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  • Calalas Med 12

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    Roseann Reyes
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    This medical certificate certifies that Lovely Jamaicah V. Calalas, a 17-year old female student, was found to be physically fit to participate in volleyball competitions from the school level up to the Palarong Pambansa national games. The certificate documents the results of her physical examination, including measurements of height, weight, blood pressure, pulse rate, and respiration rate. It also indicates that her eyes, ears, mouth, cardiovascular system, lungs, abdomen, skin, muscles, and reflexes were all found to be normal. The examining physician's signature is required after each level of competition to verify the student's ongoing fitness to participate.

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    This medical certificate certifies that Lovely Jamaicah V. Calalas, a 17-year old female student, was found to be physically fit to participate in volleyball competitions from the school level up to the Palarong Pambansa national games. The certificate documents the results of her physical examination, including measurements of height, weight, blood pressure, pulse rate, and respiration rate. It also indicates that her eyes, ears, mouth, cardiovascular system, lungs, abdomen, skin, muscles, and reflexes were all found to be normal. The examining physician's signature is required after each level of competition to verify the student's ongoing fitness to participate.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    6 views3 pages

    Calalas Med 12

    Uploaded by

    Roseann Reyes
    This medical certificate certifies that Lovely Jamaicah V. Calalas, a 17-year old female student, was found to be physically fit to participate in volleyball competitions from the school level up to the Palarong Pambansa national games. The certificate documents the results of her physical examination, including measurements of height, weight, blood pressure, pulse rate, and respiration rate. It also indicates that her eyes, ears, mouth, cardiovascular system, lungs, abdomen, skin, muscles, and reflexes were all found to be normal. The examining physician's signature is required after each level of competition to verify the student's ongoing fitness to participate.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 3

    FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

    Republic of the Philippines

    Revised as of September 26,


    2019 DEPARTMENT OF EDUCATION
    VI WESTERN VISAYAS
    (REGION)

    _____NEGROS OCCIDENTAL___

    (DIVISION)

    _____________NOTRE DAME OF TALISAY________________

    (SCHOOL)

    MEDICAL CERTIFICATE

    To Whom It May Concern:


    This is to certify that I have personally examined _Lovely Jamaicah V. Calalas age _17 sex _F and have found that
    he/she is physically fit unfit, during the time of examination, to join and participate in the lower meets up to
    Palarong Pambansa.
    Event: __________VOLLEYBALL – SECONDARY GIRLS__________
    School/Intrams/District Unit/Division Meet Regional Meet Palarong Pambansa
    Meet

    Normal Normal Normal Normal

    1. Eyes YES | NO YES | NO YES | NO YES | NO


    2. Ears, Nose, Throat YES | NO YES | NO YES | NO YES | NO
    3. Mouth and Teeth YES | NO YES | NO YES | NO YES | NO
    4. Neck YES | NO YES | NO YES | NO YES | NO
    5. Cardiovascular YES | NO YES | NO YES | NO YES | NO
    6. Chest and Lungs YES | NO YES | NO YES | NO YES | NO
    7. Abdomen YES | NO YES | NO YES | NO YES | NO
    8. Skin YES | NO YES | NO YES | NO YES | NO
    9. Genitalia-Hernia (male) YES | NO YES | NO YES | NO YES | NO
    10. Muskuloskeletal: ROM YES | NO YES | NO YES | NO YES | NO
    a. neck YES | NO YES | NO YES | NO YES | NO
    b. spine YES | NO YES | NO YES | NO YES | NO
    c. shoulder YES | NO YES | NO YES | NO YES | NO
    d. arms/hands YES | NO YES | NO YES | NO YES | NO
    e. hips YES | NO YES | NO YES | NO YES | NO
    f. thighs YES | NO YES | NO YES | NO YES | NO
    g. knees YES | NO YES | NO YES | NO YES | NO
    h. ankles YES | NO YES | NO YES | NO YES | NO
    i. feet YES | NO YES | NO YES | NO YES | NO
    11. Neuromuscular (reflexes) YES | NO YES | NO YES | NO YES | NO
    Physical Examination

    FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)


    Republic of the Philippines

    DEPARTMENT OF EDUCATION
    VI WESTERN VISAYAS
    (REGION)

    _____NEGROS OCCIDENTAL___

    (DIVISION)

    _____________NOTRE DAME OF TALISAY________________

    (SCHOOL)

    School/Intrams/District Meet Remarks/Findings:

    _____________________________ Physician/Medical Ht ._______cm Wt:_______kg FIT


    Officer BP.____________mmHg
    (signature over printed name) PR:____________bpm UNFIT
    PRC RR:____________cpm
    LICENSE: PTR NO. Date:
    Unit/Division Meet Remarks/Findings:

    _____________________________Physician/Medical Ht ._______cm Wt:_______kg FIT


    Officer BP.____________mmHg
    (signature over printed name) PR:____________bpm UNFIT
    PRC RR:____________cpm
    LICENSE: PTR NO. Date:
    Regional Meet Remarks/Findings:

    _____________________________Physician/Medical Ht ._______cm Wt:_______kg FIT


    Officer BP.____________mmHg
    (signature over printed name) PR:____________bpm UNFIT
    PRC RR:____________cpm
    LICENSE: PTR NO. Date:
    Palarong Pambansa Remarks/Findings:

    _____________________________ Physician/Medical Ht ._______cm Wt:_______kg FIT


    Officer BP.____________mmHg
    (signature over printed name) PR:____________bpm UNFIT
    PRC RR:____________cpm
    LICENSE: PTR NO. Date:

    FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

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