Professional Documents
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Medical Certificate
Medical Certificate
Who signs Fernando José Rosales Meléndez, bearer of identity card V-20.580.318,
Surgeon with MPPS registration number. 112.749. Registered in the Zulia State
College of Physicians with number. 17540.
Certifies
That having performed a medical examination on the patient: Diego Andrés Rosales
Meléndez , holder of identity card V-20.580.319 , 28 years old, male, is in excellent
health and currently DOES NOT SUFFER FROM ANY OF THE SUSCEPTIBLE
DISEASES QUARANTINE, OR ANY TYPE OF INFECTOCONTAGIOUS OR OTHER
TYPE OF DISEASE THAT MAY PUT PUBLIC HEALTH AT RISK , in accordance
with the provisions of the International Health Regulations of 2005.
This certificate is issued at the request of the patient, in the Maracaibo municipality,
on April 26, 2021.
______________________________
Who signs Fernando José Rosales Meléndez, bearer of identity card V-20.580.318,
Surgeon with MPPS registration number. 112.749. Registered in the Zulia State
College of Physicians with number. 17540.
Certifies
That having performed a medical examination on the patient: Darianyela del Valle
Urdaneta Villasmil , holder of identity card V-25.191.045 , 25 years old, female, is in
excellent health and currently DOES NOT SUFFER FROM ANY OF THE DISEASES
SUSCEPTIBLE TO QUARANTINE, NOR ANY TYPE OF INFECTOCONTAGIOUS
OR OTHER TYPE OF DISEASE THAT MAY PUT PUBLIC HEALTH AT RISK , in
accordance with the provisions of the International Health Regulations of 2005.
This certificate is issued at the request of the patient, in the Maracaibo municipality,
on April 26, 2021.
______________________________