Republic of the Philippines

Department of Education
REGION X
SCHOOLS DIVISION OF LANAO DEL NORTE
Teofilo morales sr. memorial elementary school

Grade level : III

Instruction: Write under each column date the code(s) of the symptom(s) observed in the learner during the routine inspection, during the conduct of
the class, or as reported by the learner or their classmates. Refer to the list of symptoms below and their respective codes:
Instruction: Write under each column date the code(s) of the symptom(s) observed in the learner during the routine inspection, during the conduct of the class,
or as reported by the learner or their classmates. Refer to the list of symptoms below and their respective codes:

Fv Fever F/T Fatigue/Tiredness ST Sore throat LoA Loss of appetite D Diarrhea R Rashes
C Cough HA Headache C/RN Colds/runny nose N Nausea LoS Loss of smell EN Essentially Normal
GW General weakness MJBP Muscle/joint/body pains DB Difficulty of breathing Vm Vomiting LoT Loss of taste A Absent
Others (Please specify)

Symptoms Observed/Reported
NAME          
  Monday Tuesday Wednesday Thursday Friday
TEMP. IN - TEMP. TEMP. IN - TEMP. TEMP. IN - TEMP. TEMP. IN - TEMP. TEMP. IN - TEMP.
 
OUT OUT OUT OUT OUT
1.          
2.          
3.          
4.          
5.          
Note: As soon as any of the listed symptoms is observed among any of the learners, the teacher is expected to send the learner to the School Clinic immediately for the proper management by the School Clinic Teacher or health personnel.

Prepared by: Noted by:

JAHYRAH E. BARTOLOME REMEDIOS P. VELEZ
Class Adviser Principal
 Republic of the Philippines
Department of Education
REGION X
SCHOOLS DIVISION OF LANAO DEL NORTE
Teofilo morales sr. memorial elementary school

LEARNER'S LOGBOOK

GRADE LEVEL: III SET: A DATE: _____________, 2022

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

NAME OF PUPILS TEM OU OU OU OU
IN TEMP OUT P IN TEMP T TEMP IN TEMP T TEMP IN TEMP T TEMP IN TEMP T TEMP
1. Daniel,Noel, Tribunalo

2. Fernandez,Jaime, Sultan

3. Franza,Harve James, Gabin

4. Hocum,Ronel, Rom

5. Lacuarin,Mike Ethan, B

6. Manigos,Greggy, Jr Montes

7. Pardillo,Carl Ivan, Gongub

8. Pardillo,Janxiel, C

9. Aresgado,Shiela, Mamac

10. Bachiller,Harjene, Gabin

11. Baroman,Ellea Jane, Alfeche

12. Beloy,Chelsea, Baruman

13. Pardillo,Jelian Mae, M

14. Rivera,Nyjel Kate, Aljo

15. Tariao,Grecille, Aresgado

Prepared by: Noted by:

JAHYRAH E. BARTOLOME REMEDIOS P. VELEZ
Class Adviser Principal

Republic of the Philippines

Department of Education
REGION X
SCHOOLS DIVISION OF LANAO DEL NORTE
 Teofilo morales sr. memorial elementary school

LEARNER'S LOGBOOK

GRADE LEVEL: III SET: B DATE: _____________, 2022

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

NAME OF PUPILS TEM OU OU OU OU
IN TEMP OUT P IN TEMP T TEMP IN TEMP T TEMP IN TEMP T TEMP IN TEMP T TEMP
1. Duhaylungsod,John Lorence,

2. Ledesma,James, Morales

3. Ledesma,Jan Kiffer, Paquet

4. Ledesma,John Lee, Plando

5. Melgo,Rey Mark, Salin

6. Baruman,Jan Maicka, R

7. Belhot,Cris Jean, Gomera

8. Damas,Janaica, Morales

9. Papaya,Pretchie, Abergas

10. Soriano,Izzy Marie, Tariao

Prepared by: Noted by:

JAHYRAH E. BARTOLOME REMEDIOS P. VELEZ
Class Adviser Principal

Republic of the Philippines

Department of Education
REGION X
 SCHOOLS DIVISION OF LANAO DEL NORTE
Teofilo morales sr. memorial elementary school

GRADE III VISITOR’S LOGBOOK

DAT CONTACT TEMP SIGNATUR
NAME ADDRESS
E NUMBER PURPOSE . E
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             

Prepared by: Noted by:

JAHYRAH E. BARTOLOME REMEDIOS P. VELEZ
Class Adviser Principal

Republic of the Philippines

Department of Education
REGION X
SCHOOLS DIVISION OF LANAO DEL NORTE
Teofilo morales sr. memorial elementary school
 LEARNER’S PROFILE
LEARNERS
NO NAME OF PUPIL MEANS OF W/OUT
ADDRESS EXISTING
. TRANSPORTATION
COMMODIT
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  SET B      
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