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    Medical Certificate Work Immersion Sample

    Uploaded by

    WALO
    This medical certificate is for a student at Lakas High School in Botolan District, Zambales, Region III of the Department of Education. It contains the student's name, grade, section, birthdate, gender, parent/guardian's name and contact information. The school's medical officer provides their name, license number, and certifies that after examining the student's weight, height, pulse, and blood pressure, the student is fit to undergo work immersion and does not have any allergies or diseases.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Medical Certificate Work Immersion Sample

    Uploaded by

    WALO
    7K views2 pages
    This medical certificate is for a student at Lakas High School in Botolan District, Zambales, Region III of the Department of Education. It contains the student's name, grade, section, birthdate, gender, parent/guardian's name and contact information. The school's medical officer provides their name, license number, and certifies that after examining the student's weight, height, pulse, and blood pressure, the student is fit to undergo work immersion and does not have any allergies or diseases.

    Original Description:

    Medical Certificate Work Immersion for TVL

    Original Title

    Medical Certificate Work Immersion Sample

    Copyright

    © © All Rights Reserved

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    This medical certificate is for a student at Lakas High School in Botolan District, Zambales, Region III of the Department of Education. It contains the student's name, grade, section, birthdate, gender, parent/guardian's name and contact information. The school's medical officer provides their name, license number, and certifies that after examining the student's weight, height, pulse, and blood pressure, the student is fit to undergo work immersion and does not have any allergies or diseases.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    7K views2 pages

    Medical Certificate Work Immersion Sample

    Uploaded by

    WALO
    This medical certificate is for a student at Lakas High School in Botolan District, Zambales, Region III of the Department of Education. It contains the student's name, grade, section, birthdate, gender, parent/guardian's name and contact information. The school's medical officer provides their name, license number, and certifies that after examining the student's weight, height, pulse, and blood pressure, the student is fit to undergo work immersion and does not have any allergies or diseases.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
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    Department of Education

    Region III
    Schools Division of Zambales
    LAKAS HIGH SCHOOL
    Botolan District

    MEDICAL CERTIFICATE

    Name of Student: _________________________________________


    Grade: __________ Section: _________
    Birthdate: ___________ Gender: _________

    Name of Parent/Guardian: _______________________


    Address: __________________________________
    Contact Number: ___________________________

    Schools Division Medical Officer/Government Physician:

    Printed Name: _________________________________________


    License Number: _______________________
    Date Examined: ________________________ Weight: __________
    Height: ________________________________ Pulse: ____________
    Blood Pressure: _______________________

    Remarks: _______________________________________________

    I herby certify that the subject student is fill to undergo work immersion and not
    suffering form any allergies or disease.

    _________________________
    Signature

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