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Revised as of September 26, 2019 Republic of the Philippines

DEPARTMENT OF EDUCATION
____VI-WESTERN VISAYAS______
(Region)
___________AKLAN_____________
(Division)
MALOCO NATIONAL HIGH SCHOOL
(School)
MALOCO, IBAJAY, AKLAN
(School Address)

MEDICAL CERTIFICATE
(COACHES, ASSISTANT COACHES, CHAPERONE)

November 3, 2023
(Date)
To Whom It May Concern:

This is to certify that I have personally examined JOANNA MARIE I. MAG-APAN

age 25 sex FEMALE and have found that he/she is physically fit unfit, during the

time of examination, to join and participate in the lower meets up to Palarong Pambansa.

Event: BADMINTON GIRLS - SECONDARY

Physical Examination
School/Intrams/District Meet Remarks/Findings:

________________________________________ Ht ._______cm FIT


Physician/Medical Officer
Wt:_______kg
(signature over printed name) UNFIT
PRC BP.____________mmHg
LICENSE: PTR NO. PR:____________bpm
Date:
RR:____________cpm
Unit/Division Meet Remarks/Findings:

________________________________________ Ht ._______cm FIT


Physician/Medical Officer
Wt:_______kg
(signature over printed name) UNFIT
PRC BP.____________mmHg
LICENSE: PTR NO. PR:____________bpm
Date:
RR:____________cpm
Regional Meet Remarks/Findings:

________________________________________ Ht ._______cm FIT


Physician/Medical Officer
Wt:_______kg
(signature over printed name) UNFIT
PRC BP.____________mmHg
LICENSE: PTR NO. PR:____________bpm
Date:
RR:____________cpm
Palarong Pambansa Remarks/Findings:

________________________________________ Ht ._______cm FIT


Physician/Medical Officer
Wt:_______kg
(signature over printed name) UNFIT
PRC BP.____________mmHg
LICENSE: PTR NO. PR:____________bpm
Date:
RR:____________cpm

FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)


Revised as of September 26, 2019 Republic of the Philippines
DEPARTMENT OF EDUCATION
____VI-WESTERN VISAYAS______
(Region)
___________AKLAN_____________
(Division)
MALOCO NATIONAL HIGH SCHOOL
(School)
MALOCO, IBAJAY, AKLAN
(School Address)

MEDICAL CERTIFICATE
(COACHES, ASSISTANT COACHES, CHAPERONE)

November 3, 2023
(Date)
To Whom It May Concern:

This is to certify that I have personally examined CELESTIAL C. ANDRADA

age 41 sex FEMALE and have found that he/she is physically fit unfit,

during the time of examination, to join and participate in the lower meets up to Palarong

Pambansa.

Event: BADMINTON GIRLS - SECONDARY

Physical Examination
School/Intrams/District Meet Remarks/Findings:

________________________________________ Ht ._______cm FIT


Physician/Medical Officer
Wt:_______kg
(signature over printed name) UNFIT
PRC BP.____________mmHg
LICENSE: PTR NO. PR:____________bpm
Date:
RR:____________cpm
Unit/Division Meet Remarks/Findings:

________________________________________ Ht ._______cm FIT


Physician/Medical Officer
Wt:_______kg
(signature over printed name) UNFIT
PRC BP.____________mmHg
LICENSE: PTR NO. PR:____________bpm
Date:
RR:____________cpm
Regional Meet Remarks/Findings:

________________________________________ Ht ._______cm FIT


Physician/Medical Officer
Wt:_______kg
(signature over printed name) UNFIT
PRC BP.____________mmHg
LICENSE: PTR NO. PR:____________bpm
Date:
RR:____________cpm
Palarong Pambansa Remarks/Findings:

________________________________________ Ht ._______cm FIT


Physician/Medical Officer
Wt:_______kg
(signature over printed name) UNFIT
PRC BP.____________mmHg
LICENSE: PTR NO. PR:____________bpm
Date:
RR:____________cpm

FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

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