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    Affidavit - DR Ventura

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    Patrainier Garcia Castelo
    This affidavit was issued by Dr. Maria Zenaida Ventura to verify her medical treatment of Ms. Analyn V. Torres. Dr. Ventura states that she has been treating Ms. Torres for vertigo and that on July 11, 2017, Ms. Torres visited her clinic complaining of symptoms of vertigo. After examination, Dr. Ventura confirmed Ms. Torres was suffering from vertigo and prescribed medication. She also issued a medical certificate advising Ms. Torres to rest for three days to manage her vertigo. The affidavit was issued to clarify and verify the medical consultation on July 11, 2017.

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    Affidavit - DR Ventura

    Uploaded by

    Patrainier Garcia Castelo
    216 views2 pages
    This affidavit was issued by Dr. Maria Zenaida Ventura to verify her medical treatment of Ms. Analyn V. Torres. Dr. Ventura states that she has been treating Ms. Torres for vertigo and that on July 11, 2017, Ms. Torres visited her clinic complaining of symptoms of vertigo. After examination, Dr. Ventura confirmed Ms. Torres was suffering from vertigo and prescribed medication. She also issued a medical certificate advising Ms. Torres to rest for three days to manage her vertigo. The affidavit was issued to clarify and verify the medical consultation on July 11, 2017.

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    affidavit

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    AFFIDAVIT - DR VENTURA

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    This affidavit was issued by Dr. Maria Zenaida Ventura to verify her medical treatment of Ms. Analyn V. Torres. Dr. Ventura states that she has been treating Ms. Torres for vertigo and that on July 11, 2017, Ms. Torres visited her clinic complaining of symptoms of vertigo. After examination, Dr. Ventura confirmed Ms. Torres was suffering from vertigo and prescribed medication. She also issued a medical certificate advising Ms. Torres to rest for three days to manage her vertigo. The affidavit was issued to clarify and verify the medical consultation on July 11, 2017.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    216 views2 pages

    Affidavit - DR Ventura

    Uploaded by

    Patrainier Garcia Castelo
    This affidavit was issued by Dr. Maria Zenaida Ventura to verify her medical treatment of Ms. Analyn V. Torres. Dr. Ventura states that she has been treating Ms. Torres for vertigo and that on July 11, 2017, Ms. Torres visited her clinic complaining of symptoms of vertigo. After examination, Dr. Ventura confirmed Ms. Torres was suffering from vertigo and prescribed medication. She also issued a medical certificate advising Ms. Torres to rest for three days to manage her vertigo. The affidavit was issued to clarify and verify the medical consultation on July 11, 2017.

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    © All Rights Reserved
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    Republic of the Philippines)

    Makati City, Metro Manila ) S.S.

    AFFIDAVIT

    I, DRA. MARIA ZENAIDA VENTURA, of legal age, married, Filipino citizen, with residence
    address at ____________________, under oath, depose and state:

    (1) That I am a DOCTOR OF MEDICINE by profession with medical license number


    ____________________, issued by the National Profession Commission (NPC);
    (2) That I am the owner and proprietor of VENTURA’S MEDICAL CLINIC, located at
    _____________________ ;

    (3) That I am the personal doctor of MS. ANALYN V. TORRES, of legal age, single, Filipino
    citizen, with residence address at ____________________;

    (4) That I have been treating and managing her for VERTIGO since _______________ ;

    (5) That her bouts of VERTIGO would at times be so severe that she would require bed rest
    for more than two to three days;

    (6) That on July 11, 2017, she visited my clinic at around __________ P.M. complaining of
    weakness, nausea, and dizziness, which are the symptoms of VERTIGO;

    (7) That after conducting proper observation and monitoring, I was able to ascertain that
    she was indeed suffering from her illness VERTIGO, and prescribed to her the necessary
    medicine she needed to take;

    (8) That after her treatment, I issued her a MEDICAL CERTIFICATE dated July 11-13, 2017,
    as I have advised her to take a bed rest for three (3) consecutive days to manage her
    VERTIGO and advised her against moving up and travelling from her home;

    (9) That I am issuing this Affidavit in order to clarify and verify what transpired during the
    said consulation on July 11, 2017.

    Affiant further sayeth naught.

    MARIA ZENAIDA VENTURA

    Affiant 

    SUBSCRIBED AND SWORN to before me this _____ day of _______________ 2018 in


    __________ City, Metro Manila, affiant exhibiting to her Community Tax Certificate No.
    __________ issued on _____________ at ____________.

    Doc. No. ____;


    Page No. ____;
    Book No. ____;
    Series of 2018.

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