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INDIVIDUAL HEALTH DATA

DENTAL PSYCHOLOGICAL
DEMOGRAPHIC DATA BMI PFT APE RESULT COVID-10 ASSESSMENT CLASSIFICATION ASSESSMENT

BMI Interpretation Existing Medical Daily Self- RT-PCR


RESULT Medical Surgical Optometric Psychological Assessment
Nr. Rank Last First Middle Address CXR Sex Age Blood Type Immunization BMI (PNP Acceptable Profile Condition assessment Test Date of Swab RAT Result Dental Profile
Pass/Fail/NO GO Intervention Intervention Assessment Findings
Classification) (Co-Morbidity) (S/S) Results

Influenza
301 PG P2 CL- PF
Pneumonococal
1 PCOL WAMILDA MARIA CHONA SEVILLANO Brgy. 15, Normal F 52 "O" 22 Normal Passed (LEAVE Normal None None None None Negative 11/5/2020 Negative
Vaccine
Ilawod BLANK) (LEAVE BLANK) (LEAVE BLANK)
HPV Vaccine

NOTE:
1)Every personnel must maintain a copy of his/her Individual Health Data
2) All Admin Officers/PNCOs shall maintain a consolidated record of the Individual Health Data both in soft and hard copy
3) All Admin Officers/PNCOs shall place the consolidated Hardcopy of Individual Health Data in one (1) folder for ready reference.
4)Submit to RPRMD email account (pro6rphrdd@yahoo.com) the recapitulation of consolidation Individual Health Data

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