Dr. Pamela M. Wan examined 27-year-old Donald Lara Cabido and found his vital signs elevated including a temperature of 100 degrees, blood pressure of 160/100, and blood sugar of 315. Her examination revealed his general appearance to be in apparent distress, though his lungs, heart, abdomen, extremities, and neurological functions appeared normal or intact. She issued a medical certificate on September 15, 2016 documenting her examination findings.
Dr. Pamela M. Wan examined 27-year-old Donald Lara Cabido and found his vital signs elevated including a temperature of 100 degrees, blood pressure of 160/100, and blood sugar of 315. Her examination revealed his general appearance to be in apparent distress, though his lungs, heart, abdomen, extremities, and neurological functions appeared normal or intact. She issued a medical certificate on September 15, 2016 documenting her examination findings.
Dr. Pamela M. Wan examined 27-year-old Donald Lara Cabido and found his vital signs elevated including a temperature of 100 degrees, blood pressure of 160/100, and blood sugar of 315. Her examination revealed his general appearance to be in apparent distress, though his lungs, heart, abdomen, extremities, and neurological functions appeared normal or intact. She issued a medical certificate on September 15, 2016 documenting her examination findings.
Dr. Pamela M. Wan examined 27-year-old Donald Lara Cabido and found his vital signs elevated including a temperature of 100 degrees, blood pressure of 160/100, and blood sugar of 315. Her examination revealed his general appearance to be in apparent distress, though his lungs, heart, abdomen, extremities, and neurological functions appeared normal or intact. She issued a medical certificate on September 15, 2016 documenting her examination findings.
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DEPARTMENT OF HEALTH
City Health Office
Tagbilaran City
MEDICAL CERTIFICATE I, the undersigned Dr. Pamela M. Wan, Doctor of Medicine, certify that the examination of Name : Date of birth : Age :
Donald Lara Cabido
June 1, 1989 27 years old
reveals the following results:
GENERAL APPEARANCE: This is a 27-year old male, a limp, who answers questions appropriately and currently is in apparent distress. VITAL SIGNS: T-max was 100, currently 97.5, blood pressure 160/100, blood sugar at 315, respirations 22, and heart rate 88. Skin: Warm and dry without exanthem. HEENT: Normocephalic and atraumatic. Pupils are equal, round and reactive to light. Extraocular movements are intact. Oral mucosa is moist. There is no obvious bleeding in the gum. Oropharynx is without erythema or exudate. Lungs: Breath sounds are clear bilaterally without rales, rhonchi or wheezing. Heart: No elevation of JVP. Heart is irregularly irregular with no appreciable gallops, rubs, murmurs or extra heart sounds. Abdomen: Soft, nontender, nondistended in all quadrants. No audible bowel sounds. No palpable masses. Peripheral Vascular: Radial and pedal pulses are 2/4 bilaterally. Extremities: Warm without clubbing, edema or cyanosis. Neurological: The patient is oriented to person, place and time. Strength and sensation are grossly intact. Face is symmetric. Medical certificate issued in City Health Office, Tagbilaran City: