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Regional Healt

BREAKDOWN PROPOSED FORMAT COVID CONFIRMED CASE


PROBABLE PLACE OF INFECTION
No. RANK/NAME OF PERSONNEL OFFICE/ UNIT
COMMERCIAL AND OTHER
HOME BRGY/ COMMUNITY
ESTABLISHMENTS
1
2
3

Prepared by:
________________________________
Regional Health Service ____
OVID CONFIRMED CASES OF PNP PERSONNEL BY PLACE AND SOURCE OF INFECTION
CTION PROBABLE SOURCE OF INFECTION

OFFICE/ PLACE OF FAMILY PERSON SUBJECT OF


CO-WORKER NEIGHBOR CLIENT/ VISITOR
WORK MEMBER POLICE OPERATION

Noted by:
____________________________
REMARK

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