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Name of District

Date Updated:

No. of Personnel Waiting for Vaccination


Total Number of No. of Personnel No. of Personnel NOT
Name of School
Personnel Vaccinated willing to be Vaccinated A1 A2

Total 0 0 0 0 0

From DOH-CHD R6
rsonnel Waiting for Vaccination
Total No of Personnel for Contact Details (PSDS
Contact Person
A3 A4 Vaccination cp number)

0 0 0
Identified Vaccination Site

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