ILOCOS SUR COOPERATIVEMEDICAL MISSION GROUP AND HOSPITAL

Tamag, Vigan City, Ilocos Sur

R.A. 4226 Lic. No.: 01-1-008-045-02- CDA Confirmation No. 3775
Tel. No.: 077- 674-0109 & Mobile No.: 09167553268
iscmmgh_coop@yahoo.com
Philhealth Accredited

CERTIFICATION

DATE: MARCH 18, 2019

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY THAT MS. MERRY JOY RACACHOT, 26 YEARS OLD, OF

SAN ILDEFONSO, ILOCOS SUR WAS IMMUNIZED WITH THE FOLLOWING:

VACCINATION GIVEN DATE GIVEN

INFLUENZA VACCINE FEBRUARY 16, 2019

PNEUMONIA VACCINE JANUARY 9, 2019

HEPATITIS B VACCINE MARCH 18, 2019

THIS CERTIFICATE IS BEING ISSUED FOR GENERAL PURPOSES.

MAURA GONZALES, MD
ATTENDING PHYSICIAN
LICENSE NO. 40149
 ILOCOS SUR COOPERATIVEMEDICAL MISSION GROUP AND HOSPITAL
Tamag, Vigan City, Ilocos Sur
R.A. 4226 Lic. No.: 01-1-008-045-02- CDA Confirmation No. 3775
Tel. No.: 077- 674-0109 & Mobile No.: 09167553268
iscmmgh_coop@yahoo.com
Philhealth Accredited

CERTIFICATION

DATE: MARCH 18, 2019

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY THAT MR. RANDY QUIOCHO, 39 YEARS OLD, OF

CAOAYAN, ILOCOS SUR WAS IMMUNIZED WITH THE FOLLOWING:

VACCINATION GIVEN DATE GIVEN

INFLUENZA VACCINE FEBRUARY 16, 2019

THIS CERTIFICATE IS BEING ISSUED FOR GENERAL PURPOSES.

MAURA GONZALES, MD
ATTENDING PHYSICIAN
LICENSE NO. 40149
 ILOCOS SUR COOPERATIVEMEDICAL MISSION GROUP AND HOSPITAL
Tamag, Vigan City, Ilocos Sur
R.A. 4226 Lic. No.: 01-1-008-045-02- CDA Confirmation No. 3775
Tel. No.: 077- 674-0109 & Mobile No.: 09167553268
iscmmgh_coop@yahoo.com
Philhealth Accredited

CERTIFICATION

DATE: MARCH 18, 2019

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY THAT MS. ANABEL TUBOG-AVILA, 26 YEARS OLD, OF

SANTO DOMINGO, ILOCOS SUR WAS IMMUNIZED WITH THE FOLLOWING:

VACCINATION GIVEN DATE GIVEN

INFLUENZA VACCINE FEBRUARY 16, 2019

PNEUMONIA VACCINE JANUARY 9, 2019

HEPATITIS B VACCINE MARCH 18, 2019

THIS CERTIFICATE IS BEING ISSUED FOR GENERAL PURPOSES.

MAURA GONZALES, MD
ATTENDING PHYSICIAN
LICENSE NO. 40149
 ILOCOS SUR COOPERATIVEMEDICAL MISSION GROUP AND HOSPITAL
Tamag, Vigan City, Ilocos Sur
R.A. 4226 Lic. No.: 01-1-008-045-02- CDA Confirmation No. 3775
Tel. No.: 077- 674-0109 & Mobile No.: 09167553268
iscmmgh_coop@yahoo.com
Philhealth Accredited

CERTIFICATION

DATE: MARCH 18, 2019

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY THAT MS. DIANA MAYE LICUPA, 31 YEARS OLD, OF

SANTO DOMINGO, ILOCOS SUR WAS IMMUNIZED WITH THE FOLLOWING:

VACCINATION GIVEN DATE GIVEN

INFLUENZA VACCINE FEBRUARY 16, 2019

THIS CERTIFICATE IS BEING ISSUED FOR GENERAL PURPOSES.

MAURA GONZALES, MD
ATTENDING PHYSICIAN
LICENSE NO. 40149
 ILOCOS SUR COOPERATIVEMEDICAL MISSION GROUP AND HOSPITAL
Tamag, Vigan City, Ilocos Sur
R.A. 4226 Lic. No.: 01-1-008-045-02- CDA Confirmation No. 3775
Tel. No.: 077- 674-0109 & Mobile No.: 09167553268
iscmmgh_coop@yahoo.com
Philhealth Accredited

CERTIFICATION

DATE: MARCH 18, 2019

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY THAT BERNADETTE R. ABEJON, 26 YEARS OLD, OF

CAOAYAN, ILOCOS SUR WAS IMMUNIZED WITH THE FOLLOWING:

VACCINATION GIVEN DATE GIVEN

INFLUENZA VACCINE FEBRUARY 16, 2019

THIS CERTIFICATE IS BEING ISSUED FOR GENERAL PURPOSES.

MAURA GONZALES, MD
ATTENDING PHYSICIAN
LICENSE NO. 40149