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BHW2

The document contains forms tracking vitamin A and deworming accomplishments for children aged 6 months to 5 years in a specific barangay. It lists the names, birthdays, ages and sex of the children and notes if they received the recommended vitamins and deworming treatment.

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sangguniangkabataanstaisabel7
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17 views

BHW2

The document contains forms tracking vitamin A and deworming accomplishments for children aged 6 months to 5 years in a specific barangay. It lists the names, birthdays, ages and sex of the children and notes if they received the recommended vitamins and deworming treatment.

Uploaded by

sangguniangkabataanstaisabel7
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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MUNICIPAL HEALTH OFFICE

PINAMALAYAN, ORIENTAL MINDORO


BARANGAY _______________
VITAMIN A ACCOMPLISHMENT

G NAME BIRTHDAY AGE IN MONTHS


6-11 MONTHS 12-59 MONTHS M
SEX
F
REMARKS

1.
R 2.
3.
A 4.
5.
6.
N 7.
8.
T 9.
10.
11.
I 12.
13.
S 14.
15.
16.
A 17.
18.
D 19.
20.
21.
O 22.
23.
N 24.
25.
TOTAL
G DEWORMING ACCOMPLSHMENTS
NAME BIRTHDAY AGE IN MONTHS SEX REMARKS
6-11 MONTHS 12-59 MONTHS M F
1.

P 2.
3.
4.
A 5.
6.
M 7.
8.
9.
B 10.
11.
A 12.
13.
14.
T 15.
16.
A 17.
18.
19.
20.
21.
22.
23.
24.
25.
TOTAL
SUBMITTED BY: ___________________________
MUNICIPAL HEALTH OFFICE
PINAMALAYAN, ORIENTAL MINDORO
BARANGAY _______________
VITAMIN A ACCOMPLISHMENT

TOTAL NAME BIRTHDAY AGE IN MONTHS


6-11 MONTHS 12-59 MONTHS M
SEX
F
REMARKS

VIT. A 1.
2.
6-11 MONTHS 3.
M: 4.
5.
F:
6.
7.
8.
9.
10.
11.
12.
DEWORMING
13.
12-23 MONTHS 14.
15.
M:
16.
F: 17.
18.
19.
24-71 MONTHS 20.
M: 21.
22.
F:
23.
24.
25.
TOTAL
DEWORMING ACCOMPLSHMENTS
NAME BIRTHDAY AGE IN MONTHS SEX REMARKS
6-11 MONTHS 12-59 MONTHS M F
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
TOTAL
SUBMITTED BY: ___________________________

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