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TOOTHBRUSHING DRILL CHECKLIST

MONTH_______________________
S.Y. 2019-2020

School: MULAO ELEMENTARY SCHOOL


Grade & Section: IV- JT
Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Toothbrush Holders
Toothbrushes
NAME
1. AGUILA,VINCE RISSEN, PAPAYA
2. BUGTAI,FREDDIE JR., -
3. BUGTAI,PAU LOUIE, ALERTA
4. CALO,PETER PHILIPPE, PARCON
5. CUANAN,CHEVAZ DANREM, WAGAS
6. GOC-ONG,JERIC JAMES, DEJOS
7. MAGLANGIT,JEREME, RIETA
8. RAMOS,ELJIE, TO-ONG
9. RIETA,RIDDEN, CUTANDA
10. SANTESAS,KENLEY, SABAS
11. BARBERO,KHIA PRINCESS, ANUGOT
12. COLA,DENNY VEBB, TAPAYAN
13. DUMAGUIT,ANGELICA, BAGARINAO
14. ESCOTO,JAINA JOY, CAPUTE
15. ORILLA,DAISY JHANE, PONCE
16. ROCA,CYRA MAE, TORAYNO
17. ROSAL,CRYSTAL HANNA, BUGTAI
18. ROSALES,SOPHIA NICOLE, E
19. SALDON,PRINCESS ERA, C.
20. TAPAYAN,NICOLYN, PERAME
21. VERGACER,PRINCESS KEITH, E.

LEGEND: ( / ) check for toothbrushing Encircle Saturday, Sunday & Holiday with red ball pen NOTED: PREPARED BY:
a - for absent x - present but not brushing Summary:
No. of / : ________ No. of x : _______ IRENEO C. TONACAO JOSHUA P. TOÑACAO
No. of a : ________ Principal Adviser
Department of Education
Region VII, Central Visayas
Division of Cebu
DISTRICT OF COMPOSTELA
MONITORING CHECKLIST OF SCHOOL CHILDREN HANDWASHING ACTIVITIES
(Essential Health Care Program)
SY 2019-2020

NAME OF SCHOOL: MULAO ELEMENTARY SCHOOL TEACHER: JOSHUA P. TOÑACAO GRADE/SECTION: FOUR-JT MONTH OF: _____________________
DAILY CHECKLIST OF HANDWASHING TOTAL NUMBER
No. NAME OF PUPILS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Handwash Not Washing

1 AGUILA,VINCE RISSEN, PAPAYA


2 BUGTAI,FREDDIE JR., -
3 BUGTAI,PAU LOUIE, ALERTA
4 CALO,PETER PHILIPPE, PARCON
5 CUANAN,CHEVAZ DANREM, WAGAS
6 GOC-ONG,JERIC JAMES, DEJOS
7 MAGLANGIT,JEREME, RIETA
8 RAMOS,ELJIE, TO-ONG
9 RIETA,RIDDEN, CUTANDA
10 SANTESAS,KENLEY, SABAS
11 BARBERO,KHIA PRINCESS, ANUGOT
12 COLA,DENNY VEBB, TAPAYAN
13 DUMAGUIT,ANGELICA, BAGARINAO
14 ESCOTO,JAINA JOY, CAPUTE
15 ORILLA,DAISY JHANE, PONCE
16 ROCA,CYRA MAE, TORAYNO
17 ROSAL,CRYSTAL HANNA, BUGTAI
18 ROSALES,SOPHIA NICOLE, E
19 SALDON,PRINCESS ERA, CASTILLANO
20 TAPAYAN,NICOLYN, PERAME
21 VERGACER,PRINCESS KEITH, ESCOTO

PREPARED BY: NOTED:

JOSHUA P. TOÑACAO IRENEO C. TONACAO


Adviser Principal 1

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