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PHILIPPINE GENERAL HOSPITAL

Medical Record Division


Taft Avenue, Ermita, Barangay 670 Zone 72
Manila

MEDICO LEGAL CERTIFICATE

December 26, 2016

TO WHOM IT MAY CONCERN:

This is to certify that HELLENA HADARNA, of legal age, with residence at No.
362 B. Capulong St., Highway, San Miguel, Manila, was examined and treated in this
hospital on December 26, 2016 with the following findings:

- shallow healed lacerations at 4 and 9 o’clock positions


- in a non-virgin state physically
- with bruises on her shoulders and inner thighs

Issued this December 26, 2016, for whatever purpose it may serve.

This certificate is issued by authority of the Director.

Dr. Chiong Go, M.D.


Lic. No. 12345

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