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Current_Residence:_

Unit/Building/House_
Category_ID_Num Number,_Street_Na
Category* Category_ID* ber* PhilHealth_ID* PWD ID Last_Name* First_Name* Middle_Name* Suffix* Contact_No.* me*

05_Essential_Work04_Other_ID 90-0930-39 389839028028 N/A Amer Jonaya C 9202826107


meaning if wala mo PRC employee ID na lng Asis Rashida A
Balawag Ivy Joy O
Baruis Resty C.
Buhay Gienyfer T
Castillano Lemuel J
Dinque Elena D
Dulay Ely C
Dulay Marie Ann T
Dumpit Rowela O
Encarnacion Rita S
Gallamos Victoria M
Hernan Romulo O.
Ignacio Romeo C.
Jimenez Lea Rose E
Lasula Pathrusim R
Mendoza Maria Melanie D.
Mosquera Rona Mae P
Nadela Lea S
Pagatpatan Jennifer V
Panolino Brace Dave immanuel P
Pelasor Ernie F
Ramos Arlene D
Seron Mylene P
TaŇala Susie P
Tuante Melanie M
Ylaya Cholach C
Doringuez Glenn D
Cahandab Janice G
Antac Roselyn
Cerias Cheryl I
Paglala Miriam S
Current_Residence:_Region

Soccsksargen
Current_Residence: Current_Residence: Current_Residence: Birthdate_mm/ Directly_in_interaction_wi
Province* Municipality/City* Barangay* Sex* dd/yyyy_* Civil_Status* Employment_Status* th_COVID_patient*
_1247_NORTH_COTABATO _124704_CITY_OF_KIDAPAWAN_
_1247_NORTH_COTABATO _124704_CITY_OF_KIDAPAWAN_ _124704038_SINGAO 02_Male 7/3/1989 01_Single 01_Government_Employed 02_No
Pregnancy
_status
Drug_All
Profession* Name_of_Employer* Province/HUC/ICC_of_Employer* Address_of_Employer* Contact_number_of_employer* * ergy?

19_Others_ Department of Education (Kidapawan 124704


C - CITY_OF_KIDAPAWAN_ JP Laurel St Cor. Quirino Drive, Kidapawan City , North Cotabato 9400 5779654 02_Not_Pregn01_Yes
Immunod Patient_was_di Date_of_first_positive_res Provided_Elect
Food_All Insect_Al Latex_All Mold_All Pet_Aller Pollen_A With_Comorbi Hypertens Heart_Dis Kidney_Di Diabetes_ Bronchial eficiency_ agnosed_with_ ult_/_specimen_collection Classification_ ronic_Informed
ergy? lergy? ergy? ergy? gy? llergy? dity? ion ease sease Mellitus _Asthma Status* Cancer Others COVID_19 _mm/dd/yyyy_ of_COVID_19 _Consent?

02_No 02_No 02_No 02_No 02_No 02_No 01_Yes 01_Yes 02_No 02_No 02_No 02_No 02_No 02_No 02_No 02_No 01_Yes

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