Department of Education – Schools Division Office of Laguna

Document Title Document SGOD-SH-MNS-FO-18-

No. 014

Revision No. 0

ANNUAL MEDICAL EXAMINATION Effectivity

May 10,2019
Date
MASTERLIST
Page No. 1 of 6

DISTRICT LILIW SCHOOL: LILIW NATIONAL HIGH SCHOOL SCHOOL ID: 301244 S.Y. 2022-2023
:

Total # of School Personnel Total

Teaching Non-
Teaching
Male 10 3 13
Female 49 15 64
Grand Total 77

Risk Factors
BMI:
EXISTING MEDICAL CONDITIONS
Teaching (value)
NAME Employ Latest Lipid Profile
No /Non- UW, Other
Smoker Maintenance Signature
(SURNAME, FIRST NAME, MIDDLE -ment AGE SEX BP HR Wt Ht RBS (LDL,
. Teaching N, PTB Hyper- Diabetes Kidney Cardio- Cancer Ailments
Status (M/F) Medicines
INITIAL) (kg) (m) tension Mellitus Disease vascular (Specify) or If known Triglyceride,
(T/NT) OW,
Disease Diseases diabetic Cholesterol)
OB
not
specified

1 AGAPAY, ARGIEL L. T PERMANENT   M

2 BORGOÑOS, MARVIN O. T PERMANENT 41 M
3 BURBOS, ALFIE M. T PERMANENT   M
4 CASTILLO, CHRISTOPHER C. NT PERMANENT  37 M
5 ESMAS, MELVIN H. T PERMANENT   M

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 Department of Education – Schools Division Office of Laguna
Document Title Document SGOD-SH-MNS-FO-18-
No. 014

Revision No. 0

ANNUAL MEDICAL EXAMINATION Effectivity

May 10,2019
Date
MASTERLIST
Page No. 2 of 6

6 GRANDEZA, EDWIN M. T PERMANENT 41 M

7 MONFERO, JEROME S. T PERMANENT   M
8 MONTEJO, MARVIN V. T PERMANENT 45 M
9 QUIJANO, JAN CARREL B. T PERMANENT 33 M
10 RONDOLO, MAXIMIANO N. T PERMANENT   M
11 SOMBILLA, JIMBERT R. T PERMANENT 27 M
12 AGAPAY, ABIGAIL M. T PERMANENT 32 F
13 ANIÑON, NAZARENE L. T PERMANENT 39 F
14 ARAPAN, RHIA C. T PERMANENT 30 F
15 ARCA, ARMELA A. T PERMANENT 50 F
16 ARCA, IRISH JANE A. T PERMANENT 39 F
17 ARO, MARIELLE P. T PERMANENT   F
18 ASUNTO, ABIGAIL P. T PERMANENT   F
19 BACINILLO, KRISTINE T. T PERMANENT   F
20 BALBALOSA, GREGORIA IVY D. T PERMANENT 35 F
21 BARELA, TRICIA ANNE G. T PERMANENT  25 F
22 BORGOÑOS, MARICEL M. T PERMANENT 39 F
23 BRENA, ANCIE CORAZON M. T PERMANENT 40 F
24 BRUL, QUENNIE RAQUEL B. T PERMANENT 35 F
25 BUENAVISTA, MAYLEEN M. T PERMANENT 42 F
26 BURGOS, RECHEL G. T PERMANENT 31 F

This document is updated and controlled if it bears the red “CONTROLLED COPY” stamp. Otherwise, please refer
to the Control of Documents & Records (CDR) for your updated copy.
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 Department of Education – Schools Division Office of Laguna
Document Title Document SGOD-SH-MNS-FO-18-
No. 014

