i-LINK COLLEGE OF SCIENCE AND TECHNOLOGY

Uptown Crossing National Hi-way Pob. 8, Midsayap, Cotabato

Tel. No. (064) 229-8045 Fax. No. (064) 229-7666

INDIVIDUAL HEALTH RECORD

NAME:________________________________________________________________ Year and Course_______________

AGE:_______________ HEIGHT:_______________ WEIGHT:_____________
General Appearance:_________________________________________________________________________________

DATE TREATMENT AND REMARKS

RENA A. SARA,MD
School Physician

i-LINK COLLEGE OF SCIENCE AND TECHNOLOGY

Uptown Crossing National Hi-way Pob. 8, Midsayap, Cotabato
Tel. No. (064) 229-8045 Fax. No. (064) 229-7666

INDIVIDUAL HEALTH RECORD

NAME:________________________________________________________________ Year and Course_______________

AGE:_______________ HEIGHT:_______________ WEIGHT:_____________
General Appearance:_________________________________________________________________________________

DATE TREATMENT AND REMARKS

RENA A. SARA,MD
School Physician