Republic of the Philippines

Department of Education
Region X
Division of Lanao del Norte
District of Bacolod
Bacolod Central Elementary School
SCHOOL HEALTH SECTION
RECORD OF DEWORMING

GRADE LEVEL:___________SECTION:_______SCHOOL:_____________________
No. Of Enrolled Pupil/student in GRADE:__________________________
DATE OF Deworming:_______________________
No. Name of Student/Pupils Dewormed Not Dewormed
4Ps Non-4Ps 4Ps Non-4Ps Remarks

_________________________
Teacher/ Adviser