Republic of the Philippines

Department of Education
REGION VII
SCHOOLS DIVISION OF CEBU PROVINCE

MEDICAL CERTIFICATE

This is to certify that _________________________,_____, ________of__________________

(Name) (Age) (Sex) (School)

under_____________________ and have found that he/she is physically fit/unfit during the date of
(District)

examination_______________________, to join the GSP/BSP ENCAMPMENT (SCHOOL LEVEL) and

DISTRICT LEVEL.

Event: __________________________________________

Vital Signs:

Temperature:_____________ Blood Pressure:______________

Pulse Rate:_______________ Height:_____________________

Respiratory Rate__________ Weight:_____________________

Remarks:______________________________________________________________________

MARY HAZEL B. TAÑEDO, RN, MAN ___________________________

Division Nurse II Physician/ Medical Officer

Address: IPHO Bldg., Sudlon, Lahug, Cebu City

Tel. No.: (032) 255-6405
Email Address: cebu.province@deped.gov.ph