dental certificate 2010 palaro 1

7/25/2019 Dental Certificate 2010 Palaro 1

http://slidepdf.com/reader/full/dental-certificate-2010-palaro-1 1/48

TFSS Form No. 003 DCRepublic of the Philippines

DEPARTMENT OF EDUCATION4A

Region

CAVT! CT"Di#ision

DENTAL HEALTH RECORD

JAN. 5, 2015

D$te

N$me%

Age% &4 Se' ( )irth D$te &*+Feb+0&

!#ent% FOOTBALL

P$rent,-u$ri$n% CAR/ P (NT!/

Co$ch% NENETH P. MANRIQUE

-N-VTS

11 14 13 12 1& & 2 3 4 1(A/CC/SN

&5 &6 & &1 &4 &3 &2 && 2& 22 23 24 21 2 26 25

D!C)TA/ /C!R

45 46 4 41 44 43 42 4& 3& 32 33 34 31 3 36 35 CA/C/SC/!FT PA/AT!

RT FRA-(!NTF/RSS

51 54 53 52 5& 6& 62 63 64 61 T7!RS 8Specif9:

"!AR /!V!/ R!(AR;S T!(PRAR" T!!T7DAT! ND!< D.F.T.!<A(NATN N. T ,D!CA"!DS!A/ANT 8-: N. T, F//!DP!R(AN!NT F//N- TTA/ D.F.T. ART!<TRACTN T!(PRAR" T!!T7RA/ PRP7"/A<S ND!< D.F.T.R!F!RRA/ N. T ,D!CA"!DT7!R RA/ TR!AT(!N N. T,(SSN-

N. T, F//!DTTA/ D.F.T.TTA/ SND T!!T7

SYMBOLS FOR MOUTH EXAMINATION SYMBOLS FOR A

< + TT7 NDCAT!D D + D!C)TA/ /C!R <t + !<TRACTFR !<TRACTN (A/ + (A/C/SSN 't + !<TRACT

F + TT7 NDCAT!D F/ + F/RSS Am + A(A/-A(

PR!RDCA/DS!AS!

SP!RN(!RAR" TT7R!TAN!DD!CDST!!T7P!R(AN!NT T!!T7

CNDTN

TR!AT(!NT N!!DS

/!FTR-7T

CNDTN

T!(PRAR" T!!T7

T!(PRAR" T!!T7

R-7T

CNDTN

/!FT

CNDTN AND TR!AT(!NT N!!DS

/$PAOLO H. MONTIEL



FR F//N- -n + NR(A/ Com + C(PS+ TT7 >T7 T!(PRAR" -m + (D!RAT! -N-VTS

F//N- 8&+2 ?ADRANTS: ARTIFICIAL

RC + R!CRR!NT CAR!S -s + S!V!R! -N-VTS @C + @AC;!T CRF + RT FRA-(!NT 83+4 ?ADRANTS: + N/A"( + (SSN- TT7 C(R + C(P/!T! (T7 R!7A) P + RA/ PR

8: + SND !RPT!D P!R(AN!NT B! + BNC <TT7 TF + T!(PRA

R + R!F!RR!R!(AR;S% N + N!RPT

D!NT(signature over

PRC% /C!NS!

7!AV"S7AD!



DAT! F VST

COMPLISHMENT

D P!R(AN!NT TT7D T!(PRAR" TT7

F//N-

test &= ' &= picture



! F//N-

ESTORATION

R>N

P7"/A<S! !-!N/ F//N-R" F//N-

D T PRVAT! D!NTST!D

STrinte! na"e#





Region

CAVT! CT"Di#ision


JAN. 5, 2015

D$te

N$me%

Age% &4 Se' ( )irth D$te

!#ent% FOOTBALL

P$rent,-u$ri$n%


-N-VTS

11 14 13 12 1& & 2 3 4 1(A/CC/SN

&5 &6 & &1 &4 &3 &2 && 2& 22 23 24 21 2 26 25

D!C)TA/ /C!R

45 46 4 41 44 43 42 4& 3& 32 33 34 31 3 36 35 CA/C/SC/!FT PA/AT!

RT FRA-(!NTF/RSS

51 54 53 52 5& 6& 62 63 64 61 T7!RS 8Specif9:






PR!RDCA/DS!AS!


