Revised OKD Form B - Progress Report Form
Revised OKD Form B - Progress Report Form
CAR-QF-ESSD-05
Revision: 00
Progress Report Form Effectivity date: 06-18-2018
(Revised OKD Form B)
ACCOMPLISHMENT REPORT
(To be accomplished by the School Head)
A. COVERAGE
Table 1. Learners
Grade Enrolment Actual Examined With Findings Given
Level Interventions
M F M F M F M F
TOTAL
B. ACCOMPLISHMENTS (Use School Health Division Form 2 as basis for accomplishing this table.)
1. Common Signs and Symptoms (as reported by nurses)
4. Visual/Auditory Assessment
4.a. Vision Screening
Grade Sex Enrolme No. No. No. No. Remark
nt Assesse Passed Failed referred s
d
Kinder M
F
I / VII M
F
II/ VIII M
F
III/ IX M
F
IV/ X M
F
V / XI M
F
VI /XII M
F
SPED/ M
ALS F
TOTAL M
F
5. Nutritional Status
Grad Sex SW/S W/U N OW OB SSt St N T
e U
Kinde M
r F
I / VII M
F
II/ VIII M
F
III/ IX M
F
IV/ X M
F
V / XI M
F
VI /XII M
F
SPED/ M
ALS F
TOTA M
L F
What happened? Who were involved When? Outcome: What is/are its important
contribution to the OK sa DepEd Program of the
school?