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MEDICAL CERTIFICATE

Date: December 20, 2018

This is to certify that Miss DANIELLA LOIS B. MENDEZ, 20 years old, Female,
Student of Camarines Sur Polytechnic Colleges, resident of San Juan Iriga City, was
diagnosed suffering from fever and treated.

This certificate is issued upon the request of the patient on whatever purpose it may
serve him/her best.

REMARKS:

Elbert S. Mendez M.D


Attending Physician
Lic No. 0069382

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