To whom it may concern:

This is to certify that I have seen and examined Jhunybel S. Guigayoma

since December 14, 2018. He was under treatment
for Anxiety Problem for the following signs and symptoms:
insomnia, restlessness, cold clummy perspiration, poor concentration.

At present mark improvement has been noted.

He is no longer manifesting the above-mentioned problem.

The undersigned is highly recommending that

he may go back to his work as a seaman.