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    This medical certificate from the Lugus Rural Health Unit in Lugus, Sulu Province, Philippines certifies that an individual was examined on a specific date. The certificate provides the individual's name, age, address, diagnosis, and any comments from the examining physician. It is valid for one month from the date of issuance and is signed by the Municipal Health Officer.

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    This medical certificate from the Lugus Rural Health Unit in Lugus, Sulu Province, Philippines certifies that an individual was examined on a specific date. The certificate provides the individual's name, age, address, diagnosis, and any comments from the examining physician. It is valid for one month from the date of issuance and is signed by the Municipal Health Officer.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    3 views1 page

    Med Form

    Uploaded by

    hansen melos
    This medical certificate from the Lugus Rural Health Unit in Lugus, Sulu Province, Philippines certifies that an individual was examined on a specific date. The certificate provides the individual's name, age, address, diagnosis, and any comments from the examining physician. It is valid for one month from the date of issuance and is signed by the Municipal Health Officer.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    Republic of the Philippines

    LUGUS RURAL HEALTH UNIT


    Lugus Proper, Lugus, Sulu Province

    MEDICAL CERTIFICATE

    Date:

    To whom it may concern:

    This is to certify that Mr./Ms./Mrs. , years of age, ,


    residing at was seen and examined on ,
    and in my opinion, he/she is .

    Diagnosis: .

    Comments: .

    Done this for whatever legal purpose it may serve.

    Note: This is valid for 1 month only upon issuance.

    Sitti Fatima F.Adjilani, MD


    Municipal Health Officer

    Not valid without seal

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