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Certification: Office of The Municipal Health Officer

The documents provide immunization records and certifications for several individuals from the Municipality of San Jose in the Province of Batangas in the Philippines. The certifications list the antigens and dates of vaccination for diseases like diphtheria, tetanus, pertussis, polio, measles, hepatitis B, and others. They are signed by midwives and a municipal health officer, and are intended to serve as proof of immunization for legal purposes.

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0% found this document useful (0 votes)
220 views15 pages

Certification: Office of The Municipal Health Officer

The documents provide immunization records and certifications for several individuals from the Municipality of San Jose in the Province of Batangas in the Philippines. The certifications list the antigens and dates of vaccination for diseases like diphtheria, tetanus, pertussis, polio, measles, hepatitis B, and others. They are signed by midwives and a municipal health officer, and are intended to serve as proof of immunization for legal purposes.

Uploaded by

Sample Bakeshop
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

Province of Batangas
MUNICIPALITY OF SAN JOSE
OFFICE OF THE MUNICIPAL HEALTH OFFICER
telefax: (043) 726-0023
email : sanjoserhu@yahoo.com

CERTIFICATION
August 3, 2018

This is to certify that RACHEL PEREZ, born on March 3, 2000 has received the
following antigens that a child needs in our clinic as supported by immunization records
signed by us:

Antigen Date

1. BCG April 24, 2000

2. Diptheria-Tetanus-Pertussis June 21, 2000


Oral Polio 1

3. Diptheria-Tetanus-Pertussis August 23, 2000


Oral Polio 2

4. Diptheria-Tetanus-Pertussis September 21, 2000


Oral Polio 3

5. Hepa B 1 October 18, 2001

6. Hepa B 2 November 17, 2001

7. Hepa B 3 December 16, 2001

8. Measles December 21, 2000

Issued upon request for whatever legal purposes this may serve her.

Prepared by:

EDNA D. LOTERTE, R.M


Midwife II

Noted by:

RUFO R. LUNA, M.D.


Municipal Health Officer
Republic of the Philippines
Province of Batangas
MUNICIPALITY OF SAN JOSE
OFFICE OF THE MUNICIPAL HEALTH OFFICER
telefax: (043) 786-1637
email : sanjoserhu@yahoo.com

CERTIFICATION
January 19, 2017

This is to certify that PLATA, DIANNE SARMIENTO, born on


November 21, 1989 has received the following antigens from our health facility:

Antigen Date

1. BCG December 27, 1989

2. Diptheria-Tetanus-Pertussis January 24, 1990


Oral Polio 1

3. Diptheria-Tetanus-Pertussis February 28, 1990


Oral Polio 2

4. Diptheria-Tetanus-Pertussis March 28, 1990


Oral Polio 3

5. Measles August 29, 1990

Issued upon request for whatever legal purposes this may serve.

HAYLILY ALDAY
Midwife II
Noted by:

RUFO R. LUNA, M.D.


Municipal Health Officer
Republic of the Philippines
Province of Batangas
MUNICIPALITY OF SAN JOSE
OFFICE OF THE MUNICIPAL HEALTH OFFICER
telefax: (043) 726-0023
email : sanjoserhu@yahoo.com

CERTIFICATION
May 19, 2015

This is to certify that JEFF RYAN M. CAPILLANES, born on August 6, 2004 has
received the following antigens that a child needs in our clinic as supported by immunization
records signed by us:

Antigen Date

1. BCG November 10, 2004

2. Diptheria-Tetanus-Pertussis October 13, 2004


Oral Polio 1

3. Diptheria-Tetanus-Pertussis November 10, 2004


Oral Polio 2

4. Diptheria-Tetanus-Pertussis December 15, 2004


Oral Polio 3

5. Hepa B 1 September 3, 2004

6. Hepa B 2 October 06, 2004

7. Hepa B 3 November 15, 2004

8. Measles May 24, 2005

9. Measles/Rubella May 4, 2011

Issued upon request for whatever legal purposes this may serve her.

