL AGE: 34 Gender: FEMALE
Has been seen and examined on: May 19, 2021 and was diagnosed to have:
NO SIGN AND SYMPTOMS OF COVID-19.

I, therefore recommend:
PHYSICALLY FIT TO WORK
This certification is being issued upon the request of the above mentioned named
of whatever purpose it may serve. (excluded legal matters)

R. PASCUAL, M.D.
License No.112211

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