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Medical Certificate for Palarong Pambansa

This medical certificate is from the F. Lagan Sr. Memorial National High School in Caramay, Roxas, Palawan. It certifies that an individual was examined by a physician and found to be physically fit to participate in lower meets and the Palarong Pambansa competitions. The certificate provides the examinee's name, age, sex, birthdate, event, and results of a physical exam including height, weight, blood pressure, pulse, and respiratory rate. It is signed by the examining physician.

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F. Lagan Sr. Memorial National High School 301694
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35 views2 pages

Medical Certificate for Palarong Pambansa

This medical certificate is from the F. Lagan Sr. Memorial National High School in Caramay, Roxas, Palawan. It certifies that an individual was examined by a physician and found to be physically fit to participate in lower meets and the Palarong Pambansa competitions. The certificate provides the examinee's name, age, sex, birthdate, event, and results of a physical exam including height, weight, blood pressure, pulse, and respiratory rate. It is signed by the examining physician.

Uploaded by

F. Lagan Sr. Memorial National High School 301694
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Republic of the Philippines

DEPARTMENT OF EDUCATION
IV B MIMAROPA
(Region)
PALAWAN
(Division)
F. LAGAN SR. MEMORIAL NATIONAL HIGH SCHOOL
(School)
CARAMAY, ROXAS, PALAWAN
(School Address)

MEDICAL CERTIFICATE

__________________
(Date)

To Whom It May Concern:

This is to certify that I have personally examined ____________________________


Name

age ______ sex _____ born on ______________________ and have found that he/she is

physically fit, during the time of examination, to join and compete in the lower meets and

Palarong Pambansa.

Event: ___________________________

Physical Examination

Date examined: _______________


Height Weight: Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________


PTR.: ____________________
Date: ____________________

FOR PALARONG PAMBANSA ONLY


Republic of the Philippines
DEPARTMENT OF EDUCATION
IV B MIMAROPA
(Region)
PALAWAN
(Division)
F. LAGAN SR. MEMORIAL NATIONAL HIGH SCHOOL
(School)
CARAMAY, ROXAS, PALAWAN
(School Address)
MEDICAL CERTIFICATE

__________________
(Date)

To Whom It May Concern:

This is to certify that I have personally examined ____________________________


Name

age ______ sex _____ born on ______________________ and have found that he/she is

physically fit, during the time of examination, to coach, join and compete in the lower meets

and Palarong Pambansa.

Event: ___________________________

Physical Examination

Date examined: _______________


Height Weight: Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________


PTR.: ____________________
Date: ____________________

FOR PALARONG PAMBANSA ONLY

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