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Patient Ms. Shella Daulong

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AA VILLAROMAN MEDICAL CLINIC

12 Mariano Ponce, Bagong Barrio West, Caloocan, Metro Manila

MACROLAB DIAGNOSTIC CENTRALLE MEDICAL HEALTHSERV STA. CRUZ BRANCH


Rizal Street Brgy. Poblacion Cavinti, 4th Floor Wellcome Plaza, Antonio S. 2015 Herrera St., corner Rizal Ave.,
Laguna, Cavinti, Philippines Arnaiz Ave, Pasay, Metro Manila Sta. Cruz, Manila,
Wednesday: 12:00nn - 2:00pm Tel No: Friday: 1:00-3:00pm Tel. No.: 820- Rm.817 Monday: 1:00-3:00pm
825-5236 loc.413 0290*825-6911-15 Tel. No.: 553-8809/832-0636

MEDICAL CERTIFICATE
To whom it may concern:
This is to certify that patient Shella Daulong, 25 yrs. old, of 5th ave LRT
Station, has sought medical consultation in this clinic. She was physically seen
and examined by Dr. Alfonso Villaroman IM,MD, on April 1, 2024 with the following
data, to wit:

Diagnostic Test Done: Physical Examination

Diagnosis: INFLUENZA B; SECONDARY TO GRANDULAR FEVER

Medical History: Patient started experiencing Recurring Fever; high-grade

dry cough and cold with Severe headache making her unfit

to work on the said date above. No other manifestation

aside from the ones mentioned.

Remarks: Evident symptoms at the time of examination.

Patient is under monitoring and home medication for 2

days until clinically well and physically fit to work.

Fit to work on April 3, 2024.

Allergies: N/A

Prescription: See the attached prescription.

Present Medication: N/A

_____________________________
_____________________________ Dr. Alfonso Villaroman IM, MD
Annabel M. Cabral Lic. No. _120193_
Supervisor, Medical Records PTR. No. 0525001063558
Assigned Physician

Issued upon request of the aforementioned patient for medical references only excluding legal matters. Issued on this
__1st__ day of April 2024.
NOTE: For validation, contact Records Team via SMS @ 0936-765-9272 from 8AM-5PM daily.

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