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Health Certificate Health Certificate: This Certificate Is Issued To This Certificate Is Issued To

The document contains 8 identical health certificates issued by the Municipal Health Officer of Baao, Camarines Sur. Each certificate is issued pursuant to P.D. 522 and P.D. 856 and contains blank fields for name, occupation, age, sex, nationality, place of work, and signature. Dr. Mariam G. Margate's name and title are printed at the bottom of each certificate.

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Ryiel Love
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633 views

Health Certificate Health Certificate: This Certificate Is Issued To This Certificate Is Issued To

The document contains 8 identical health certificates issued by the Municipal Health Officer of Baao, Camarines Sur. Each certificate is issued pursuant to P.D. 522 and P.D. 856 and contains blank fields for name, occupation, age, sex, nationality, place of work, and signature. Dr. Mariam G. Margate's name and title are printed at the bottom of each certificate.

Uploaded by

Ryiel Love
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines Republic of the Philippines

Department of Health Department of Health


Regional Health Office No. 5 Regional Health Office No. 5
1 OFFICE OF THE 2 OFFICE OF THE
MUNICIPAL HEALTH OFFICER MUNICIPAL HEALTH OFFICER
Baao, Camarines Sur Baao, Camarines Sur

HEALTH CERTIFICATE HEALTH CERTIFICATE


Registration No. ____ Pursuant to the Provision of P.D. 522, P.D. 856 Registration No. ____ Pursuant to the Provision of P.D. 522, P.D. 856
This certificate is issued to This certificate is issued to

NAME: ________________________________________________________________ NAME: ________________________________________________________________


OCCUPATION: _________________________________ AGE: ______ SEX: _______ OCCUPATION: _________________________________ AGE: ______ SEX: _______
NATIONALITY: ________________ PLACE OF WORK: _________________________ NATIONALITY: ________________ PLACE OF WORK: _________________________
SIGNATURE: _____________________ SIGNATURE: _____________________

MARIAM G. MARGATE, MD MARIAM G. MARGATE, MD


Municipal Health Officer Municipal Health Officer
Baao, Camarines Sur Baao, Camarines Sur

Republic of the Philippines Republic of the Philippines


Department of Health Department of Health
Regional Health Office No. 5 Regional Health Office No. 5
3 OFFICE OF THE 4 OFFICE OF THE
MUNICIPAL HEALTH OFFICER MUNICIPAL HEALTH OFFICER
Baao, Camarines Sur Baao, Camarines Sur

HEALTH CERTIFICATE HEALTH CERTIFICATE


Registration No. ____ Pursuant to the Provision of P.D. 522, P.D. 856 Registration No. ____ Pursuant to the Provision of P.D. 522, P.D. 856
This certificate is issued to This certificate is issued to

NAME: ________________________________________________________________ NAME: ________________________________________________________________


OCCUPATION: _________________________________ AGE: ______ SEX: _______ OCCUPATION: _________________________________ AGE: ______ SEX: _______
NATIONALITY: ________________ PLACE OF WORK: _________________________ NATIONALITY: ________________ PLACE OF WORK: _________________________
SIGNATURE: _____________________ SIGNATURE: _____________________

MARIAM G. MARGATE, MD MARIAM G. MARGATE, MD


Municipal Health Officer Municipal Health Officer
Baao, Camarines Sur Baao, Camarines Sur

Republic of the Philippines Republic of the Philippines


Department of Health Department of Health
Regional Health Office No. 5 Regional Health Office No. 5
5 OFFICE OF THE 6 OFFICE OF THE
MUNICIPAL HEALTH OFFICER MUNICIPAL HEALTH OFFICER
Baao, Camarines Sur Baao, Camarines Sur

HEALTH CERTIFICATE HEALTH CERTIFICATE


Registration No. ____ Pursuant to the Provision of P.D. 522, P.D. 856 Registration No. ____ Pursuant to the Provision of P.D. 522, P.D. 856

This certificate is issued to This certificate is issued to

NAME: ________________________________________________________________ NAME: ________________________________________________________________


OCCUPATION: _________________________________ AGE: ______ SEX: _______ OCCUPATION: _________________________________ AGE: ______ SEX: _______
NATIONALITY: ________________ PLACE OF WORK: _________________________ NATIONALITY: ________________ PLACE OF WORK: _________________________
SIGNATURE: _____________________ SIGNATURE: _____________________

MARIAM G. MARGATE, MD MARIAM G. MARGATE, MD


Municipal Health Officer Municipal Health Officer
Baao, Camarines Sur Baao, Camarines Sur

Republic of the Philippines Republic of the Philippines


Department of Health Department of Health
Regional Health Office No. 5 Regional Health Office No. 5
7 OFFICE OF THE 8 OFFICE OF THE
MUNICIPAL HEALTH OFFICER MUNICIPAL HEALTH OFFICER
Baao, Camarines Sur Baao, Camarines Sur

HEALTH CERTIFICATE HEALTH CERTIFICATE


Registration No. ____ Pursuant to the Provision of P.D. 522, P.D. 856 Registration No. ____ Pursuant to the Provision of P.D. 522, P.D. 856
This certificate is issued to This certificate is issued to

NAME: ________________________________________________________________ NAME: ________________________________________________________________


OCCUPATION: _________________________________ AGE: ______ SEX: _______ OCCUPATION: _________________________________ AGE: ______ SEX: _______
NATIONALITY: ________________ PLACE OF WORK: _________________________ NATIONALITY: ________________ PLACE OF WORK: _________________________
SIGNATURE: _____________________ SIGNATURE: _____________________

MARIAM G. MARGATE, MD MARIAM G. MARGATE, MD


Municipal Health Officer Municipal Health Officer
Baao, Camarines Sur Baao, Camarines Sur

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