Medical Certificate 2010 Palaro 1
Medical Certificate 2010 Palaro 1
Medical Certificate 2010 Palaro 1
DEPARTMENT OF EDUCATION
X
_______
(Region)
________________________
MISAMIS ORIENTAL
(Division)
LUGAIT CENTRAL SCHOOL
______________________________________________
(School)
POBLACION, LUGAIT MISAMIS ORIENTAL
___________________________________________
(School Address)
MEDICAL CERTIFICATE
September 25, 2017
__________________
(Date)
Physical Examination
____________________________
Physician/Medical Officer
(Signature over printed name)
License No. _____________
PTR.: ________________
Date: ________________