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INDIVIDUAL HEALTH DATA

DENTAL PSYCHOLOGIC
DEMOGRAPHIC DATA BMI PFT APE RESULT COVID-10 ASSESSMENT CLASSIFICA AL
TION ASSESSMENT

Existing
BMI Medical
Medica Optome
Blood Immuniza Interpretation RESULT Profil Conditio l Surgical tric Daily Self- RT-PCR Test RAT Dental Psychological
Nr. Rank Last First Middle Address CXR Sex Age BMI (PNP Pass/Fail/N n Interve assessment Date of Swab Assessment
Type tion Acceptable O GO e (Co- Interve ntion Assessm (S/S) Results Result Profile Findings
ntion ent
Classification) Morbidit
y)

LAMBU
NAO, NO
1 PCPL LEGO JEN LOZADA ILOILO NORMAL F 29 O HEPA B 23 NORMAL PASS N/A SYMPTOMS NEGATIVE 19-Aug-21 NONE N/A N/A

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