Ground Floor, Balagtas Town Center, 2, Balagtas, 3016 Bulacan

MEDICAL CERTIFICATE

DATE: ___________________
MAY 24, 2024

TO WHOM IT MAY CONCERN:

MARY ANN DELA CRUZ FRANCISCO

This is to certify that ______________________________________, ___y/o
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BOCAUE BULACAN
male/female and a resident of _____________________________________________

MAY 24, 2024

came in for medical examination in hospital on _______________________________
SEVERE URINARY TRACT INFECTION (UTI)
results revealed tha he/she has ____________________________________________

RECOMMENDATION:

THE PATIENT ADVISED MEDICAL ATTENTION AND NEED TO REST. FOR 7 DAYS OR MORE
_______________________________________________________________________
THE PATIENT WAS ADVISED TO TAKE PRESCRIBED MEDICINE FOR FAST RECOVERY
_______________________________________________________________________

REMARKS:
THIS IS TO CERTIFY THAT MS. MARY ANN CONSULT LAST MAY 24, 2024 AND WAS DIAGNOSED
_______________________________________________________________________
WITH SEVERE URINARY TRACT INFECTION WITH SLIGHTLY DILATATED PUS FILLED URINARY
_______________________________________________________________________
TRACT AND BLADDERWALL THICKENING AND DEBRIS FILLED BLADDER. PATIENT IS STILL ON
_______________________________________________________________________
PRESCRIBED MEDICATIONS TRIMETHOPRIM-SULFAMETHOXAZOLE (TMP-SMX,
_______________________________________________________________________
ACETAMINOPHEN AND WAS ADVISED TO DO REPEAT TO REST 3 TO 5 DAYS FROM TIME
_______________________________________________________________________
CONSULT BARRING ANY COMPLICATIONS.
_______________________________________________________________________
I EXPECT THE PATIENT TO COME BACK FOR A FOLLOW UP CHECK UP AND ASSESSMENT AFTER
_______________________________________________________________________
10 DAYS.
_______________________________________________________________________

24TH day of _______________________at

Issue this ______ MAY 2024 HI PRECISION PLUS
DIAGNOSTIC PLUS at Balagtas Town Center, Balagtas Bulacan.

This certification is being issued upon the request of the patient for whatever purpose/s
he/she may deem proper, except for medico-legal purposes.
MARY ANN FRANCISCO
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