Republic of the Philippines

Department of Health
CENTRAL VISAYAS CENTER for HEALTH DEVELOPMENT
Osmeña Boulevard, Sambag II, Cebu City, 6000 Philippines
Regional Director’s Office Tel. No. (032) 253-6355 Fax No. (032) 254-0109
Official Website http://www.ro7.doh.gov.ph Email Address: dohro7@gmail.com

DENGUE SURVEILLANCE RESULT FROM RITM

NAME OF PATIENT DRU PATIENT ADDRESS SEX D.O.B. AGE DATE COLLECTED SPECIMEN TYPE RESULT REMARKS

RAMIREZ JAN NUELLA Clarin

Purok 4, Poblacion, 2 years
SUBSUBAN Community Female 12/19/2020 03/04/2023 Serum NEGATIVE N/A
Buenavista, Bohol old
Laboratory ID: DN23-0367 Hospital

Prepared by: Rexan Jay Cahate, RN Noted by: Eugenia Mercedes R. Cañal, MD, MBA-HA, FPSMS, PHSAE

Disease Surveillance Officer - Bohol Province RESU-HIRDS Cluster Head