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.
ALWAYS WEAR YOUR CERTIFICATE IN THE UPPER
CITY HEALTH OFFICE LEFT PORTION OF YOUR GARMENT WHILE WORKING
05-15- 22 March-2023
No. 05584 Date issued : 05-15-22 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
05-10-22 Chest X-ray Normal
Certification is issued to :
NAME : RAAGAS CHERRIE MEI
OCCUPATION : S ALES REPRESENTATIVE
AGE: 29 SEX: F NATIONALITY: Filipino STOOL & OTHER EXAMINATION REQUIRED
PLACE OF WORK: F R U I T Y L E M O NS
DATE KIND RESULT
05-10-22 Urine
SIGNATURE OF HOLDER Normal
Stool
CAROLINA M.MATANGUIHAN
SANITARY INSPECTOR Hepa A/B
NONREACTIVE
Drug Test
ADELINO C. LABRO,M.D.
CITY HEALTH OFFICER CBC