Republic of the Philippines

Department of Education
DIVISION OF PUERTO PRINCESA CITY

CLASSROOM DAILY HEALTH MONITORING TOOL FOR COVID-19

Adviser:_ANTONIO B. CABILDO Signature: ___________ Grade Level: __8_Section: ___LOTUS__
Instruction: Write under each column date the code(s) of the symptom(s) observed in the learner 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:
Fv 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 N Nausea LoS Loss of smell Others
Symptoms Observed/Reported
NAME
Monday Tuesday Wednesday Thursday Friday
1. 2. Jun Vic Anrade
3. 4. Noby Abadiano
5. 6. Jayden Nicholas Alarcon
7. 8. John Ritz Alic
9. 10. John Paul Arbado
11. 12. Gerimy Arca
13. 14. Jovel Angelo Atilano
15. 16. Reymond Dave Belda
17. 18. Jay-R Cabailo
19. 20. Yam Cabal
21. 22. Ian Mark Dalmacio
23. 24. Aj Maclin Dano
25. 26. Justine David
27. 28. Renel Jay Delos Reyes
29. 30. Kent James Fernandez
31. 32. Kark Adriane Gabo
33. 34. Lemuel John Gapulao
35. 36. Jefferson Ibanez
37. 38. Jerald Liaso
39. 40. Mario Macula
41. 42. Michael Rioben Manano
43. 44. Ian David Miano
45. 46. Al-Radjha Mucaram
47. 48. Francis Yap
49. 50. James Yap

1. 2. Nicole Abadiano
3. 4. Tricia Jade Abrea
5. 6. Jeralyn Almoguerra
7. 8. Trixie Antonio
9. 10. Marian Aquino
11. 12. Sitti Maida Arquisola
13. 14. Princess Edlean Cabuena
15. 16. Anna Rose Escototo
17. 18. Katrice Nicole Legaje
19. 20. Beverlyn Mahinay
21. 22. Danilyn Mandalones
23. 24. Mariannes Marinez
25. 26. Crishamil Palay
27. 28. Hannah Grace Parcia
29. 30. Mecahella Quimzon
31. 32.
33. 34.
35. 36.

CONTACT TRACING FORM

GRADE: 8 SECTION: _____LOTUS____ ADVISER: _ANTONIO B. CABILDO____ DATE: ____________

PALAWAN NATIONAL SCHOOL, Bgy. Manggahan, Puerto Princesa City, Palawan

Telephone No.: Principal’s Office (048) 716 2786 ● Administrative Office (048) 434 4199
E-mail Address: pns_1907@yahoo.com
 Republic of the Philippines
Department of Education
DIVISION OF PUERTO PRINCESA CITY
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PALAWAN NATIONAL SCHOOL, Bgy. Manggahan, Puerto Princesa City, Palawan

Telephone No.: Principal’s Office (048) 716 2786 ● Administrative Office (048) 434 4199
E-mail Address: pns_1907@yahoo.com