Republic of the Philippines

NATIONAL POLICE COMMISSION

NATIONAL HEADQUARTERS PHILIPPINE NATIONAL POLICE
HEALTH SERVICE
Camp BGen Rafael T Crame, Quezon City

Physical Examination Guide for Annual Physical Examination (APE)

Rank/Name of Examinee: PCpl ACOB, JAYSON J

Signature:

Office/Unit: National Capital Region Police Office

Date Issued: Sep 12, 2022

a. Secure DPRM Order for APE

b. Download the Medical Prescreen Questionnaire at https://pnp.gov.ph/forms/
c. Read the instructions carefully. Applicant must fill up the APE Report,
1st Step Medical Prescreen Questionnaire and Physical Examination Guide for
APE.
c. Secure schedule of Laboratory Examination and Consultation at
PE Section, Health Service.

Procedures Date Signature Over Printed Name

DUTY OFFICER

a. Laboratory
2nd Step
b. 12 Lead ECG

c. Chest X - ray

Examination Date Signature Over Printed Name

DUTY OFFICER
3rd Step
OPHTHA (Eyes)

ENT (Ears, Nose and Throat)

a. Measurement of height, weight, waistline and taking of vital signs
4th Step (BP, RR, PR, Temperature)
b. Physical Examination, Consolidation of Results and Consultation
5th Step Releasing of Final Results