BARANGAY DAILY MONITORING REPORT

Barangay: ________________________________

Number of Persons Manifesting Symptoms of COVID-19 Quarantine/Isolation

TOTAL NUMBER
INDIVIDUALS SUBJECT TO OF INDIVIDUALS No. of Persons
MONITORING SUBJECT TO No Difficulty of
MONITORING Symptoms Fever Cough Sore Throat Breathing Colds Diarrhea Undergoing Strict
Home Quarantine

A. Persons with travel

history outside Caraga
Region or places with
confirmed local
transmission

B. Persons showing any

signs and symptoms of
COVID-19

C. Persons who are Locally

Stranded Individuals

D. Persons who are

Returning Overseas
Filipinos

Prepared by: Submitted by:

BHERTS Punong Barangay

DAILY MONITORING REPORT

Date: _________________________

Quarantine/Isolation of Individuals No. of Individuals by Case Classification

No. of Persons No. of Cases who

Admitted in the Completed Home
Isolation/Quarantine Quarantine/Isolat Contact Suspect Probable Confirmed No Classification
/Covid Facility ion

Submitted by:

Punong Barangay