NSN EEE ‘Macrocare Ulinical Laboratory Menard, Kap Poin St ‘Go ey $a Hat Tiderin Nos "(Qta) 727-2085 Me don jut te RELIABLE & AFFORD AMLE series WE CARES ——pajents Name Ronnie! Tongeus Tindugan Age 19Y2M24D Sex Male Dato Sep 02, 2022 Adres Pia, San Pascual, Batangas: Birthday Jun oa, 2003 Patient ID) 1632034 HEMATOLOGY TIONS REF. VALUES RESULTS [EXAMINATIONS REF. VALUES RESULTS | + EO 74 [Remogiobn 1140 180 of 185 ‘Count WAS. CORO Ia Baa Hematocrit WOad- OST [0s (Count 150-450 10°. a6 Differential Count 045-085 338 020-035 049 002-008 ‘08 (600-005 004 8.02- 0.05, es CH= Pablo P. Castillo Je, RMT Elsa M. Benda, RMT AnacletaP. Valdez NO, FPSP, MHA, PRD 01:14:15 Pa PRC No. 0028062 PRE No. 0033090 PRC No, 0066910 Medical Teenno.ogt Medes! Tecanoogist Clinic Pathologie ‘Time Reporiedi PhilSys Number INOIREET CONTRIBUTOR + : LISTAHANAN NHTS Coverage EXISTING ¢ Vat, Penn syvanaa Yah i TINDUGAN, ROLANDO LUCERO. WA, SAN PASCUAL, CATAHGAS Horeayn Adie Nis ‘see MALE ye Date of Birth: 11/201970 te Place af Birth ‘no (Fovelgn) NA wil Stats juror (PENYPOICN) pni60003707 Rand totes Soup DEPARTMENT OF HEALTH [BOY 494, SANTA CRUZ-NCR. CITY OF MANILA, FIRST DISTRICT NA Employment Status NA. Date #8 NO DECLARED DEPENDENTS “VaNiCertPH @ COVID-19 VACCINATION CERTIFICATE VACCINEE DETAILS Full Name: RONNEL TONGCUA TINDUGAN Date of Birth: 08-Jun-2003, Issuer: Philippine Department of Health Issuance Date and Time: 06-Sep-2022 09:57 PM ‘This is a secure QR code and can be verified by using the scan functionality at https://vaxcert.doh.gov.ph/ Brand, Manufacturer Modema, ModemaWESTMEAD INTERNATIONAL SCHOOL ‘Batangas City REPUBLIC OF THE PHILIPPINES 1 CITY OF BATANGAS ) DEED OF UNDERTAKING Gowmel_T. Tirdys of legal age, Filipinos (single/married) anda resident of Pie pal on oath depose and say 1. a etnowiedge that the schoo! cannot guarantee that ! wil not contract CovID 19, 1 ed to and/or infected with COVID 19 may occur from ‘am aware that the danger of getting expos my or others’ acts, omissions, or carelessness. z That | am willing to undertake the gradual face-to-face classes, including OJT, if 3 ‘That as required by CHED to be quaitfed for limited face to face classes, | am fully vaccinated of COVID 19 Vaccine. 4 That my PhilHealth membership is active with updated payments for @ period of six months or has equivalent medical insurance that covers medical expenses related fo Covid-19; ‘and thet tr itis provided by my employer, | must submit @ copy of the Certificate of Remittance ‘of Phiihealth Premium to the School. 5 “That | understood that in case of a medical emergency inside the schoo! promise’ J wit be transported to their partner hospital for medical assistance and that my Phithealth or Medical insurance will cover the expenses incurred during the incident. 6. That | will update my Student Health Record as part of the requirement of @ student every semester. % That | was informed that the limited face-to-face class is not mandatory on the first qemesior ofthis school year only and non-conformity will implicate set back on the completion of the academic requirements and leave of absence form will be required for non-compliance: ‘student on the mentioned classes. iN WITNESS WHEREOF, | have hereunto affixed my signatures this day of _Segtomloce 2022. Student