NIP: 1ST QUARTER 2023

M1
Name of RHU: ___________________________________________
Name of BHS: _______________________________
Name of Municipality/City: _______________________________
Name of Province: _______________________________
Projected Population of the Year: _______________________________
For submission to RHU/MHC
BRGY
Section C. Child Care and Services
Indicators Male Female Total Remarks Indicators Male Female Total Remarks
(Col. 1) (Col. 2) (Col. 3) (Col. 4) (Col. 5) (Col. 1) (Col. 2) (Col. 3) (Col. 4) (Col. 5)

C1. Immunization Services for Newborns, Infants and School-Aged Children/Adolescents

1. CPAB - Total 14. MCV 1 - Total
2. BCG - Total 15. MCV 2 - Total
3. HepB, within 24 hours. - Total 16. FIC - Total
4. DPT-HiB-HepB 1 - Total 17. CIC - Total
5. DPT-HiB-HepB 2 - Total Total Grade 1 Learners

6. DPT-HiB-HepB 3 - Total 18. Td, Grade 1 (November) - Total

7. OPV 1 - Total 19. MR, Grade 1 (November) - Total
8. OPV 2 - Total Total Grade 7 Learners

9. OPV 3 - Total 20. Td, Grade 7 (November) - Total

10. IPV - Total 21. MR, Grade 7 (November) - Total
11. PCV 1 - Total
12. PCV 2 - Total
13. PCV 3 - Total

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