SMC HEALTHCARE CLINIC & LABORATORY

#16 GD Plaza Bo. Ilang-Ilang, Guiguinto Bulacan

Tel No. 09323403878 / 09237378984

MEDICAL CERTIFICATE
DATE: MAY 17, 2024

TO WHOM IT MAY CONCERN

This is to certify that Kristine B. Capulong , 18 years old and a

resident of 58 Enriquez St. Caingin, Malolos Bulacan has been examined/treated
at the OUT PATIENT DEPARTMENT (OPD).

Final Diagnosis : Diagnosed cold, cough and severe fever.

Remarks : Home Medications and instructions
Purpose : School only

Given this 17th day of May 2024 at SMC Healthcare Clinic, Guiguinto, Bulacan.

CATHERINE Y. ALOLOD MD
LICENSED NO.. 108780
ATTENDING PHYSICIAN