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Template - VITAMIN A SUPPLMENTATION

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19 views4 pages

Template - VITAMIN A SUPPLMENTATION

Uploaded by

senencastillo07
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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Republic of the Philippines

Province of Oriental Mindoro


MUNICIPALITY OF NAUJAN
MUNICIPAL HEALTH OFFICE

VITAMIN A SUPPLMENTATION
(6-11 months children)

Barangay_______Buhangin 2024 April_______

Age Date of
No. NAME Birthdate
(in months) Supplementation
1 Maureen Amythis J. Magboo 10/5/23 6 4/26/24
2 Caleb Sebastian H. Florencio 10/12/23 6 4/26/24
3 Regielyn P. Solas 8/19/23 8 4/26/24
4 Raina Malia F. Daniel 5/23/23 11 4/26/24
5 Mia H. Banares 8/12/23 8 4/26/24
6 Zayden P. Cuevas 5/4/23 11 4/26/24
7 Mac Kaiden E. Jamig 6/28/23 10 4/26/24
8 Jaycel H. Cha 6/10/23 10
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Republic of the Philippines
Province of Oriental Mindoro
MUNICIPALITY OF NAUJAN
MUNICIPAL HEALTH OFFICE

VITAMIN A SUPPLMENTATION
(12-59 months children)

Barangay: _________________
Age Date of Supplementation
No. NAME Birthdate st
(in months) 1 Dose 2nd Dose
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Republic of the Philippines
Province of Oriental Mindoro
MUNICIPALITY OF NAUJAN
MUNICIPAL HEALTH OFFICE
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VITAMIN A SUPPLMENTATION
(Other Clients)

Barangay: _________________
Date of
No. NAME Birthdate Age
Supplementation
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Republic of the Philippines
Province of Oriental Mindoro
MUNICIPALITY OF NAUJAN
MUNICIPAL HEALTH OFFICE
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