This emergency certificate certifies that a patient, aged [age], was admitted to the out hospital on [date] in an emergency condition and was diagnosed with [diagnosis]. The patient was under the care of Dr. [name] and was discharged on [date]. The certificate was signed by the chief medical officer in charge of the patient's case at the hospital.
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Emergency Certificate
This emergency certificate certifies that a patient, aged [age], was admitted to the out hospital on [date] in an emergency condition and was diagnosed with [diagnosis]. The patient was under the care of Dr. [name] and was discharged on [date]. The certificate was signed by the chief medical officer in charge of the patient's case at the hospital.