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Deworming Permit

This document contains a permission slip from a parent allowing their child, John-Rhyan Marcelo Casala, to receive medication (likely deworming pills) in September-November and March-May. The parent indicates whether the child has any allergies and when they last received this medication. Spaces are included for the school, grade, teacher, parent signature and date of last treatment.

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Rubilyn Pandinuela
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© © All Rights Reserved
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14 views

Deworming Permit

This document contains a permission slip from a parent allowing their child, John-Rhyan Marcelo Casala, to receive medication (likely deworming pills) in September-November and March-May. The parent indicates whether the child has any allergies and when they last received this medication. Spaces are included for the school, grade, teacher, parent signature and date of last treatment.

Uploaded by

Rubilyn Pandinuela
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines Republic of the Philippines

DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION


Region IV – A (CALABARZON) Region IV – A (CALABARZON)
DIVISION OF SAN PABLO CITY DIVISION OF SAN PABLO CITY
San Pablo City San Pablo City

Paaralan: Paaralan:
Antas: Antas:
Guro: Guro:

Pinapayagan ko po ang aking anak na si Pinapayagan ko po ang aking anak na si


John – Rhyan Marcelo Cas ala John – Rhyan Marcelo Cas ala
na mabigyan ng purga sa buwan ng Sept.-Nov. na mabigyan ng purga sa buwan ng Sept.-Nov.
(1st round) at March-May (2nd round) (1st round) at March-May (2nd round)
May allergy: Oo [ ] Wala [ ] May allergy: Oo [ ] Wala [ ]

Petsa kung kailan huling nabigyan ng purga Petsa kung kailan huling nabigyan ng purga

Lagda ng Magulang Lagda ng Magulang

Republic of the Philippines Republic of the Philippines


DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION
Region IV – A (CALABARZON) Region IV – A (CALABARZON)
DIVISION OF SAN PABLO CITY DIVISION OF SAN PABLO CITY
San Pablo City San Pablo City

Paaralan: Paaralan:
Antas: Antas:
Guro: Guro:

Pinapayagan ko po ang aking anak na si Pinapayagan ko po ang aking anak na si


John – Rhyan Marcelo Cas ala John – Rhyan Marcelo Cas ala
na mabigyan ng purga sa buwan ng Sept.-Nov. na mabigyan ng purga sa buwan ng Sept.-Nov.
(1st round) at March-May (2nd round) (1st round) at March-May (2nd round)

May allergy: Oo [ ] Wala [ ] May allergy: Oo [ ] Wala [ ]

Petsa kung kailan huling nabigyan ng purge Petsa kung kailan huling nabigyan ng purga

Lagda ng Magulang Lagda ng Magulang

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