MARY ANGELS DIAGNOSTIC CLINIC
Don Julio Gregorio Sauyo Rd 50, Quezon City, Manila
Clinic schedule Monday - Saturday 8:00 - 7:00 Sunday 8:30 - 12:00
Contact No: 09367659272/ 09543409744
MEDICAL CERTIFICATE
August 28, 2025
TOWHOM IT MAY CONCERN:
THIS IS TO CERTIFY THAT MHILES DIANNE B. EUGENIO FEMALE , 26 YEARS OF AGE, OF #29 ZODIAC
ST. REMARVILLE SUBD. BRGY. BAGBAG NOVALICHES QUEZON CITY, WAS EXAMINED AT THIS CLINIC ON
08-28 -2025.
PATIENT HAS CONSULTED WITH THE FOLLOWING SYMPTOMS/PROCEDURE
LABORATORY; FECALYSIS, URINALYSIS, CBC, HBSAG, PHYSICAL EXAM, DRUG TEST
FINAL DIAGNOSIS:
ESSENTIALLY NORMAL
PATIENT IS PHYSICALLY FIT TO WORK AT THE TIME OF EXAMINATION.
__________________________________________
THE CERTIFICATE IS ISSUED UPON PATIENT’S REQUEST AND CAN BE USED FOR ANY PURPOSES EXCEPT THOSE OF
MEDICO-LEGAL-USE.
Dr. Christopher King Ramos, MD
Analyst PRC License Number: 143071
PHIC No: 05250010638
Examining Physician
MARY ANGELS DIAGNOSTIC CLINIC
Don Julio Gregorio Sauyo Rd 50, Quezon City, Manila
Office Hours Monday - Saturday 8:00 - 19:00 Sunday 8:30 - 12:00
Contact No: 0283340345 / 09367659272
CLINICAL MICROSCOPY - HBSAG (HEPA B) REPORT
PATIENT INFORMATION
NAME: MHILES DIANNE B. EUGENIO AGE/SEX: 26F PATIENT ID: 2911
ADDRESS: BAGBAG, NOVALICHES QC DATE: AUGUST 28, 2025
IMMUNOLOGY
TEST RESULT UNIT REFERENCE
Serum:
Anti-HAV IgM Non-Reactive > 1.0 COI REACTIVE
< 1.0 COI NON-REACTIVE
Anti-HAV IgG Non-Reactive > 20.0 COI REACTIVE
< 20.0 COI NON-REACTIVE
HBsAg Non-Reactive
NEGATIVE FOR Anti-HAV IgM, Anti-HAV IgG, and HBsAg TEST
(ABBOTT DETERMINE HBsAg RAPID TEST
HEPATITIS B SURFACE ANTIGEN IS A BLOOD TEST ORDERED TO DETERMINE IF SOMEONE IS INFECTED WITH THE
HEPATITIS B VIRUS. IF IT IS FOUND, ALONG WITH THE SPECIFIC ANTIBODIES, IT MEANS THE PERSON HAS A HEPATITS B.
