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Barangay Health Unit

Bacacay, Albay

CERTIFICATION
This is to certify that __________________________________of Purok_________
of Bacacay, Albay has been completely immunized for the following vaccines.

Essential Health and Nutrition Services.


1st 2nd 3rd 4th 5th 6th
Newborn Screening
BCG (at birth)
DPT (6wks, 10wks, 14wks old)
OPV (6wks, 10wks, 14wks old)
HEPATITIS B (6wks, 10wks, 14wks old)
MEASLES (9 mos.)
VITAMIN A (start at 6 mos.)

DEWORMING
DENTAL CHECK-UP

Other Vaccines:______________________________________________

This certification is issued upon the request of interested party this _______ of
______ 2022 for reference purposes.

Signature over printed name

Designation

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