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pLINA GAYETA LASQUETY NATIONAL HIGH SCHOOL

PADRE BURGOS, QUEZON


Health Supplies Checklist
Grade & Section: ______________

Medicines Qty.

Biogesic ______
Loperamide ______
Mefenamic ______
Neozep ______
Others:
Alcohol ______
White flower ______
Betadine ______
Cotton ______

Issued by:

MRS. SHERYL S. ABUEL


Health Coordinator
Date: 06-19-18
Received by:

____________________

Signature over Printed Name

LINA GAYETA LASQUETY NATIONAL HIGH SCHOOL


PADRE BURGOS, QUEZON
Health Supplies Checklist
Grade & Section: ______________

Medicines Qty.

Biogesic ______
Loperamide ______
Mefenamic ______
Neozep ______
Others:
Alcohol ______
White flower ______
Betadine ______
Cotton ______

Issued by:

MRS. SHERYL S. ABUEL


Health Coordinator
Date: 06-19-18
Received by:

____________________

Signature over Printed Name

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