Remarks:
-END OF REPORT -
CHECKED BY: NOTED BY:
Maria Kaila Xandrea G. Pancho, RMT, DTA Azeus O. Silva, MD, FPSP
Medical Technologist Pathologist
Lic. No. 0109876 Lic. No. 0094522
MARY ANGELS DIAGNOSTIC CLINIC
Don Julio Gregorio Sauyo Rd 50, Quezon City, Manila
Office Hours Monday - Saturday 8:00 - 19:00 Sunday 8:30 - 12:00
Contact No: 0283340345 / 09367659272
CLINICAL MICROSCOPY - COMPLETE BLOOD COUNT
PATIENT INFORMATION
NAME: MHILES DIANNE B. EUGENIO AGE/SEX: 26F PATIENT ID: 2911
ADDRESS: BAGBAG, NOVALICHES QC DATE: AUGUST 28, 2025
COMPLETE BLOOD COUNT
COMPLETE BLOOD COUNT RESULT RANGE
WBC 9.12 4.10 - 10.90
LYM 28.5 20 - 45
MID 10.12 1 - 15
GRAN 50.76 45 - 75
HGB 15.01 12 -18
MCH 24.91 23.50 - 33.50
MCHC 37.0 30 - 40
RCB 5.61 4.20 - 6.30
MCV 79.61 75 - 97
HCT 47.0 37 - 51
PCT 330 140 - 440
BLOOD TYPE
Remarks:
-END OF REPORT -
CHECKED BY: NOTED BY:
Maria Kaila Xandrea G. Pancho, RMT, DTA Azeus O. Silva, MD, FPSP
Medical Technologist Pathologist
Lic. No. 0109876 Lic. No. 0094522
MARY ANGELS DIAGNOSTIC CLINIC
Don Julio Gregorio Sauyo Rd 50, Quezon City, Manila
Office Hours Monday - Saturday 8:00 - 19:00 Sunday 8:30 - 12:00
Contact No: 0283340345 / 09367659272
CLINICAL MICROSCOPY - URINALYSIS REPORT
PATIENT INFORMATION
NAME: MHILES DIANNE B. EUGENIO AGE/SEX: 26F PATIENT ID: 2911
ADDRESS: BAGBAG, NOVALICHES QC DATE: AUGUST 28, 2025
URINALYSIS REPORT
PHYSICAL CHARACTERISTIC RESULT MICROSCOPIC FINDINGS RESULT
Color Yellow RBC 0 /hpf
Transparency Clear WBC 0 /hpf
Sp. Gravity 1.015 Epithelial cells +
pH 5 Bacteria FEW
CHEMISTRY TEST
Protein NEGATIVE Amorphius Urates
Glucose NEGATIVE Uric Acid
Bilirubin Calcium Oxalate
Blood Amorphous Phosphate
Leukocytes Others
Nitrite Fine Granular
Urobilinogen Coarse Granular
Remarks:
-END OF REPORT -
CHECKED BY: NOTED BY:
Maria Kaila Xandrea G. Pancho, RMT, DTA Azeus O. Silva, MD, FPSP
Medical Technologist Pathologist
Lic. No. 0109876 Lic. No. 0094522
MARY ANGELS DIAGNOSTIC CLINIC
Don Julio Gregorio Sauyo Rd 50, Quezon City, Manila
Office Hours Monday - Saturday 8:00 - 19:00 Sunday 8:30 - 12:00
Contact No: 0283340345 / 09367659272
CLINICAL
CLINICAL MICROSCOPY
MICROSCOPY - URINALYSIS
- STOOL REPORT
ANALYSIS REPORT
PATIENT INFORMATION
NAME: MHILES DIANNE B. EUGENIO AGE/SEX: 26F PATIENT ID: 2911
ADDRESS: BAGBAG, NOVALICHES QC DATE: AUGUST 28, 2025
FECALYSYS
PHYSICAL CHARACTERISTIC RESULT
Color Light Brown
Odor Fecal
CHEMISTRY TEST
Occult Blood NEGATIVE
White Blood Cell NEGATIVE
Fat NEGATIVE
Bacteria NORMAL
Parasites ABSENT
Remarks:
-END OF REPORT -
CHECKED BY: NOTED BY:
Maria Kaila Xandrea G. Pancho, RMT, DTA Azeus O. Silva, MD, FPSP
Medical Technologist Pathologist
Lic. No. 0109876 Lic. No. 0094522
MARY ANGELS DIAGNOSTIC CLINIC
Don Julio Gregorio Sauyo Rd 50, Quezon City, Manila
Office Hours Monday - Saturday 8:00 - 19:00 Sunday 8:30 - 12:00
Contact No: 0283340345 / 09367659272
ROENTGENOLOGIC REPORT
PATIENT INFORMATION
NAME: MHILES DIANNE B. EUGENIO AGE/SEX: 26F PATIENT ID: 2911
ADDRESS: BAGBAG, NOVALICHES QC DATE: AUGUST 28, 2025
X-Ray
Body part examined:
CXR PA
Findings:
Both lungs are clear and expanded with no
infiltrates.
Heart is not enlarged.
Diaphragm and sulci are intact.
Bony thorax is unremarkable.