EDNA D. LOTERTE,R.M.
Midwife II
Noted by:

EDWINA L. CANTOS, R.N.


Nurse II
Republic of the Philippines
Province of Batangas
MUNICIPALITY OF SAN JOSE
OFFICE OF THE MUNICIPAL HEALTH OFFICER
telefax: (043) 726-0023
email : sanjoserhu@yahoo.com

CERTIFICATION
March 30, 2015

This is to certify that CHRISTINE JOY PADAUAN, born on December 28, 2006
has received the following antigens that a child needs in our clinic as supported by
immunization records signed by us:

Antigen Date

1. BCG January 24, 2007

2. Diptheria-Tetanus-Pertussis February 21, 2007


Oral Polio 1

3. Diptheria-Tetanus-Pertussis March 28, 2007


Oral Polio 2

4. Diptheria-Tetanus-Pertussis April 25, 2007


Oral Polio 3

5. Hepa B 2 January 29, 2007

6. Hepa B 3 June 2, 2007

7. Measles September 27, 2007

Issued upon request for whatever legal purposes this may serve her.

HAYLILY ALDAY
Midwife II
Noted by:

RUFO R. LUNA, M.D.


Municipal Health Officer
Republic of the Philippines
Province of Batangas
MUNICIPALITY OF SAN JOSE
OFFICE OF THE MUNICIPAL HEALTH OFFICER
telefax: (043) 726-0023
email : sanjoserhu@yahoo.com

CERTIFICATION
March 30, 2015

This is to certify that AKIO KYRIE MHAR BERMUNDO, born on August 1, 2012
has received the following antigens that a child needs in our clinic as supported by
immunization records signed by us.

Antigen Date

1. BCG August 23, 2012

2. Diptheria-Tetanus-Pertussis-HiB-Hepa B 1 November 22, 2012


Oral Polio 1

3. Diptheria-Tetanus-Pertussis-HiB-Hepa B 1 December 27, 2012


Oral Polio 2

4. Diptheria-Tetanus-Pertussis-HiB-Hepa B 1 January 25, 2013


Oral Polio 3

5. Measles May 24, 2013

6. Measles-Mumps-Rubella August 23, 2013

7. Rotavirus 1 November 22, 2012

8. Rotavirus 1 January 25, 2013

Issued upon request for whatever legal purposes this may serve her.

HAYLILY ALDAY
Midwife II
Noted by:

RUFO R. LUNA, M.D.


Municipal Health Officer
“SAN JOSE”
Isang pamayanang maka Diyos at maka- bayan, may bukas na pamamahala, masiglang negosyo, sapat na hanapbuhay at
nagpapahalaga sa edukasyon, kultura, kalusugan at kalikasan para sa maunlad at mapayapang SAN JOSE
Telefax No. (043) 726-2203* Trunkline No. (043) 726-2204 loc. 102

Republic of the Philippines


Province of Batangas
MUNICIPALITY OF SAN JOSE
OFFICE OF THE MUNICIPAL HEALTH OFFICER
telefax: (043) 726-0023
email : sanjoserhu@yahoo.com

CERTIFICATION
February 25, 2015

This is to certify that BABY BERNADETTE CUEVAS CARANDANG, born on


September 28, 1987 has received the following antigens that a child needs in our clinic as
supported by immunization records signed by us.

Antigen Date

1. BCG December 2, 1987

2. Diptheria-Tetanus-Pertussis 1 December 2, 1987


Oral Polio 1

3. Diptheria-Tetanus-Pertussis 2 January 6, 1988


Oral Polio 2

4. Diptheria-Tetanus-Pertussis 3 March 2, 1988


Oral Polio 3

5. Measles July 6, 1988

Issued upon request for whatever legal purposes this may serve her.

