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PNP Booking Form - 2A Medical Examination Result Sheet

Republic of the Philippines


Department of the Interior and Local Government
PHILIPPINE NATIONAL POLICE
______________________________________
___________________________
MEDICAL EXAMINATION RESULT
BLOTTER ENTRY NR: ____________

(Attach Medical Certificate)

NAME OF ARRESTING OFFICER/S:


________________________________________________________ UNIT: _________________
________________________________________________________ UNIT: _________________
________________________________________________________ UNIT: _________________
_________________________________________________________ UNIT: _________________

MEDICAL EXAMINATION CONDUCTED AT: ____________________________________________


BY: DR. ___________________________________________________ ON: ___________________