Scribd Logo
Upload

Welcome to Scribd!

  • Visitor'S Health Declaration Log Sheet: Name Temp. Age Sex Address Tel. No. Purpose of Visit Time IN Time OUT

    Uploaded by

    Jennifer Del Castillo Bejasa
    0 views1 page

    Original Title

    Health-Checklist

    Copyright

    © © All Rights Reserved

    Available Formats

    XLSX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    0 views1 page

    Visitor'S Health Declaration Log Sheet: Name Temp. Age Sex Address Tel. No. Purpose of Visit Time IN Time OUT

    Uploaded by

    Jennifer Del Castillo Bejasa

    Copyright:

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

    Republic of the Philippines

    Department of Education
    Region IV-A CALABARZON
    Division of Quezon
    SAMPALOC DISTRICT

    VISITOR'S HEALTH DECLARATION LOG SHEET


    Date: __________________________
    Lagyan ng Check (/) kung may nararamdaman na
    TIME TIME ganitong mga sintomas
    NAME TEMP. AGE SEX ADDRESS TEL. NO. PURPOSE OF VISIT
    IN OUT (+) Hirap sa Iba pang
    (+) Ubo (+) Sipon
    Paghinga sakit
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    11
    12
    13
    14
    15
    16
    17
    18
    19
    20

    You might also like