Republic of the Philippines

Province of Antique
CULASI DISTRICT HOSPITAL
Culasi, Antique
“PhilHealth Accredited”

February 8, 2019
Date

C E R T I FI CAT I O N

To Whom It May Concern:

This is to certify that FLORDELIZA D. GALLEGO

32 years of age, Female, Married and a resident of

Batonan Sur, Culasi, Antique was examined by the undersigned

and was found out to be physically fit to return to work.

This certification is issued upon the request of the interested party for

whatever legal purpose it may serve.

MARIKIT N. MAQUILING, M.D.

Medical Officer III
Lic. # 084285
 Attending Physician

YVES D. DY, M.D.

Medical Officer III
Lic. # 109372
Attending Physician

CHERISSE ELISEA J. BELAÑO, MD.

Medical Officer III
Lic. # 112894
Attending Physician

REBECCA V. AGUIRRE, M.D., DPPS

Chief of Hospital I
Lic. # 80150
Attending Physician
 YVES D. DY, M.D.
Medical Officer III
Lic. # 109372
Attending Physician

REBECCA V. AGUIRRE, M.D., DPPS

Chief of Hospital I
Lic. # 80150
Attending Physician
 MARIKIT N. MAQUILING, M.D.
Medical Officer III
Lic. # 084285
Attending Physician

CHERISSE ELISEA J. BELAÑO, MD.

Medical Officer III
Lic. # 112894
Attending Physician

REBECCA V. AGUIRRE, M.D., DPPS

Chief of Hospital I
Lic. # 80150
Attending Physician

MARIKIT N. MAQUILING, M.D.

Medical Officer III
Lic. # 084285
Attending Physician
 MA. JOAN P. QUINTILA, M.D.
Medical Officer III
Lic. # 0121183
Attending Physician

CHERISSE ELISEA J. BELAÑO, MD.

Medical Officer III
Lic. # 112894
Attending Physician