Revision No. 0

ANNUAL MEDICAL EXAMINATION Effectivity

May 10,2019
Date
MASTERLIST
Page No. 3 of 6

27 CABAGSANG, WENGIE M. T PERMANENT 39 F

28 CASAS, CECILIA B. T PERMANENT   F
29 COLENDRA, ELIZABETH A. T PERMANENT 52 F
30 COLIGADO, MARIVIC A. T PERMANENT 46 F
31 CONSIGNADO, MA. AISSA AIRENE V. T PERMANENT 46 F
32 CORONADO, JOYCEAN P. NT PERMANENT 35 F
33 COROZA, CECILIA M. NT PERMANENT   F
34 COROZA, ELMA B. T PERMANENT 61 F
35 DAVID, FLORABELLE S. T PERMANENT 48 F
36 DE VILLA, CHARITO M. T PERMANENT 42 F
37 DEL CASTILLO, EVELINA E. NT PERMANENT   F
38 EDUARDO, JANET B. T PERMANENT 38 F
39 ENDIZA, JUVILYN P. T PERMANENT 35 F
40 FARAON, ROXANNE V. T PERMANENT   F
41 FLORES, ANDREA E. T PERMANENT 60 F
42 GAMBOA, KRISTINE D. T PERMANENT 39 F
43 GONZALES, NERISSA M. T PERMANENT   F
44 GRANDEZA, CHONA M. T PERMANENT 44 F
45 HERNANDEZ, SWEET LENIZA B. NT PERMANENT  44 F
46 HOSTALERO, MARIA T. T PERMANENT 30 F
47 JOYOSA, JENNY ANN A. T PERMANENT 27 F

This document is updated and controlled if it bears the red “CONTROLLED COPY” stamp. Otherwise, please refer
to the Control of Documents & Records (CDR) for your updated copy.
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 Department of Education – Schools Division Office of Laguna
Document Title Document SGOD-SH-MNS-FO-18-
No. 014

Revision No. 0

ANNUAL MEDICAL EXAMINATION Effectivity

May 10,2019
Date
MASTERLIST
Page No. 4 of 6

48 LAPITAN, KRISTHEL B. T PERMANENT 29 F

49 LOPE, GER JOHNIKCA B. T PERMANENT 27 F
50 MONEVA, CATHERINE E. T PERMANENT 41 F
51 MONSALUD, LOUIZA MAY B. T PERMANENT 31 F
52 MONTOYA, JESSICA A. T PERMANENT 27 F
53 NUESTRO, CAROLINA B. T PERMANENT 62 F
54 NULLEN, ANALIZA LEAH S. T PERMANENT 43 F
55 ORTEGA, MARIE HAZEL C. T PERMANENT  37 F
56 PALES, MARIZ B. NT PERMANENT   F
57 PANAGLIMA, JOCELYN S. NT PERMANENT  45 F
58 PANAGLIMA, MARICRIS A. T PERMANENT   F
59 PANGAYAO, UZZIEL JOY A. T PERMANENT   F
60 PEREZ, KRISTINE P. NT PERMANENT 42 F
61 PLANTILLA, EDITHA B. T PERMANENT   F
62 QUEAÑO, RINA L. T PERMANENT 40 F
63 REYES, MA. FHE H. T PERMANENT   F
64 ROBAS, MARIA ROWENA O. T PERMANENT 54 F
65 ROÑA, MARISOL C. T PERMANENT 41 F
66 SALVADOR, SHARMAINE S. T PERMANENT 25 F
67 TUBIERA, MARHAINI A. T PERMANENT  40 F
68 URMA, MARILETH C. NT PERMANENT  41 F

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to the Control of Documents & Records (CDR) for your updated copy.
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 Department of Education – Schools Division Office of Laguna
Document Title Document SGOD-SH-MNS-FO-18-
No. 014

Revision No. 0

ANNUAL MEDICAL EXAMINATION Effectivity

May 10,2019
Date
MASTERLIST
Page No. 5 of 6

69 VILLANUEVA, ROMNEILEE M. NT PERMANENT   F

70 VILLANUEVA, VIOLETA M. NT PERMANENT  53 F
71 BADIOLA, MANUEL R. NT JO 55 M
72 BORGOŇOS, RONALDO NT JO 59 M
73 CAPISTRANO, RUTH A. NT JO  39 F
CANTEEN
74 CABAGSANG, LAURA A. NT HELPER
F
CANTEEN
75 BORGONIA, MARISOL S. NT HELPER 46 F
CANTEEN
76 BORGOŇOS, MA. ZITA B. NT HELPER 36 F
CANTEEN
77 MONFERO, JOY SARAH NT HELPER 38 F
Note:
* Fill out the first 6 columns
* Please write your full name in CAPITAL LETTERS, Surname First, and in alphabetical order
* Separate Male from Female

Prepared by: Checked by:

____CHARITO M. DE VILLA____ ______________________

School Health Coordinator Nurse II

Noted by:

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 Department of Education – Schools Division Office of Laguna
Document Title Document SGOD-SH-MNS-FO-18-
No. 014

Revision No. 0

ANNUAL MEDICAL EXAMINATION Effectivity

May 10,2019
Date
MASTERLIST
Page No. 6 of 6

_________KRISTINE P. PEREZ___________
School Principal/School Head

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