CNDTN

TR!AT(!NT N!!DS

/!FTR-7T

CNDTN

T!(PRAR" T!!T7

T!(PRAR" T!!T7

R-7T

CNDTN

/!FT


/$ROGER BRIAM ALIH S. BRIZUELA

JAN 25, 2001








D!NT(signature over

PRC% /C!NS!

7!AV"S7AD!



DAT! F VST

COMPLISHMENT


F//N-




! F//N-

ESTORATION

R>N

P7"/A<S! !-!N/ F//N-R" F//N-

D T PRVAT! D!NTST!D

STrinte! na"e#





Region

CAVT! CT"Di#ision


JAN. 5, 2015

D$te

N$me%


!#ent% FOOTBALL

P$rent,-u$ri$n%


-N-VTS

11 14 13 12 1& & 2 3 4 1(A/CC/SN

&5 &6 & &1 &4 &3 &2 && 2& 22 23 24 21 2 26 25

D!C)TA/ /C!R

45 46 4 41 44 43 42 4& 3& 32 33 34 31 3 36 35 CA/C/SC/!FT PA/AT!

RT FRA-(!NTF/RSS

51 54 53 52 5& 6& 62 63 64 61 T7!RS 8Specif9:






PR!RDCA/DS!AS!


CNDTN

TR!AT(!NT N!!DS

/!FTR-7T

CNDTN

T!(PRAR" T!!T7

T!(PRAR" T!!T7

R-7T

CNDTN

/!FT


/$MARK ASHLEY S. ANDRADE

OCT. 6, 2001








D!NT(signature over

PRC% /C!NS!

7!AV"S7AD!



DAT! F VST

COMPLISHMENT


F//N-




! F//N-

ESTORATION

R>N

P7"/A<S! !-!N/ F//N-R" F//N-

D T PRVAT! D!NTST!D

STrinte! na"e#





Region

CAVT! CT"Di#ision


JAN. 5, 2015

D$te

N$me%


!#ent% FOOTBALL

P$rent,-u$ri$n%


-N-VTS

11 14 13 12 1& & 2 3 4 1(A/CC/SN

&5 &6 & &1 &4 &3 &2 && 2& 22 23 24 21 2 26 25

D!C)TA/ /C!R

45 46 4 41 44 43 42 4& 3& 32 33 34 31 3 36 35 CA/C/SC/!FT PA/AT!

RT FRA-(!NTF/RSS

51 54 53 52 5& 6& 62 63 64 61 T7!RS 8Specif9:






PR!RDCA/DS!AS!


CNDTN

TR!AT(!NT N!!DS

/!FTR-7T

CNDTN

T!(PRAR" T!!T7

T!(PRAR" T!!T7

R-7T

CNDTN

/!FT


/$ JAKE RYAN T. VILORIA

DEC 20, 2001








D!NT(signature over

PRC% /C!NS!

7!AV"S7AD!



DAT! F VST

COMPLISHMENT


F//N-




! F//N-

ESTORATION

R>N

P7"/A<S! !-!N/ F//N-R" F//N-

D T PRVAT! D!NTST!D

STrinte! na"e#





Region

CAVT! CT"Di#ision


JAN. 5, 2015

D$te

N$me%


!#ent% FOOTBALL

P$rent,-u$ri$n%


-N-VTS

11 14 13 12 1& & 2 3 4 1(A/CC/SN

&5 &6 & &1 &4 &3 &2 && 2& 22 23 24 21 2 26 25

D!C)TA/ /C!R

45 46 4 41 44 43 42 4& 3& 32 33 34 31 3 36 35 CA/C/SC/!FT PA/AT!

RT FRA-(!NTF/RSS

51 54 53 52 5& 6& 62 63 64 61 T7!RS 8Specif9:






PR!RDCA/DS!AS!


CNDTN

TR!AT(!NT N!!DS

/!FTR-7T

CNDTN

T!(PRAR" T!!T7

T!(PRAR" T!!T7

R-7T

CNDTN

/!FT


/$REGIE B. PALAG

AUG. 24, 2000








D!NT(signature over

PRC% /C!NS!

7!AV"S7AD!



