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  • Republic of The Philippines Province of Rizal Municipality of Cardona Office of The Municipal Health Officer

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    Ma.Gabriela Tiraña
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    This document appears to be a medical form from the Municipality of Cardona in the Province of Rizal in the Philippines. It collects a patient's name, age, sex, address and date and includes space for a prescription from the Municipal Health Officer, Dr. Eloida E. Silao.

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    This document appears to be a medical form from the Municipality of Cardona in the Province of Rizal in the Philippines. It collects a patient's name, age, sex, address and date and includes space for a prescription from the Municipal Health Officer, Dr. Eloida E. Silao.

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    © All Rights Reserved
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    3 views1 page

    Republic of The Philippines Province of Rizal Municipality of Cardona Office of The Municipal Health Officer

    Uploaded by

    Ma.Gabriela Tiraña
    This document appears to be a medical form from the Municipality of Cardona in the Province of Rizal in the Philippines. It collects a patient's name, age, sex, address and date and includes space for a prescription from the Municipal Health Officer, Dr. Eloida E. Silao.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    REPUBLIC OF THE PHILIPPINES

    PROVINCE OF RIZAL
    MUNICIPALITY OF CARDONA
    OFFICE OF THE MUNICIPAL HEALTH OFFICER
    Contact No.213-4491
    Name:__________________Age:/Sex:________
    Address:____________________ Date:________

    Rx:

    __________________
    Dra. Eloida E. Silao,M.D
    Municipal Health Officer
    Lic.No.075548

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