Medical Cert
Medical Cert
Medical Cert
Department of Education
Region 7, Central Visayas
Division of Bais City
Bais City, Negros Oriental
M E D I CAL C E R T I FI CAT E
________________
(Date)
physically fit, during the time of examination, to join the Regional Schools Press Conference
Physical Examination
________________________
_
Physician/Medical Officer
(Signature over printed name)
License No._________________
PTR: ______________________
Date:______________________