Republic of the Philippines
Quezon City health department
Quezon City Metro Manila
Ml.quezon st.cor kalayaan Ave,diliman qc.
Email: health@quezoncity.gov.ph
http://health.quezoncity.gov.ph
Medical clearance certificate
To whom___________,
This is to certify that___________,
______ years old, male/female and a resident of _________,will be traveling to__________ on______ temperature___
He/she was seen today and has no manifestion of any signs and symptoms attributed to COVID19 infection.he/she has no fever,no caught,no shortness of breath or no difficulty of breathing,no chills,no body aches,no sore throat,no headache,no diarrhea,no nausea and vomiting,no runny nose. At time of examination.no COVID-19 TEST WAS DONE ..
ISSUED ON THE_____DAYOF ___2020
ESPERANZA ANITAN N.ESCANO-ARIAS,MD,MPH
OIC-QUEZON CUTY HEALTH DEPARTMENT..