You are on page 1of 1

e-HEALTH Pass

MALICDEM, LYNEL JIM


ALCANTARA
Local Resident

Date Issued: June 30, 2021

Contact #: 09085651879

Current Address: PUROK 2, MOTORPOOL, TUBOD,


SURIGAO DEL NORTE

Permanent Address: TAFT (POB.), SURIGAO CITY


(CAPITAL), SURIGAO DEL NORTE

14-Day Health Status:

Remarks: BRING VALID ID.

SN#00400319

You might also like