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Med Cert Deped

This medical certificate is for a student participating in lower level athletic meets up to the Palarong Pambansa competition. It documents the student's physical examination, including height, weight, blood pressure, pulse, and respiratory rate. The examining physician or medical officer declares whether the student is physically fit or unfit to participate in district, division, regional, and national level meets.

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Mark Cañete Punongbayan
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3K views1 page

Med Cert Deped

This medical certificate is for a student participating in lower level athletic meets up to the Palarong Pambansa competition. It documents the student's physical examination, including height, weight, blood pressure, pulse, and respiratory rate. The examining physician or medical officer declares whether the student is physically fit or unfit to participate in district, division, regional, and national level meets.

Uploaded by

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

DEPARTMENT OF EDUCATION
________________________
(Region)
______________________________
(Division)
______________________________
(School)
______________________________
(School Address)

M E D I CAL C E R T I FI CAT E
(COACHES, ASSISTANT COACHES, CHAPERONE)
__________________
(Date)
To Whom It May Concern:

This is to certify that I have personally examined ____________________________


Name

age ______ sex _____ and have found that he/she is physically fit unfit, during

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

Event: ___________________________

Physical Examination

Date examined: _______________


Height: Weight: Blood Pressure
Pulse, Resting Respiratory Rate

District Meet Remarks/Findings:

________________________________________ Ht ._____________________________ FIT


Physician/Medical Officer
Wt._____________________________
(signature over printed name) UNFIT
PRC: BP:_____________________________
LICENSE: PTR NO.
BR:_____________________________
Division Meet Remarks/Findings:

________________________________________ Ht ._____________________________ FIT


Physician/Medical Officer
Wt._____________________________
(signature over printed name) UNFIT
PRC: BP:_____________________________
LICENSE: PTR NO.
BR:_____________________________
Regional Meet Remarks/Findings:

________________________________________ Ht ._____________________________ FIT


Physician/Medical Officer
Wt._____________________________
(signature over printed name) UNFIT
PRC: BP:_____________________________
LICENSE: PTR NO.
BR:_____________________________
Palarong Pambansa Remarks/Findings:

________________________________________ Ht ._____________________________ FIT


Physician/Medical Officer
Wt._____________________________
(signature over printed name) UNFIT
PRC: BP:_____________________________
LICENSE: PTR NO.
BR:_____________________________

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