Division of Masbate
Placer West District
M&R LECCIONES ELEMENTARY SCHOOL
Pasiagon
Province :
Division :
District :
Name of School :
School Address :
Total Enrolment :
Grade Level & Section :
1st DEWORMING 2019-2020 2nd DEWORMING 2019-2020
Toothbrushing Done
Toothbrushing Done
Handwashing Done
Handwashing Done
No. NAME OF CHILD
Actions Taken
Actions Taken
Feeding Done
Feeding Done
Dewormed
Dewormed
4 P's ( Y/N)
Gender
Gender
Remarks
Remarks
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
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Accomplished by : Noted :
ROY A. CAÑETE
CLASS ADVISER PRINCIPAL