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

This 3 sentence summary provides the key details from the health certificate document: This health certificate was issued to Charmaine Cahindo Prongo, a 24 year old Filipino female sales attendant, by the Tacloban City Health Office pursuant to Philippine laws. It documents the results of her medical examinations on specific dates in May 2021 and certifies that she attended food safety seminars. The certificate is valid only until the expiration date of December 31, 2021 and must be worn while working as required by the employer.

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Queenie Bongcaras
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© © All Rights Reserved
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1K views

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

This 3 sentence summary provides the key details from the health certificate document: This health certificate was issued to Charmaine Cahindo Prongo, a 24 year old Filipino female sales attendant, by the Tacloban City Health Office pursuant to Philippine laws. It documents the results of her medical examinations on specific dates in May 2021 and certifies that she attended food safety seminars. The certificate is valid only until the expiration date of December 31, 2021 and must be worn while working as required by the employer.

Uploaded by

Queenie Bongcaras
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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(Front) Y (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. 2021 - 15381 8136056 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
CHARMAINE CAHINDO PRONGO STOOL May-10-21 DEWORMED

Age 24 Sex FEMALE Nationality FILIPINO C-XRAY May-10-21 NORMAL

Occupation SALES ATTENDANT HBSAg May-17-21 NEGATIVE


Place of Work ANDREAS PIZZA
HBSAb

SEMINAR/TRAINING ATTENDED
Attach your
(1X1) FHS/ HACCP/ WRSOS May-14-21
Signature ______ Date
Picture ID
here May-18-21 Dec-31-21
GLORIA ENRIQUEZ FABRIGAS, MD, MPH, MHA
OIC City Health Office Date of Issue Date of Expiration

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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