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Republic of the Philippines

Department of Education
REGION VIII (Eastern Visayas)
DIVISION OF LEYTE
Barugo I District
STA. ROSA ELEMENTARY SCHOOL
S.Y. 2021-2022
DAILY RAPID HEALTH CHECK
Grade and Section: VI- Pearl

Random check: 9:00 A.M

YES NO
1. All learners do the hand washing?

2. All the learners’ temperature have been checked?

3. All the learners filled out the health declaration form?

4. All the learners

5. All the learners are vaccinated with Anti-COVID?

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