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Barangay COVID19 Clearance

The following individual/s have been examined in the Barangay Health Center of MOLDERO by
Ms. MaryGrace Rosales (Midwife) and found to have no exposure to known to COVID19 or have no
symptoms (fever/cough/cold/sore throat/DOB/others).

______________________________________ ________________________________________
______________________________________ ________________________________________

Furthermore, the individual/s is/are found to be:

o Locally stranded individual


o Frontliner/APOR
o Quarantined for 14 days
o Avail essential services

MARYGRACE ROSALES RICHARD S. MILLARE


Midwife Punong Barangay

Barangay COVID19 Clearance


The following individual/s have been examined in the Barangay Health Center of MOLDERO by
Ms. MaryGrace Rosales (Midwife) and found to have no exposure to known to COVID19 or have no
symptoms (fever/cough/cold/sore throat/DOB/others).

______________________________________ ________________________________________
______________________________________ ________________________________________

Furthermore, the individual/s is/are found to be:

o Locally stranded individual


o Frontliner/APOR
o Quarantined for 14 days
o Avail essential services

MARYGRACE ROSALES RICHARD S. MILLARE


Midwife Punong Barangay

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