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Page 1: Slight Physical Injuries Annexes

REMEDIOS TRINIDAD ROMUALDEZ HOSPITALCalanipawan Road, Tacloban City

Tel. 053-327-4598

January 5, 2015

MEDICAL CERTIFICATE

TO WHOM IT MAY CONCERN:

This is to certify that Jose De la Cruz of 12 Chico Street, Phase 3, V&G Subdivision, Tacloban City was examined and treated/confined in this hospital on/from January 5, 2015 to January 12, 2015 with the following findings and/or diagnosis:

Acute pain related to myocardial ischemia as evidence by patient rating pain 9 on 1-10 scale in chest, troponin levels 2.58, and, EKG ST elevation.

And would need medical attention indefinitely barring complication.

PURPOSE:

LUCY TORRES, M.D.Attending Physician Lic. #:01234