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DepEd Form 1

NATIONAL SCHOOL DEWORMING MONTH SY (2017-2018)


Masterlist and Recording Form for Soil Transmitted Helminthiasis

Division/School: Buhatan Elementary School Date: July 18, 2017


School Address: Buhatan, Sto. Domingo, Albay District: Sto. Domingo
Grade Level and Section: _________________________
Name of Pupils Age Sex Address Dewormed 4P’s
M/F July January Member Remarks
Y/N Y/N Y/N
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Accomplished by:
July January
Total Dewormed M F M F
______________________________ Non-4ps Dewormed
Class Adviser
4Ps Dewormed
(Signature Over Printed Name)
Grand Total
% of Accomplishment