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Republic of the Philippines

Regional Office VI
Department of Health
Iloilo City

CERTIFICATION
FOR THE MONTH OF: SEPTEMBER 2017

This is to certify that the following personnel under the Family Health Associates (FHA) has rendered
actual number of days of services and has submitted the following requirements:

Province: NEGROS OCCIDENTAL


Municipality: CANDONI

NO. NAME DTR ETR

Signed by:

ANABELLE N. GUARDIARIO, MD
Municipal Health Officer
Date: September 29, 2017

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