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    Medical For Athletes 1 PENAFIEL

    Uploaded by

    Rodolfo Esmejarda Laycano Jr.
    This document is a medical certificate for Eon Kenneth P. Penafiel, a 14-year-old male student. It certifies that he has been examined by a physician and found physically fit to participate in lower school sports meets, including intramurals, district, regional, and national meets. The examination covered various body systems and functions, and the physician indicated normal findings for each section of the exam. The physician concluded the student is physically fit to participate in school sporting events up to the national level based on the results of the examination.

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

    Medical For Athletes 1 PENAFIEL

    Uploaded by

    Rodolfo Esmejarda Laycano Jr.
    47 views2 pages
    This document is a medical certificate for Eon Kenneth P. Penafiel, a 14-year-old male student. It certifies that he has been examined by a physician and found physically fit to participate in lower school sports meets, including intramurals, district, regional, and national meets. The examination covered various body systems and functions, and the physician indicated normal findings for each section of the exam. The physician concluded the student is physically fit to participate in school sporting events up to the national level based on the results of the examination.

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    Original Title

    Medical for Athletes 1 PENAFIEL

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    This document is a medical certificate for Eon Kenneth P. Penafiel, a 14-year-old male student. It certifies that he has been examined by a physician and found physically fit to participate in lower school sports meets, including intramurals, district, regional, and national meets. The examination covered various body systems and functions, and the physician indicated normal findings for each section of the exam. The physician concluded the student is physically fit to participate in school sporting events up to the national level based on the results of the examination.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    47 views2 pages

    Medical For Athletes 1 PENAFIEL

    Uploaded by

    Rodolfo Esmejarda Laycano Jr.
    This document is a medical certificate for Eon Kenneth P. Penafiel, a 14-year-old male student. It certifies that he has been examined by a physician and found physically fit to participate in lower school sports meets, including intramurals, district, regional, and national meets. The examination covered various body systems and functions, and the physician indicated normal findings for each section of the exam. The physician concluded the student is physically fit to participate in school sporting events up to the national level based on the results of the examination.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Republic of the Philippines MCForm - 1

    Revised as of September 26,


    2019 DEPARTMENT OF EDUCATION

    ________________________
    (REGION)

    ______________________________
    (DIVISION)

    M E D I______________________________
    CAL CERTIFICATE
    (SCHOOL)
    e. hips YES | NO YES | NO YES | NO YES | NO
    ______________________________
    To Whom It May Concern: f. thighs YES | NO YES | NO YES | NO YES | NO
    g. knees YES | NO YES | NO YES | NO YES | NO
    This is to certify that I have personally examined EON KENNETH P. PENAFIEL age h. ankles YES | NO YES | NO YES | NO YES | NO
    14 sex MALE and have found that he/she is physically fit unfit, during i. feet YES | NO YES | NO YES | NO YES | NO
    11. Neuromuscular YES | NO YES | NO YES | NO YES | NO
    the time of examination, to join and participate in the lower meets up to Palarong (reflexes)
    Pambansa.

    School/Intrams/District Meet Remarks/Findings:

    Event: ___________________________ _____________________________ Ht ._______cm FIT


    Physician/Medical Officer Wt:_______kg
    Physical Examination (signature over printed name) BP.____________mmHg UNFIT
    PRC PR:____________bpm
    School/ Unit/Division Regional Palarong LICENSE: PTR NO. RR:____________cpm Date:
    Intrams/District Meet Meet Pambansa Unit/Division Meet Remarks/Findings:
    Meet
    Normal Normal Normal Normal _____________________________ Ht ._______cm FIT
    Physician/Medical Officer Wt:_______kg
    1. Eyes YES | NO YES | NO YES | NO YES | NO (signature over printed name) BP.____________mmHg UNFIT
    2. Ears, Nose, Throat YES | NO YES | NO YES | NO YES | NO PRC PR:____________bpm
    3. Mouth and Teeth YES | NO YES | NO YES | NO YES | NO LICENSE: PTR NO. RR:____________cpm Date:
    4. Neck YES | NO YES | NO YES | NO YES | NO Regional Meet Remarks/Findings:

    5. Cardiovascular YES | NO YES | NO YES | NO YES | NO _____________________________ Ht ._______cm FIT


    6. Chest and Lungs YES | NO YES | NO YES | NO YES | NO Physician/Medical Officer Wt:_______kg
    7. Abdomen YES | NO YES | NO YES | NO YES | NO (signature over printed name) BP.____________mmHg UNFIT
    PRC PR:____________bpm
    8. Skin YES | NO YES | NO YES | NO YES | NO LICENSE: PTR NO. RR:____________cpm Date:
    9. Genitalia-Hernia (male) YES | NO YES | NO YES | NO YES | NO Palarong Pambansa Remarks/Findings:
    10. Muskuloskeletal: ROM YES | NO YES | NO YES | NO YES | NO
    a. neck YES | NO YES | NO YES | NO YES | NO _____________________________ Ht ._______cm FIT
    Physician/Medical Officer Wt:_______kg
    b. spine YES | NO YES | NO YES | NO YES | NO (signature over printed name) BP.____________mmHg UNFIT
    c. shoulder YES | NO YES | NO YES | NO YES | NO PRC PR:____________bpm
    d. arms/hands YES | NO YES | NO YES | NO YES | NO LICENSE: PTR NO. RR:____________cpm Date:

    FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)


    Republic of the Philippines MCForm - 1

    DEPARTMENT OF EDUCATION

    ________________________
    (REGION)

    ______________________________
    (DIVISION)

    ______________________________
    (SCHOOL)

    ______________________________

    FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

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