Republic of the Philippines

Bangsamoro Autonomous Region in Muslim Mindanao

Ministry of Basic, Higher and Technical Education
Schools Division Office of Special Geographic Area
Midssayap Cluster 2
DABPIL SAMPULNA ELEMENTARY SCHOOL
207525

CLASSROOM HEALTH DAILY MONITORING

GRADE/ SECTION/SESSION:
Sunday Monday Tuesday Wednesday Thursday
04/10/20222 4/11/2022 4/12/2022 4/13/2022 4/14/2022
Name of Pupil Temperature Temperature Temperature Temperature Temperature Remarks
STATUS STATUS STATUS STATUS STATUS

LEGEND:
Fv : Fever D : Diarrhea C/RN : Colds/Runny nose LoS : Loss of Smell
C: Cough ST : Soar Throat LoA : Loss of Appetite R : Rashes
F/T : Fatigue/Tiredness HA : Headache N : Nausea O : Others (Specify)

Note: As soon as any of the listed symptoms is observed among any of the learners, the teacher is expected to send the learner to the Scool Clinic immediately for the proper management by the School Clinic Teacher or
Health Personnel.

Submitted by: Noted by:

_______________________________________ __________________________________
Classroom Adviser School Clinic Teacher
 Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
Ministry of Basic, Higher and Technical Education
Schools Division Office of Special Geographic Area
Midssayap Cluster 2
DABPIL SAMPULNA ELEMENTARY SCHOOL
207525

DAILY ATTENDANCE CHECK

SCHOOL:
Monday Tuesday Wednesday Thursday
April , 2022 April , 2022 April , 2022 April , 2022
Name of Pupil
Attenda Temper Attenda Temper Attenda Temper Attenda Temper
Time Remarks Time Remarks Time Remarks Time Remarks
nce ature nce ature nce ature nce ature