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Republic of the Philippines

Department of Education
REGION VIII
SCHOOLS DIVISION OF LEYTE

MEDICAL CERTIFICATE
February 20, 2023

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that _______________________________________, a _______


years old, Grade 12 __________________ student of Polahongon National High School, has been
assessed and examined with the following vital signs:
BP: __________ mmHg Temp: ___________ PR: __________ RR: ____________.

She/He is with essentially normal health findings as of this time and with no Covid 19
related signs and symptoms.

This certification is issued upon the request of the interested party as one of his/her
requirement to his/ her work immersion.

Given this _______ day of February 2023, DepEd Leyte Division Office, Govt. Center
Candahug Palo, Leyte

IRIS LEONOR E. COLILIHAN, MD


Division Medical Officer III

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Government Center, Candahug, Palo, Leyte
(053) 888-3527
leyte.ro8@deped.gov.ph
Lead to Go, Love to Grow, Live to Glow . . .

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