Medical-certificate-template.docx
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Republic of the Philippines Department of Education Region IV-A CALABARZON Division of Province of Batangas District of Nasugbu West SHS WITHIN PANTALAN ES Barangay Pantalan, Nasugbu, Batangas
MEDICAL CERTIFICATE ______________________ Date TO WHOM IT MAY CONCERN: This is to certify that _____________________________________, ______________ student of Pantalan (Name)
(Strand)
Senior High School was examined and treated at Municipal Health Center Office of Municipality of Nasugbu on ________________, 20__ with the following diagnosis: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ And would need medical attention for ________________________________________ days barring (Attending Physician) complication. ______________________ (Attending Physician)
Republic of the Philippines Department of Education Region IV-A CALABARZON Division of Province of Batangas District of Nasugbu West SHS WITHIN PANTALAN ES Barangay Pantalan, Nasugbu, Batangas
MEDICAL CERTIFICATE ______________________ Date TO WHOM IT MAY CONCERN: This is to certify that _____________________________________, ______________ student of Pantalan (Name)
(Strand)
Senior High School was examined and treated at Municipal Health Center Office of Municipality of Nasugbu on ________________, 20__ with the following diagnosis: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ And would need medical attention for ________________________________________ days barring (Attending Physician) complication. ______________________ (Attending Physician)
MEDICAL CERTIFICATE ______________________ Date TO WHOM IT MAY CONCERN: This is to certify that _____________________________________, ______________ student of Pantalan (Name)
(Strand)
Senior High School was examined and treated at Municipal Health Center Office of Municipality of Nasugbu on ________________, 20__ with the following diagnosis: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ And would need medical attention for ________________________________________ days barring (Attending Physician) complication. ______________________ (Attending Physician)
Republic of the Philippines Department of Education Region IV-A CALABARZON Division of Province of Batangas District of Nasugbu West SHS WITHIN PANTALAN ES Barangay Pantalan, Nasugbu, Batangas
MEDICAL CERTIFICATE ______________________ Date TO WHOM IT MAY CONCERN: This is to certify that _____________________________________, ______________ student of Pantalan (Name)
(Strand)
Senior High School was examined and treated at Municipal Health Center Office of Municipality of Nasugbu on ________________, 20__ with the following diagnosis: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ And would need medical attention for ________________________________________ days barring (Attending Physician) complication. ______________________ (Attending Physician)
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