DAT! F VST

COMPLISHMENT


F//N-




! F//N-

ESTORATION

R>N

P7"/A<S! !-!N/ F//N-R" F//N-

D T PRVAT! D!NTST!D

STrinte! na"e#





Region

CAVT! CT"Di#ision


JAN. 5, 2015

D$te

N$me%


!#ent% FOOTBALL

P$rent,-u$ri$n%


-N-VTS

11 14 13 12 1& & 2 3 4 1(A/CC/SN

&5 &6 & &1 &4 &3 &2 && 2& 22 23 24 21 2 26 25

D!C)TA/ /C!R

45 46 4 41 44 43 42 4& 3& 32 33 34 31 3 36 35 CA/C/SC/!FT PA/AT!

RT FRA-(!NTF/RSS

51 54 53 52 5& 6& 62 63 64 61 T7!RS 8Specif9:






PR!RDCA/DS!AS!


CNDTN

TR!AT(!NT N!!DS

/!FTR-7T

CNDTN

T!(PRAR" T!!T7

T!(PRAR" T!!T7

R-7T

CNDTN

/!FT


/$ JOHN CARLO DM. ARCALLANA

OCT 15, 2000








D!NT(signature over

PRC% /C!NS!

7!AV"S7AD!



DAT! F VST

COMPLISHMENT


F//N-




! F//N-

ESTORATION

R>N

P7"/A<S! !-!N/ F//N-R" F//N-

D T PRVAT! D!NTST!D

STrinte! na"e#





Region

CAVT! CT"Di#ision


JAN. 5, 2015

D$te

N$me%

Age% & Se' ( )irth D$te

!#ent% FOOTBALL

P$rent,-u$ri$n%


-N-VTS

11 14 13 12 1& & 2 3 4 1(A/CC/SN

&5 &6 & &1 &4 &3 &2 && 2& 22 23 24 21 2 26 25

D!C)TA/ /C!R

45 46 4 41 44 43 42 4& 3& 32 33 34 31 3 36 35 CA/C/SC/!FT PA/AT!

RT FRA-(!NTF/RSS

51 54 53 52 5& 6& 62 63 64 61 T7!RS 8Specif9:






PR!RDCA/DS!AS!


CNDTN

TR!AT(!NT N!!DS

/!FTR-7T

CNDTN

T!(PRAR" T!!T7

T!(PRAR" T!!T7

R-7T

CNDTN

/!FT


/$CEDRICK JOY C. MAGNABIJON

JAN 1, 1








D!NT(signature over

PRC% /C!NS!

7!AV"S7AD!



DAT! F VST

COMPLISHMENT


F//N-




! F//N-

ESTORATION

R>N

P7"/A<S! !-!N/ F//N-R" F//N-

D T PRVAT! D!NTST!D

STrinte! na"e#





Region

CAVT! CT"Di#ision


JAN. 5, 2015

D$te

N$me%


!#ent% FOOTBALL

P$rent,-u$ri$n%


-N-VTS

11 14 13 12 1& & 2 3 4 1(A/CC/SN

&5 &6 & &1 &4 &3 &2 && 2& 22 23 24 21 2 26 25

D!C)TA/ /C!R

45 46 4 41 44 43 42 4& 3& 32 33 34 31 3 36 35 CA/C/SC/!FT PA/AT!

RT FRA-(!NTF/RSS

51 54 53 52 5& 6& 62 63 64 61 T7!RS 8Specif9:






PR!RDCA/DS!AS!


CNDTN

TR!AT(!NT N!!DS

/!FTR-7T

CNDTN

T!(PRAR" T!!T7

T!(PRAR" T!!T7

R-7T

CNDTN

/!FT


/$ JULIUS CESAR M. ANCHETA

DEC. 6, 2001








D!NT(signature over

PRC% /C!NS!

7!AV"S7AD!



DAT! F VST

COMPLISHMENT


F//N-




! F//N-

ESTORATION

R>N

P7"/A<S! !-!N/ F//N-R" F//N-

D T PRVAT! D!NTST!D

STrinte! na"e#





Region

CAVT! CT"Di#ision


JAN. 5, 2015

D$te

N$me%


!#ent% FOOTBALL

P$rent,-u$ri$n%


-N-VTS

11 14 13 12 1& & 2 3 4 1(A/CC/SN

&5 &6 & &1 &4 &3 &2 && 2& 22 23 24 21 2 26 25

D!C)TA/ /C!R

45 46 4 41 44 43 42 4& 3& 32 33 34 31 3 36 35 CA/C/SC/!FT PA/AT!

RT FRA-(!NTF/RSS

51 54 53 52 5& 6& 62 63 64 61 T7!RS 8Specif9:






PR!RDCA/DS!AS!