ANACORETA DIMACULANGAN
Midwife II
Noted by:

RUFO R. LUNA, M.D.


Municipal Health Officer
“SAN JOSE”
Isang pamayanang maka Diyos at maka- bayan, may bukas na pamamahala, masiglang negosyo, sapat na hanapbuhay at
nagpapahalaga sa edukasyon, kultura, kalusugan at kalikasan para sa maunlad at mapayapang SAN JOSE
Telefax No. (043) 726-2203* Trunkline No. (043) 726-2204 loc. 102

Republic of the Philippines


Province of Batangas
MUNICIPALITY OF SAN JOSE
OFFICE OF THE MUNICIPAL HEALTH OFFICER
telefax: (043) 726-0023
email : sanjoserhu@yahoo.com

CERTIFICATION
February 25, 2015

This is to certify that BABY BERNADETTE CUEVAS CARANDANG, born on


September 28, 1987 has received the following antigens that a child needs in our clinic as
supported by immunization records signed by us.

Antigen Date

1. BCG December 2, 1987

2. Diptheria-Tetanus-Pertussis 1 December 2, 1987


Oral Polio 1

3. Diptheria-Tetanus-Pertussis 2 January 6, 1988


Oral Polio 2

4. Diptheria-Tetanus-Pertussis 3 March 2, 1988


Oral Polio 3

5. Measles July 6, 1988

Issued upon request for whatever legal purposes this may serve her.

ANACORETA DIMACULANGAN
Midwife II
Noted by:

RUFO R. LUNA, M.D.


Municipal Health Officer
“SAN JOSE”
Isang pamayanang maka Diyos at maka- bayan, may bukas na pamamahala, masiglang negosyo, sapat na hanapbuhay at
nagpapahalaga sa edukasyon, kultura, kalusugan at kalikasan para sa maunlad at mapayapang SAN JOSE
Telefax No. (043) 726-2203* Trunkline No. (043) 726-2204 loc. 102

Republic of the Philippines


Province of Batangas
MUNICIPALITY OF SAN JOSE
OFFICE OF THE MUNICIPAL HEALTH OFFICER
telefax: (043) 726-0023
email : sanjoserhu@yahoo.com

CERTIFICATION
November 19, 2014

This is to certify that SANDRA AMBAL FADERAGAO, born on September 8,


1998 has received the following antigens that a child needs in our clinic as supported by
immunization records signed by us.

Antigen

1. BCG

2. Diptheria-Tetanus-Pertussis 1
Oral Polio 1

3. Diptheria-Tetanus-Pertussis 2
Oral Polio 2

4. Diptheria-Tetanus-Pertussis 3
Oral Polio 3

5. Measles

Issued upon request for whatever legal purposes this may serve her.

MYRNA MAPUTI
Midwife II
Noted by:

RUFO R. LUNA, M.D.


Municipal Health Officer
“SAN JOSE”
Isang pamayanang maka Diyos at maka- bayan, may bukas na pamamahala, masiglang negosyo, sapat na hanapbuhay at
nagpapahalaga sa edukasyon, kultura, kalusugan at kalikasan para sa maunlad at mapayapang SAN JOSE
Telefax No. (043) 726-2203* Trunkline No. (043) 726-2204 loc. 102

Republic of the Philippines


Province of Batangas
MUNICIPALITY OF SAN JOSE
OFFICE OF THE MUNICIPAL HEALTH OFFICER
telefax: (043) 726-0023
email : sanjoserhu@yahoo.com

CERTIFICATION
November 19, 2014

This is to certify that JEDIDIAH AMBAL FADERAGAO, born on July 14, 1997
has received the following antigens that a child needs in our clinic as supported by
immunization records signed by us.

Antigen

1. BCG

2. Diptheria-Tetanus-Pertussis 1
Oral Polio 1

3. Diptheria-Tetanus-Pertussis 2
Oral Polio 2

4. Diptheria-Tetanus-Pertussis 3
Oral Polio 3

5. Measles

Issued upon request for whatever legal purposes this may serve her.

