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Referral/Request for Blood

February 23, 2023

Requirements Procedures Application Form

Requirements

1 . Physician's Prescription(s) or Blood Request (1 original copy)

2 . Certificate of Indigency (1 original copy)

Procedures

1 . Present the Physician's Blood Request together with two (2) Barangay Indigency Certificates

2 . Fill-up in the blood or medicine logbook

Application Form