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DENGUE FEVER INCIDENCE

S.Y. 2018 - 2019


SCHOOL
MONTH of MARCH 2019

DENGVAXIA
RECEPIENT CONFINED
OUTCOME MONTHLY CONSOLIDATION
GRADE (immunization card WITH MEDICAL
NAME OF PUPIL AGE SITIO AT NO. OF CASES
LEVEL should be presented) HOSPITAL CERTIFICATE
GRADE NO. OF DENGUE NO. OF
DISCHARGED CONFINED AT
LEVEL CASES DEATH
YES NO DEAD HOSPITAL
7 0 0 0
8 0 0 0
9 0 0 0
10 0 0 0
11 0 0 0
12 0 0 0

PREPARED BY: NOTED BY:

JASMIN KERRE U. VILLARIN ALLAN C. ORANDOY, Dev.Ed.D.


First Aid Teacher School Head

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