Republic of the Philippines

Province of Cebu
Municipality of Bantayan
Office of the Municipal Health Office
ACTUAL MONTHLY ITINERARY
Attested by :
Date Places Visited Activities Undertaken (Name & Signature)

This is to certify that LYCEL B. MARABI, RHM of Municipal Health Office, Bantayan, Cebu has performed her duty as
recorded in her accomplishment reports for the month of ______________ of 2022.

Prepared by : Reviewed by :
LYCEL B. MARABI ___________________________
Midwife PHN

Certified by : Validated by :
CLIFFORD A. MAY ___________________________
Barangay Captain Municipal Health Officer