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Medical Certificate: Department of Education

This medical certificate certifies that Jun Jr C. Altimos, a 17-year old male born on February 10, 2001, was examined on an unspecified date and found to be physically fit to compete in lower meets and the Congressional Meet 2017. The certificate was issued by an unnamed physician for the event of chess and lists Jun's height, weight, blood pressure, pulse, and respiratory rate. It includes the physician's signature, license number, and date.

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kimabz03
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38 views1 page

Medical Certificate: Department of Education

This medical certificate certifies that Jun Jr C. Altimos, a 17-year old male born on February 10, 2001, was examined on an unspecified date and found to be physically fit to compete in lower meets and the Congressional Meet 2017. The certificate was issued by an unnamed physician for the event of chess and lists Jun's height, weight, blood pressure, pulse, and respiratory rate. It includes the physician's signature, license number, and date.

Uploaded by

kimabz03
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
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Republic of the Philippines

DEPARTMENT OF EDUCATION
XII
(Region)
COTABATO
(Division)
ALEOSAN NATIONAL HIGH SCHOOL
(School)
ALEOSAN, COTABATO
(School Address)

M E D I CAL C E R T I FI CAT E

________________
(Date)

To Whom It May Concern:

This is to certify that I have personally examined __JUN JR C. ALTIMO__________.


Name

Age _17 sex _MALE____ born on ___FEBRUARY 10, 2001 and have found that he/she is

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

Congressional Meet 2017.

Event: _____CHESS________

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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