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SickLeaveCertificate With and Without Diagnosis 20231221 141430

The document is a sick leave certificate for Edison Cruz Pascual from 21/12/2023 to 22/12/2023 due to fever. It provides information about the patient, their employer, the approving medical facility and physician. The physician approved a 2 day sick leave period.

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sr8670070
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141 views2 pages

SickLeaveCertificate With and Without Diagnosis 20231221 141430

The document is a sick leave certificate for Edison Cruz Pascual from 21/12/2023 to 22/12/2023 due to fever. It provides information about the patient, their employer, the approving medical facility and physician. The physician approved a 2 day sick leave period.

Uploaded by

sr8670070
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Sick leave Certificate

Reference No : RSLC-2023-03108742 :
Sick Leave Date : 21/12/2023 :
Facility Information
Facility Name : ADAM & EVE SPECIALIZED MEDICAL CENTRE L.L.C
Facility No : MF1103 City : Al Danah
Emirate : Abu Dhabi
Patient's Information
Patient's Name : EDISON CRUZ PASCUAL :
DOB : 06/08/1985 Gender : MALE :
Nationality : PHILIPPINES Medical File No. : AEMC170080
ID No : 784198553043518 Health Insurance Card No. :
Work Nature : Others : Employer Type : Private :

Place of Work : Alliance Scrap Trading LLC :


Sick Leave's Information

Diagnosis Fever, unspecified

Patient's Disposition : Outpatient treatment :

Sick Leave From : 21/12/2023 to 22/12/2023 Sick Leave Period : 2 Days :


Physician Remarks : :
Status : Approved on : 21/12/2023 :
For Official Use Only
Physician's Name : NASEEBA PADINHARE PEEDIYEKKAL
License No : GD36111 : Physician's Specialty : General Practitioner :
Physician's Signature :
Stamp : :

Remarks:
- Any modification will invalidate this certificate.
- The sick leave compliance with DOH regulations is the physician
responsibility.

For the purpose of verification of this certificate or print it, kindly visit the below link
https://www.tamm.abudhabi/wb/doh/sick-leave-validation
Sick leave Certificate
Reference No : RSLC-2023-03108742 :
Sick Leave Date : 21/12/2023 :
Facility Information
Facility Name : ADAM & EVE SPECIALIZED MEDICAL CENTRE L.L.C
Facility No : MF1103 City : Al Danah
Emirate : Abu Dhabi
Patient's Information
Patient's Name : EDISON CRUZ PASCUAL :
DOB : 06/08/1985 Gender : MALE :
Nationality : PHILIPPINES Medical File No. : AEMC170080
ID No : 784198553043518 Health Insurance Card No. :
Work Nature : Others : Employer Type : Private :
Place of Work : Alliance Scrap Trading LLC :

Sick Leave's Information


Patient's Disposition : Outpatient treatment :

Sick Leave From : 21/12/2023 to 22/12/2023 Sick Leave Period : 2 Days :


Physician Remarks : :
Status : Approved on : 21/12/2023 :

Remarks:
- Any modification will invalidate this certificate.
- The sick leave compliance with DOH regulations is the physician
responsibility.

For the purpose of verification of this certificate or print it, kindly visit the below link
https://www.tamm.abudhabi/wb/doh/sick-leave-validation

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