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COVID CLOSE CONTACT MONITORING SHEET

DILG PROFESSIONAL CONTACT TRACER


NAME DATE ATTENDANCE BODY SYMPTOM’S
TEMPERATURE

Bayan ng Bautista

(NAME OF BARANGAY)

DATE OF LAST EXPOSURE:


DATE OF RELEASE:

PREPARED BY: SUBMITTED BY:

______________________ EVA LARANANG BARRIL


BHERTS PERSONNEL BARANGAY CAPTAIN

NOTED :

KIMBERLY L. LARANAN
DILG PROFESSIONAL CONTACT TRACER

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