Professional Documents
Culture Documents
DEPARTMENT OF EDUCATION
_______________V_______________
(Region)
_______________CAMARINES SUR_______________
(Division)
SAN JOSE PILI NATIONAL HIGH SCHOOL
(School)
SAN JOSE, PILI, CAMARINES SUR
(School Address)
MEDICAL CERTIFICATE
__________________
(Date)
CONGRESIONALMEET.
Event: _______________________
Physical Examination
____________________________
Physician/Medical Officer
(Signature over printed name)