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    Don Perfecto
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    Republic of the Philippines

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    13 views1 page

    Republic of The Philippines

    Uploaded by

    Don Perfecto

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Republic of the Philippines

    Department of health
    OFFICE OF THE SECRETARY

    DOH MAINTENANCE MEDICINES UTILIZATION REPORT


    Name of Health Facility ; __________________
    Report Year : 2020
    Report Month : ______________
    DATE NAME OF PATIENT DATE MEDICATIONS GIVEN RECEIVE BY
    LAST NAME,FIRST NAME, MIDDLE ADDRES AGE OF SEX PHILHEALTH Signature
    NAME S BIRTH NO.
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