Professional Documents
Culture Documents
Form 1
National School Deworming Month
Deworming Checklist
Date accomplished:___________________
ANNEX C
Form 1
National School Deworming Month
Deworming Checklist
Date accomplished:___________________
ANNEX C
Form 1
National School Deworming M
Deworming Checklist
Accomplished by:
Date accomplished:___________________
hool Deworming Month
Noted by:
__________________________________
Grade Level Head
ANNEX C
Form 1
National School Deworming M
Deworming Checklist
Accomplished by:
Date accomplished:___________________
hool Deworming Month
Noted by:
__________________________________
Grade Level Head
ANNEX C
Form 1
National School Deworming M
Deworming Checklist
Accomplished by:
Date accomplished:___________________
hool Deworming Month
Noted by:
__________________________________
Grade Level Head
Form 1 - Classroom Level
School-based Weekly Iron Folic Acid (WIFA) Supplementation
Class Adviser
(WIFA) Supplementation
SCHOOL
W3 W4 W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4
Noted by:
Class Adviser
(WIFA) Supplementation
SCHOOL
W3 W4 W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4
Noted by:
To be filled up by the School Nurse/ Class Adviser To be filled up by the Vaccination Team
10
11
12
13
14
15
Potentially pregnant means history of sexual contact in the past 4 weeks (for FEMALES only)
Alphabetical, separate male and female, 6 pages per section
SECTION 8 - APRICOT
ADVISER APRIL GAY LOVE V. RADAM
TOTAL OF MALE STUDENTS 34
TOTAL OF FEMALE STUDENTS 43
TOTAL STUDENTS 77
SECTION 8 - APRICOT
ADVISER AGUSTINA E. LUMAIN
TOTAL OF MALE STUDENTS 35
TOTAL OF FEMALE STUDENTS 31
TOTAL STUDENTS 66