CNDTN

TR!AT(!NT N!!DS

/!FTR-7T

CNDTN

T!(PRAR" T!!T7

T!(PRAR" T!!T7

R-7T

CNDTN

/!FT


/$NHIL KENNEDY S. SORIANO

JAN , 2000








D!NT(signature over

PRC% /C!NS!

7!AV"S7AD!



DAT! F VST

COMPLISHMENT


F//N-




! F//N-

ESTORATION

R>N

P7"/A<S! !-!N/ F//N-R" F//N-

D T PRVAT! D!NTST!D

STrinte! na"e#





Region

CAVT! CT"Di#ision


JAN. 5, 2015

D$te

N$me%


!#ent% FOOTBALL

P$rent,-u$ri$n%


-N-VTS

11 14 13 12 1& & 2 3 4 1(A/CC/SN

&5 &6 & &1 &4 &3 &2 && 2& 22 23 24 21 2 26 25

D!C)TA/ /C!R

45 46 4 41 44 43 42 4& 3& 32 33 34 31 3 36 35 CA/C/SC/!FT PA/AT!

RT FRA-(!NTF/RSS

51 54 53 52 5& 6& 62 63 64 61 T7!RS 8Specif9:






PR!RDCA/DS!AS!


CNDTN

TR!AT(!NT N!!DS

/!FTR-7T

CNDTN

T!(PRAR" T!!T7

T!(PRAR" T!!T7

R-7T

CNDTN

/!FT


/$ JU!EL T. !LAUTA

JAN. 1", 2000








D!NT(signature over

PRC% /C!NS!

7!AV"S7AD!



DAT! F VST

COMPLISHMENT


F//N-




! F//N-

ESTORATION

R>N

P7"/A<S! !-!N/ F//N-R" F//N-

D T PRVAT! D!NTST!D

STrinte! na"e#





Region

CAVT! CT"Di#ision


JAN. 5, 2015

D$te

N$me%


!#ent% FOOTBALL

P$rent,-u$ri$n%


-N-VTS

11 14 13 12 1& & 2 3 4 1(A/CC/SN

&5 &6 & &1 &4 &3 &2 && 2& 22 23 24 21 2 26 25

D!C)TA/ /C!R

45 46 4 41 44 43 42 4& 3& 32 33 34 31 3 36 35 CA/C/SC/!FT PA/AT!

RT FRA-(!NTF/RSS

51 54 53 52 5& 6& 62 63 64 61 T7!RS 8Specif9:






PR!RDCA/DS!AS!


CNDTN

TR!AT(!NT N!!DS

/!FTR-7T

CNDTN

T!(PRAR" T!!T7

T!(PRAR" T!!T7

R-7T

CNDTN

/!FT


/$ACE P. URUBIO

OCT. 1, 2001








D!NT(signature over

PRC% /C!NS!

7!AV"S7AD!



DAT! F VST

COMPLISHMENT


F//N-




! F//N-

ESTORATION

R>N

P7"/A<S! !-!N/ F//N-R" F//N-

D T PRVAT! D!NTST!D

STrinte! na"e#





Region

CAVT! CT"Di#ision


JAN. 5, 2015

D$te

N$me%


!#ent% FOOTBALL

P$rent,-u$ri$n%


-N-VTS

11 14 13 12 1& & 2 3 4 1(A/CC/SN

&5 &6 & &1 &4 &3 &2 && 2& 22 23 24 21 2 26 25

D!C)TA/ /C!R

45 46 4 41 44 43 42 4& 3& 32 33 34 31 3 36 35 CA/C/SC/!FT PA/AT!

RT FRA-(!NTF/RSS

51 54 53 52 5& 6& 62 63 64 61 T7!RS 8Specif9:






PR!RDCA/DS!AS!


CNDTN

TR!AT(!NT N!!DS

/!FTR-7T

CNDTN

T!(PRAR" T!!T7

T!(PRAR" T!!T7

R-7T

CNDTN

/!FT


/$Christian Mill J. Aguilar

JAN. 24, 2000








D!NT(signature over

PRC% /C!NS!

7!AV"S7AD!



DAT! F VST

COMPLISHMENT


F//N-




! F//N-

ESTORATION

R>N

P7"/A<S! !-!N/ F//N-R" F//N-

D T PRVAT! D!NTST!D

STrinte! na"e#

dental certificate 2010 palaro 1

Documents