Republic of the Philippines

Department of Health
CENTER FOR HEALTH DEVELOPMENT I

Name of HRH: ____________________________ Signature: _______________

Deployment Program: ________________
Area of Assignment: _________________

ACCOMPLISHMENT REPORT
(September, 2019)

Date Area Visited Activity Conducted Noted by

McArthur Highway, Parian, City of San Fernando, 2500 La Union

Trunkline Nos. (072) 607 6413; Facsimile No. (072) 242 4774
Email Address: dohro1.rd@yahoo.com
Website: http://chd1.doh.gov.ph
 Republic of the Philippines
Department of Health
CENTER FOR HEALTH DEVELOPMENT I

Submitted by: Reviewed by: Approved by:

______________ MAY BERNARDINE T. BELARDO, RN, MAN JOHN C. FOZ, CE, SE, MPH
NURSE II DMO Provincial DOH Officer-
Ilocos Sur

McArthur Highway, Parian, City of San Fernando, 2500 La Union

Trunkline Nos. (072) 607 6413; Facsimile No. (072) 242 4774
Email Address: dohro1.rd@yahoo.com
Website: http://chd1.doh.gov.ph