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Republic of the Philippines IMPORTANT

Province of Laguna THIS HEALTH CERTIFICATE IS NON-TRANSFERABLE


AND VALID UNTIL THE NEXT DATE OF EXAMINATION
CALAMBA CITY AS INDICATED BELOW.
CITY HEALTH OFFICE ALWAYS WEAR YOUR CERTIFICATE IN THE UPPER
LEFT PORTION OF YOUR GARMENT WHILE WORKING.
06/23/2022 March 2023
No . 06597 Date Issued : 06/23/2022 Date of Issuance Expiry Date

HEALTH CERTIFICATE X-RAY FLOUROSCOPIC EXAM


Pursuant to the provision of P.D. 856 and City DATE

KIND

RESULT

Ordinance No. 010 Series 1992 this


Certification is issued to :

6/17/22

Chest X-ray

Normal

NAME : HERNANDEZ MARCO



OCCUPATION : PRODUCTION HELPER


STOOL & OTHER EXAM. REQUIRE
AGE : 2 8 SEX M NATIONALITY: F I L I P I N O
NEWLYWEDS DATE

KIND

RESULT
PLACE OF WORK :

6/17/22

Urine

Normal
SIGNATURE OF HOLDER Stool
CAROLINA M. MATANGUIHAN HEPA A/B
SANITARY INSPECTOR

Test NONREACTIVE

Drug
ADELINO C. LABRO, M.D.
CBC
CITY HEALTH OFFICER

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