LC RM NO.

77
FILE NO. 1434159
DATE: 12/10/2013

MEDICAL

CERTIFICATE

TO WHOM IT MAY CONCERN:

This is to certify that AQUINO, KORINA SANTOS, 17 yo. FEMALE,
SINGLE, and a resident of Sobrecarey St., Davao City, was examined and
treated in this hospital on 12/10/2013 with the following diagnosis:

Hymenal lacerations at the two and seven oclock notches on the

private part.
There is penetration of a mans reproductive organ.
Hymen was no longer intact.

MA. ELINORE A. CONCHA, MD, FPAFP

Attending Physician
License No. 0983135