Republic of the Philippines

Department of Education
Schools Division of Cebu Province
TUBOD ELEMENTARY SCHOOL
TUBOD, OBONG, DALAGUETE, CEBU

2019-nCoV ARD HEALTH SITUATION REPORT

District : ________________________________________________________________
School : ________________________________________________________________
Report for the Week of : ________________________________________________________________

I. Summary of Referrals of Persons with Symptoms of Respiratory Infection

School Name School ID Number of Referrals

Learners Personnel

Total:
II. Activities Undertaken (Brief)

Date Title of Activity Participants

(Number/Profile)

III. Needs and Recommendations.

Prepared by: Noted By:

________________________________ ________________________________
School Focal Person School Head

Address: Tubod, Obong, Dalaguete, Cebu

Telephone Nos.: 0977-816-0078
Email Address: tubodelem119310@gmail.com