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Health Certificate: Republic of The Philippines City Health Office Tacloban City

This health certificate was issued to Carlito Tongol, a 30-year-old Filipino male who works as a collector for Goodmood Merchandise. Laboratory exams on March 10th and 25th found him dewormed and with normal chest x-rays. He attended seminars on food handling and occupational safety on March 28th and December 31st. The certificate is valid only until the date of the next medical examination and must be worn while working, as it is non-transferable.

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Ma. Goretti Jica Gula
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3K views1 page

Health Certificate: Republic of The Philippines City Health Office Tacloban City

This health certificate was issued to Carlito Tongol, a 30-year-old Filipino male who works as a collector for Goodmood Merchandise. Laboratory exams on March 10th and 25th found him dewormed and with normal chest x-rays. He attended seminars on food handling and occupational safety on March 28th and December 31st. The certificate is valid only until the date of the next medical examination and must be worn while working, as it is non-transferable.

Uploaded by

Ma. Goretti Jica Gula
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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(Front) (Back)

Republic of the Philippines


CITY HEALTH OFFICE IMPORTANT
Doc. Stamp
Tacloban City This health certificate is non-transferable.
Paid
OR. No. Always wear your certificate in the upper
HEALTH CERTIFICATE left front portion of your garment while
Reg.No. 2022 - 26732 8204346 working.
Valid only until the next date of
examination, as indicated below.

Pursuant to the provision of


PD 522 & PD 856, this LABORATORY EXAMINATION
certificate issued to
LAB EXAM DATE RESULT VERIFIED BY
SPUTUM

Name CARLITO - TONGOL STOOL Mar-10-22 DEWORMED

Age 30 Sex MALE Nationality FILIPINO C-XRAY Mar-25-22 NORMAL


Occupation COLLECTOR HBSAg
Place of Work GOODMOOD MERCHANDISE
HBSAb

SEMINAR/TRAINING ATTENDED
Attach your
(1X1) Signature FHS/ HACCP/ WRSOS Date
Picture ID
here Mar-28-22 Dec-31-22
GLORIA ENRIQUEZ FABRIGAS, MD, MPH, MHA
OIC City Health Office Date of Issue Date of Expiration

Reminders:

Reminders:

1. Falsification of documents is punishable by law.


2. This document has encryted QR Code for security reasons to prevent from data tampering.
3.When printing please use white paper/sheet/card only and a colored printer.
4. Before laminating, please print and cut according to the size and color of the template and attach (1x1) picture ID.
5. This health certificate is non-transferable. Always wear your certificate in the upper left front portion of your garment
while working.

From Tacloban City Health Office

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