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Reference No. BatStateU-CE-12 Effectivity Date January 3 2017 Revision No. 00 MEDICAL CERTIFICATE Control No. Date To whom it may concern This is to certify that Mr. LEILA J. MARFAL-MANALO MD Director Medical and Dental Services License No. Approved by the Board of Regents as per Board Resolution No. 481 series of 2016. /Ms. /Mrs. years old examined / consulted on with the complaints of Diagnosis Remarks This medical certificate is issued upon request of the patient and for purpose only.
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