Republic of the Philippines

CITY OF CALOOCAN
Caloocan Health Department

Date: February 5, 2024

DRUG DEPENDENCY EXAMINATION CERTIFICATE

To Whom It May Concern:

This is to certify that the undersigned has seen and examined, GABORNI,
LUCKIE A., 26 years old, MALE, MARRIED and a resident of 11 A. GUMAMELA
ST., BAGONG BARRIO, CALOOCAN CITY.

REMARKS AND RECOMMENDATIONS:

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DR. ARLYN GONZALES