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Republic of the Philippines

Province of Albay
City of Tabaco
Tayhi, Tabaco City

MEDICAL CERTIFICATE

CERTIFICATION OF GOOD HEALTH

TO WHOM IT MAY CONCERN:

This is to certify that is of good health and


(Name of Applicant)

is fit to join his/her workshop.

Printed Name & Signature of School/Barangay Health


Center/Private Physician/Nurse/Midwife

License No.:

Date:

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