Impressions:
Normal Chest Study
End of Report
Jamie Caryl C. Mateos, Yvette Eve L. Bernabe, Datu-Ramos, MD, FPCR
RRT Radiologic Technologist Radiologist
MARY ANGELS DIAGNOSTIC CLINIC
Don Julio Gregorio Sauyo Rd 50, Quezon City, Manila
Office Hours Monday - Saturday 8:00 - 19:00 Sunday 8:30 - 12:00
Contact No: 0283340345 / 09367659272
PHYSICAL EXAMINATION REPORT
PATIENT INFORMATION
NAME: MHILES DIANNE B. EUGENIO AGE/SEX: 26F PATIENT ID: 2911
ADDRESS: BAGBAG, NOVALICHES QC DATE: AUGUST 28, 2025
I. MEDICAL HISTORY
PAST MEDICAL HISTORY ________ EYE OR EAR PROBLEM ________
TUBERCULOSIS ________ ENDOCRINE DISANDER ________
ASTHMA SKIN DISEASE ________
________
HYPERTENSION MUSCULOSKELETAL ________
________ FAMILY MEDICAL HISTORY
DISORDERS ________
HEART DISEASE ________ OPERATION AND ACCIDENT
CANCER OR TUMOR ________ ________
RHEUMATIC FEVER ________ ALLERGIES
STOMACH PAIN OR ________ ________
KIDNEY DISEASES ________ MENTAL DISORDER ________ 0B-GYNE/MENSTRUAL HISTORY ________
LIVER DISEASE ________ FAINTING SPELLS ________ PERSONAL/SOCIAL HISTORY ________
II. PHYSICAL EXAMINATION III.XRAY, ECG & LABORATORY EXAMINATION REPORT
TEST FINDINGS
BP WT HT
COMPLETE BLOOD COUNT ________
PR TEMP RR
URINALYSIS ________
RESULT FINDINGS
FECALYSIS ________
HEAD, EAR, EYE, THROAT CHEST ________
Normal ________
DRUG TEST ________
LUNG ________
Normal ________
BREAST ________
Normal ________ PREGNANCY TEST ________
HEART ________
Normal ________
ECG ________
ABDOMEN ________
Normal ________
SKIN ________
Normal ________ X. RAY ________
GENITALIA ________
Normal ________
________ HBSAG ________
RECTAL ________
Normal
EXTREMITIES ________
Normal ________ IMPRESSION: ______________________________
__________________________________________
__________________________________________
IV. CLASSIFICATION
____ CLASS A. PHYSICAL FIT FOR ALL TYPES OF WORK.
____ CLASS B. PHYSICALLY FIT FOR ALL TYPES OF WORK, BUT HAS MINOR EASILY CURABLE AILMENTS THAT OFFERS NO
HANDICAP TO THE JOB APPLIED FOR.
____ CLASS C. PHYSICALLY FIT FOR WORK WITH FINDINGS. REGULAR TREATMENT AND FOLLOW UP WITH SPECIALIST IS
RECOMMENDED.
REMARKS:
Dr. Christopher King Ramos, MD
PRC License Number: 143071
___________________________ PHIC No: 05250010638
Analyst Examining Physician
VM
Report ID: DTO-R03
DEPARTMENT OF HEALTH
MARY ANGELS DIAGNOSTIC CLINIC
Don Julio Gregorio Sauyo Rd 50, Quezon City, Manila
Contact No: 09367659272 / 0284430459
DRUG TEST REPORT
KP84632
12
CCF No: 2025383731
Name: Mhiles Dianne B. Eugenio Transaction Date Time: 08/28/2025 09:13:08 AM
Birthdate: 06/23/1999 Age: 26 Gender: F Report Date Time: 08/28/2025 12:19:32 PM
Test Method
TEST KIT
Purpose Requesting Parties
OTHERS PERSONAL
Result
Drug/Metabolite Result Remarks
METHAMPHETAMINE NEGATIVE PASSED
TETRAHYDROCANNABINOL NEGATIVE PASSED
Test Conducted By Approved By
50 ___________________________ ___________________________ 67
Analyst Head of Laboratory
Valid Within 12 Month/s from Transaction Date
This is a DOH-DDB IDTOMIS generated report
