Republic of Philippines
DEPARTMENT OF HEALTH
Region – 10
Province of Lanao del Norte
Municipality of Kapatagan
________________________________________
Name of Hospital/Health Center/Station
HEALTH CENTER/STATION REGISTRATION CERTIFICATE
This is to certify that the following Pantawid Pamilya beneficiaries are registered in this hospital/health
center/station for health/medical check-ups/consultation:
REMARKS (Please
indicate if the beneficiary
NO HOUSEHOLD ID NUMBER NAME OF BENEFICIARIES
is 0-5 years old or
pregnant)
1
2
3
Given this ______ day of FEBRUARY, 2023.
____________________________
MHO/OIC/HN
Republic of Philippines
DEPARTMENT OF HEALTH
Region – 10
Province of Lanao del Norte
Municipality of Kapatagan
________________________________________
Name of Hospital/Health Center/Station
HEALTH CENTER/STATION REGISTRATION CERTIFICATE
This is to certify that the following Pantawid Pamilya beneficiaries are registered in this hospital/health
center/station for health/medical check-ups/consultation:
REMARKS (Please
indicate if the beneficiary
NO HOUSEHOLD ID NUMBER NAME OF BENEFICIARIES
is 0-5 years old or
pregnant)
1
2
3
Given this ______ day of FEBRUARY, 2023.
____________________________
MHO/OIC/HN