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Name Address

INDEX:
ELEVERA, JOVELETA DANIEL PHASE 3 GOZON COMPOUND TONSUYA, MALABON CITY

CLOSE CONTACT:
ELEVERA, JOSEPH ALFORQUE PHASE 3 GOZON COMPOUND TONSUYA, MALABON CITY
ELEVERA, JAN JED PHASE 3 GOZON COMPOUND TONSUYA, MALABON CITY
(RTPCR) Testing History
Age Birthdate Sex
1st swab result Testing Facility Date

43 04/27/78 M POSITIVE REDCROSS 07/21/2021

42 07/22/79 M NEGATIVE REDCROSS 7/7/2021


9 6/9/2012 M NEGATIVE REDCROSS 08/16/21
CR) Testing History
2nd swab result Testing Facility Date 3rd swab result Testing Facility Date

NEGATIVE REDCROSS 08/16/21

NEGATIVE REDCROSS 07/21/21 POSITIVE REDCROSS 08/16/21


N/A N/A N/A
CITY EPIDEMILOGY SURVEILLANCE UNIT: DELTA VARIA

Status of
Symptomatic Date Onset Admitted Date Quarantine Place Quarantine

N/A N/A ISOLATION 07/22/2021 C4 COMPLETED

N/A N/A N/A N/A N/A TES


N/A N/A N/A N/A N/A N/A
NIT: DELTA VARIANT REPORT

Total number of F1 Close


Date contacts Work Workplace (Company Name)

07/30/21 2 N/A N/A

07/19/21 2 N/A N/A


N/A 2 N/A N/A
Company Address Travel History

Place Date 1st dose Date

N/A N/A N/A N/A N/A

N/A N/A N/A N/A N/A


N/A N/A N/A N/A N/A
Vaccination History

Brand Place 2nd dose Date Brand Place

N/A N/A N/A N/A N/A N/A

N/A N/A N/A N/A N/A N/A


N/A N/A N/A N/A N/A N/A
Remarks ID Number

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