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    Medical Certificate 2016 Palaro

    Uploaded by

    Josefina Llamado
    The document contains 5 medical certificates certifying that 5 individuals are physically fit to participate in rhythmic gymnastics competitions. The certificates provide each individual's name, age, sex, date of birth, and state they were examined and found fit to compete in lower meets and the Palarong Pambansa event. Physical examination details are listed but not filled in. The certificates are signed by a physician with their license and PTR information.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Medical Certificate 2016 Palaro

    Uploaded by

    Josefina Llamado
    65 views6 pages
    The document contains 5 medical certificates certifying that 5 individuals are physically fit to participate in rhythmic gymnastics competitions. The certificates provide each individual's name, age, sex, date of birth, and state they were examined and found fit to compete in lower meets and the Palarong Pambansa event. Physical examination details are listed but not filled in. The certificates are signed by a physician with their license and PTR information.

    Original Description:

    medical certificate

    Original Title

    Medical Certificate 2016 Palaro (1)

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    © © All Rights Reserved

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    The document contains 5 medical certificates certifying that 5 individuals are physically fit to participate in rhythmic gymnastics competitions. The certificates provide each individual's name, age, sex, date of birth, and state they were examined and found fit to compete in lower meets and the Palarong Pambansa event. Physical examination details are listed but not filled in. The certificates are signed by a physician with their license and PTR information.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    65 views6 pages

    Medical Certificate 2016 Palaro

    Uploaded by

    Josefina Llamado
    The document contains 5 medical certificates certifying that 5 individuals are physically fit to participate in rhythmic gymnastics competitions. The certificates provide each individual's name, age, sex, date of birth, and state they were examined and found fit to compete in lower meets and the Palarong Pambansa event. Physical examination details are listed but not filled in. The certificates are signed by a physician with their license and PTR information.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    TFSS Form No 002 MC

    Republic of the Philippines


    Department of Education
    ___________V-Bicol___________
    (Region)
    ___________Camarines Sur___________
    (Division)

    M E D I CAL C E RT I FI CAT E

    SEPTEMBER 20, 2019_


    (Date)

    To Whom It May Concern:

    This is to certify that I have personally examined LYCA MAE A, LIMUTIN , __11_ sex
    Name

    Female born on AUGUST 19, 2008 and have found that he/she is physically fit, during the

    time of examination, to join and compete in the lower meets and Palarong Pambansa.

    Event: RHYTHMIC GYMNASTICS

    Physical Examination

    Date examined: _______________

    Height Weight: Blood Pressure


    Pulse, Resting Respiratory Rate
    Other Remarks:

    ____________________________
    Physician/Medical Officer
    (Signature over printed name)
    License No. _____________
    PTR.: ________________
    Date: ________________

    FOR PALARONG BANSA ONLY


    TFSS Form No 002 MC

    Republic of the Philippines


    Department of Education
    ___________V-Bicol___________
    (Region)
    ___________Camarines Sur___________
    (Division)

    M E D I CAL C E RT I FI CAT E

    __________________
    (Date)

    To Whom It May Concern:

    This is to certify that I have personally examined _SHIELA MAY R. PEPANIO age
    Name

    ___8__ sex Female born on MAY 24, 2008 and have found that he/she is physically fit, during

    the time of examination, to join and compete in the lower meets and Palarong Pambansa.

    Event: RHYTHMIC GYMNASTICS

    Physical Examination

    Date examined: _______________

    Height Weight: Blood Pressure


    Pulse, Resting Respiratory Rate
    Other Remarks:

    ____________________________
    Physician/Medical Officer
    (Signature over printed name)
    License No. _____________

    FOR PALARONG BANSA ONLY


    PTR.: ________________
    Date: ________________

    TFSS Form No 002 MC

    Republic of the Philippines


    Department of Education
    ___________V-Bicol___________
    (Region)
    ___________Camarines Sur___________
    (Division)

    M E D I CAL C E RT I FI CAT E

    __________________
    (Date)

    To Whom It May Concern:

    This is to certify that I have personally examined _ERIKA A. ONAN age __11__ sex
    Name

    Female born on APRIL 12, 2005 and have found that he/she is physically fit, during the time of

    examination, to join and compete in the lower meets and Palarong Pambansa.

    Event: RHYTHMIC GYMNASTICS

    Physical Examination

    Date examined: _______________

    Height Weight: Blood Pressure


    Pulse, Resting Respiratory Rate
    Other Remarks:

    ____________________________
    Physician/Medical Officer
    (Signature over printed name)

    FOR PALARONG BANSA ONLY


    License No. _____________
    PTR.: ________________
    Date: ________________

    TFSS Form No 002 MC

    Republic of the Philippines


    Department of Education
    ___________V-Bicol___________
    (Region)
    ___________Camarines Sur___________
    (Division)

    M E D I CAL C E RT I FI CAT E

    __________________
    (Date)

    To Whom It May Concern:

    This is to certify that I have personally examined _JOSEFINA P. LLAMADO age


    Name

    __45__ sex Female born on FEBRUARY 8, 1974 and have found that he/she is physically fit,

    during the time of examination, to join and compete in the lower meets and Palarong Pambansa.

    Event: RHYTHMIC GYMNASTICS

    Physical Examination

    Date examined: _______________

    Height Weight: Blood Pressure


    Pulse, Resting Respiratory Rate
    Other Remarks:

    FOR PALARONG BANSA ONLY


    ____________________________
    Physician/Medical Officer
    (Signature over printed name)
    License No. _____________
    PTR.: ________________
    Date: ________________

    TFSS Form No 002 MC

    Republic of the Philippines


    Department of Education
    ___________V-Bicol___________
    (Region)
    ___________Camarines Sur___________
    (Division)

    M E D I CAL C E RT I FI CAT E

    __________________
    (Date)

    To Whom It May Concern:

    This is to certify that I have personally examined _NECITA D. FLORA age __33__ sex
    Name

    Female born on DECEMBER 21, 1991 and have found that he/she is physically fit, during the

    time of examination, to join and compete in the lower meets and Palarong Pambansa.

    Event: RHYTHMIC GYMNASTICS

    Physical Examination

    Date examined: _______________

    Height Weight: Blood Pressure


    Pulse, Resting Respiratory Rate
    Other Remarks:

    FOR PALARONG BANSA ONLY


    ____________________________
    Physician/Medical Officer
    (Signature over printed name)
    License No. _____________
    PTR.: ________________
    Date: ________________

    FOR PALARONG BANSA ONLY

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