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Deworming Form

deworming fill up form
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0% found this document useful (0 votes)
41 views1 page

Deworming Form

deworming fill up form
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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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
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Accomplished by : Noted :
ROY A. CAÑETE
CLASS ADVISER PRINCIPAL

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