MYRNA MAPUTI
Midwife II
Noted by:

RUFO R. LUNA, M.D.


Municipal Health Officer
“SAN JOSE”
Isang pamayanang maka Diyos at maka- bayan, may bukas na pamamahala, masiglang negosyo, sapat na hanapbuhay at
nagpapahalaga sa edukasyon, kultura, kalusugan at kalikasan para sa maunlad at mapayapang SAN JOSE
Telefax No. (043) 726-2203* Trunkline No. (043) 726-2204 loc. 102

Republic of the Philippines


Province of Batangas
MUNICIPALITY OF SAN JOSE
OFFICE OF THE MUNICIPAL HEALTH OFFICER
telefax: (043) 726-0023
email : sanjoserhu@yahoo.com

CERTIFICATION

July 28, 2014

This is to certify that MARC JUSTINE M. LUNA, born on May 23,


2005 has contracted Varicella Zoster (Chicken Pox) on the last week of March
2012, thus, vaccination of such is no longer needed.

Issued upon request for whatever legal purposes this may serve her.

Noted by:

RUFO R. LUNA, M.D.


PRC Card No: 61535
Municipal Health Officer

“SAN JOSE”
Isang pamayanang maka Diyos at maka- bayan, may bukas na pamamahala, masiglang negosyo, sapat na hanapbuhay at
nagpapahalaga sa edukasyon, kultura, kalusugan at kalikasan para sa maunlad at mapayapang SAN JOSE
Telefax No. (043) 726-2203* Trunkline No. (043) 726-2204 loc. 102
Republic of the Philippines
Province of Batangas
MUNICIPALITY OF SAN JOSE
OFFICE OF THE MUNICIPAL HEALTH OFFICER
telefax: (043) 726-0023
email : sanjoserhu@yahoo.com

CERTIFICATION
July 28, 2014

This is to certify that MARJORIE YVONNE M. LUNA, born on September 12,


2000 has received the following antigens:

Antigen Date

1. HEPATITIS A July 17, 2014

2. MENINGOCOCCEMIA July 17, 2014

Issued upon request for whatever legal purposes this may serve her.

EDWINA L. CANTOS, RN
PRC Card No. 0119243
Nurse II

“SAN JOSE”
Isang pamayanang maka Diyos at maka- bayan, may bukas na pamamahala, masiglang negosyo, sapat na hanapbuhay at
nagpapahalaga sa edukasyon, kultura, kalusugan at kalikasan para sa maunlad at mapayapang SAN JOSE
Telefax No. (043) 726-2203* Trunkline No. (043) 726-2204 loc. 102

Republic of the Philippines


Province of Batangas
MUNICIPALITY OF SAN JOSE
OFFICE OF THE MUNICIPAL HEALTH OFFICER
telefax: (043) 726-0023
email : sanjoserhu@yahoo.com

CERTIFICATION
July 28, 2014

This is to certify that MARC JUSTINE M. LUNA, born on May 23, 2005 has
received the following antigens:

Antigen Date

1. HEPATITIS A July 17, 2014

2. MENINGOCOCCEMIA July 17, 2014

Issued upon request for whatever legal purposes this may serve her.

EDWINA L. CANTOS, RN
PRC Card No. 0119243
Nurse II

“SAN JOSE”
Isang pamayanang maka Diyos at maka- bayan, may bukas na pamamahala, masiglang negosyo, sapat na hanapbuhay at
nagpapahalaga sa edukasyon, kultura, kalusugan at kalikasan para sa maunlad at mapayapang SAN JOSE
Telefax No. (043) 726-2203* Trunkline No. (043) 726-2204 loc. 102

Republic of the Philippines


Province of Batangas
MUNICIPALITY OF SAN JOSE
OFFICE OF THE MUNICIPAL HEALTH OFFICER
telefax: (043) 726-0023
email : sanjoserhu@yahoo.com
CERTIFICATION
July 28, 2014

This is to certify that MARJORIE YVONNE M. LUNA, born on September 12,


2000 has received the following antigens:

Antigen Date

1. HEPATITIS A July 17, 2014

2. MENINGOCOCCEMIA July 17, 2014

Issued upon request for whatever legal purposes this may serve her.

