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outside mc 2023 - PC2 USE ONLY - 2023-09-13T112142.917

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10234443
Medical Certificate Validation
Employee Information
10162907
CIM
Department:
BACOLOD
2020.06.02
Name:
LOCHINVAR II FERRER
Position:
Site
BACOLOD
Date Hired:
Requested by:
Albiso, Jobelle
Date Received:
9/13/2023
Time Received:
Medical Certificate Details
Name of Hospital | Clinic:
Attending Physician:
MEDICAL ARTS BUILDING
License No.:
DR. MARY ANGELSON DE DIOS-BALLES
Date of Consult:
9/11/2023
Recommendation:
REST 2 DAYS 9/11-12/2023; FIT TO WORK 9/13/2023
101536
Action Log Report
Date
9/13/2023
Time:
11:15 AM
License No.:
626436
Validity of Medical Certificate
VALID
Validated by:
Vanikris Emboltorio RN
Disclaimer: For more information regarding the condition of patient, kindly coordinate with clinic personnel
10:31 AM
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