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Republic of the Philippines DEPARTMENT OF HEALTH CENTER FOR HEALTH DEVELOPMENT WESTERN VISAYAS

CERTIFICATION
This is to certify that the nurse below have submitted the following requirements for the month of October 2011. Municipality: Sebaste Area of Assignment: Culasi District Hospital Assessment Tool

Name 1. Sanchez, Louise Antoniette G.

Monthly Journal

Name and Signature of PHN or Chief Nurse Date:

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