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Republic of the Philippines

NATIONAL POLICE COMMISSION


PHILIPPINE NATIONAL POLICE
BAGUIO CITY CRIME LABORATORY OFFICE
Upper Kayang Street, Baguio City

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(Date)
BSD

PHYSICAL EXAMINATION
TO WHOM IT MAY CONCERN:
THIS IS TO CERTIFY that I have physically examined the following persons with
Medico-Legal Case No. ________________________.
NAME
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AGE
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Further certify that there are no external signs of recent application of any form of trauma
noted during the time of examination.
This examination is done upon the request of ___________________________________
Subject is for Investigation/Detention/Release.
Witnessed by:

Examined by:

_________________________
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