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Medical Report 1

This medical certificate certifies that Moanich H. Sbucol, a 40-year-old woman from Marikina City, was examined at a hospital on December 27, 2017 for multiple bruises and contusions on her left leg, both arms, and stomach. The certificate was issued at the request of Ms. Sbucol for non-legal purposes.

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Margaret Beauchamp
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1K views1 page

Medical Report 1

This medical certificate certifies that Moanich H. Sbucol, a 40-year-old woman from Marikina City, was examined at a hospital on December 27, 2017 for multiple bruises and contusions on her left leg, both arms, and stomach. The certificate was issued at the request of Ms. Sbucol for non-legal purposes.

Uploaded by

Margaret Beauchamp
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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EXHIBIT “E”

INANG RODRIGUEZ
NO. 39 RIZAL AVENUE, STA. MESA,
Tel.
MANILANos. 913-45-79, 619-37-
96

Case No : 12345
12345

MEDICAL CERTIFICATE

Code No: XXXXX Date: Dec. 28, 2017

To Whom It May Concern:

This is to certify that according to his/her case records in this hospital, 


MOANICAH H. SBUCOL , 40 years old of 4 Limousine St. Rancho Estate IV

East Park, Marikina City has been examined/confined/treated in _______________ on

December 27, 2017 for :

Multiple Bruises and contusions on left leg


Multiple Bruises and contusions on both arms
Multiple Bruises and contusions on stomach

OPERATION PERFORMED:

This certification is being issued upon request of the patient MOANICAH H.

SBUCOL for whatever purpose/s he/she may been proper except for medico legal

purposes.

DR. B. BELO
Physician

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