EDWINA L. CANTOS, RN
PRC Card No. 0119243
Nurse II

“SAN JOSE”
Isang pamayanang maka Diyos at maka- bayan, may bukas na pamamahala, masiglang negosyo, sapat na hanapbuhay at
nagpapahalaga sa edukasyon, kultura, kalusugan at kalikasan para sa maunlad at mapayapang SAN JOSE
Telefax No. (043) 726-2203* Trunkline No. (043) 726-2204 loc. 102

Republic of the Philippines


Province of Batangas
MUNICIPALITY OF SAN JOSE
OFFICE OF THE MUNICIPAL HEALTH OFFICER
telefax: (043) 726-0023
email : sanjoserhu@yahoo.com

CERTIFICATION
May 16, 2014

This is to certify that AARON U. JALLORES, born on December 16, 2005 has
received the following antigens that a child needs in our clinic as supported by immunization
records signed by us.
Antigen Date

1. BCG January 19, 2006

2. Diptheria-Tetanus-Pertussis 1 April 20, 2006


Oral Polio 1

3. Diptheria-Tetanus-Pertussis 2 May 18, 2006


Oral Polio 2

4. Diptheria-Tetanus-Pertussis 3 June 15, 2006


Oral Polio 3

5. Measles September 10, 2006

Issued upon request for whatever legal purposes this may serve her.

ANACORETA DIMACULANGAN
Midwife II
Noted by:

RUFO R. LUNA, M.D.


Municipal Health Officer

“SAN JOSE”
Isang pamayanang maka Diyos at maka- bayan, may bukas na pamamahala, masiglang negosyo, sapat na hanapbuhay at
nagpapahalaga sa edukasyon, kultura, kalusugan at kalikasan para sa maunlad at mapayapang SAN JOSE
Telefax No. (043) 726-2203* Trunkline No. (043) 726-2204 loc. 102

Republic of the Philippines


Province of Batangas
MUNICIPALITY OF SAN JOSE
OFFICE OF THE MUNICIPAL HEALTH OFFICER
telefax: (043) 726-0023
email : sanjoserhu@yahoo.com

CERTIFICATION
This is to certify that PAULEEN ANNE MAKALINTAL, born on March 5, 2007
has received the following antigens that a child needs in our clinic as supported by
immunization records signed by us.

Antigen Date

1. BCG March 21, 2007

2. Diptheria-Tetanus-Pertussis 1 May 16, 2007


Oral Polio 1
3. Diptheria-Tetanus-Pertussis 2 July 18, 2007
Oral Polio 2

4. Diptheria-Tetanus-Pertussis 3 August 17, 2007


Oral Polio 3

5. Hepatitis B 1 April 12, 2007

6. Hepatitis B 1 May 10, 2007

7. Hepatitis B 1 June14, 2007

8. Measles December 19, 2007

Issued upon request for whatever legal purposes this may serve her.

MARILOU DELA PEŇA


Midwife II
Noted by:

RUFO R. LUNA, M.D.


Municipal Health Officer

“SAN JOSE”
Isang pamayanang maka Diyos at maka- bayan, may bukas na pamamahala, masiglang negosyo, sapat na hanapbuhay at
nagpapahalaga sa edukasyon, kultura, kalusugan at kalikasan para sa maunlad at mapayapang SAN JOSE
Telefax No. (043) 726-2203* Trunkline No. (043) 726-2204 loc. 102

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