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Republic of the Philippines

Department of Education
REGION VIII
SCHOOLS DIVISION OF LEYTE

MEDICAL CERTIFICATE

Date: _______________

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that KRISTY YANGO__________ 14 year old grade


_____9__student of KNHS-KAWAYAN ANNEX has been assessed and examined with the
following vital signs:
BP: ________ mmHG Temperature: ______Pulse Rate: ____ Respiratory Rate:
_____
Height: _____ Weight: ___________.

He/She is noted to have essentially normal health findings at the time of examination.

This certification is issued upon the request of the interested party as one of the
requirements for senior high school work immersion.

Given this 24TH day of March 2023, at DepEd Leyte Division Office, Government
Center Candahug, Palo, Leyte.

Remarks: _________________________________________
_________________________________________

IRIS LEONOR E. COLILIHAN, M.D.


Division Medical Officer III
Lic. No. : 0086417

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Government Center, Candahug, Palo, Leyte
(053) 888-3527
leyte.ro8@deped.gov.ph
Lead to Go, Love to Grow, Live to Glow . . .
Republic of the Philippines
Department of Education
REGION VIII
SCHOOLS DIVISION OF LEYTE

Page 2 of 2
Government Center, Candahug, Palo, Leyte
(053) 888-3527
leyte.ro8@deped.gov.ph
Lead to Go, Love to Grow, Live to Glow . . .

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