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Medical Certificate Template Bataan

This document is a medical certificate issued by the Department of Education in the Philippines, certifying that an individual was examined or treated for a specific medical problem. It includes space for the patient's name, medical diagnosis, and the purpose of the certificate. The certificate is signed by Dr. Roberto B. Luneta, Medical Officer III.

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Vanessa R. Flores
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348 views2 pages

Medical Certificate Template Bataan

This document is a medical certificate issued by the Department of Education in the Philippines, certifying that an individual was examined or treated for a specific medical problem. It includes space for the patient's name, medical diagnosis, and the purpose of the certificate. The certificate is signed by Dr. Roberto B. Luneta, Medical Officer III.

Uploaded by

Vanessa R. Flores
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Republic of the Philippines

Department of Education
REGION III
SCHOOLS DIVISION OFFICE OF BATAAN

MEDICAL CERTIFICATE
Date: __________________

TO WHOM IT MAY CONCERN:

This is certify that


Mr/Ms/Mrs_____________________________________________
Was personally examined/ treated by the undersigned for the following medical
problem.
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
______

Impression/Diagnosis:
_____________________________________________________________
_____________________________________________________________

This certificate is issued upon request of___________________________________


____________________________________ for whatever purpose it may serve, except
for MEDICO LEGAL.

DR. ROBERTO B. LUNETA


MEDICAL OFFICER III
Lic. #
Republic of the Philippines
Department of Education
REGION III

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