Republic of the Philippines

Department of Education
REGION X – NORTHERN MINDANAO
Division of Bukidnon
DISTRICT OF TALAKAG III
MASIMAG ELEMENTARY SCHOOL
School ID: 126814
GRADE 6 EMERALD
Instruction: Write under each column: date the code(s) of the symptoms observed in the learners during the
routine inspection, during the conduct of the class, or as reported by the learner or their classmates. Refer to
the list of symptoms below and their respective codes:
F Fever F/T Fatigue/Tiredness ST Sore Throat LoA Loss of Appetite D Diarrhea R Rashes
C Cough HA Headache C/RN Colds/Runny Nose Na Nausea LoS Loss of smell N None

Symptoms Observed/Reported
Name Date: 08/22/22 Date: 08/23/22 Date: 08/24/22 Date: 08/25/22

MALE Temp. Symp. Temp. Symp. Temp. Symp. Temp. Symp

1. BABA, KENT VLADIMIR, A.
2. LISTOHAN, ANDRE, A.
3. ONDURAN, JOHN MARK, S.
4. SUGMAYAN, RANIEL, D.
5.
6.
7.
8.
FEMALE
1. ARATAN, JOINA, S.
2. ARATAN, JOWERA, S.
3. ARATAN, MAE ANN, T.
4. BAYA-ON, JENNY MAE, O.
5. DELA PEÑA, JESA MAE, S.
6. SALIDA, JENJEN
7. TALWAS, JUDY ANN, T.
8. TUMLO-AN, CHERISH AIJEN, O.
9.
10.

Submitted by: Noted by:

DAISY MAE T. BOCTOT JAE ANN ROSE P. ESCOBAL

Class Adviser Clinic Teacher/Nurse

Address: Tagbak, Talakag, Bukidnon

Principal: AMELITO C. REMATE
Telephone No: 09166457248
Email Address: 126814@deped.gov.ph
Website: www.depedbukidnon.net.ph
 Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
Division of Bukidnon
DISTRICT OF TALAKAG III
MASIMAG ELEMENTARY SCHOOL
School ID: 126814
GRADE 6 EMERALD
Instruction: Write under each column: date the code(s) of the symptoms observed in the learners during the
routine inspection, during the conduct of the class, or as reported by the learner or their classmates. Refer to
the list of symptoms below and their respective codes:
F Fever F/T Fatigue/Tiredness ST Sore Throat LoA Loss of Appetite D Diarrhea R Rashes
C Cough HA Headache C/RN Colds/Runny Nose Na Nausea LoS Loss of smell N None

Symptoms Observed/Reported
Name Date: HOLIDAY Date: 08/30/22 Date: 08/31/22 Date: 09/01/22

MALE Temp. Symp. Temp. Symp. Temp. Symp. Temp. Symp

1. EHIGON, JOHN PAUL, H.
2. GANG-OL, GARLAN REY, A.
3. OMBOD, LEO, E.
4. SINTO, JUNDREL, T.
5. SULOD, JEFFREY, L.
6.
7.
8.
FEMALE
1. BERNABE, HYACINTH, L.
2. GAYONG, JANESA, M.
3. LUMINDA, KRISTY JANE, S.
4. SULOD, JUDITH, L.
5. TALATAO, DAINA ROSE, B.
6. TALWAS, HAZEL MAE, T.
7. TUMLOAN, DAISYBELLE, I.
8.
9.
10.

Submitted by: Noted by:

DAISY MAE T. BOCTOT JAE ANN ROSE P. ESCOBAL

Class Adviser Clinic Teacher/Nurse

Address: Tagbak, Talakag, Bukidnon

Principal: AMELITO C. REMATE
Telephone No: 09166457248
Email Address: 126814@deped.gov.ph
Website: www.depedbukidnon.net.ph
 Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
Division of Bukidnon
DISTRICT OF TALAKAG III
MASIMAG ELEMENTARY SCHOOL
School ID: 126814

Address: Tagbak, Talakag, Bukidnon

Principal: AMELITO C. REMATE
Telephone No: 09166457248
Email Address: 126814@deped.gov.ph
Website: www.depedbukidnon.net.ph