Republic of the Philippines

Department of Education
Region V – Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
Pioduran West District
TIBABO ELEMENTARY SCHOOL

WEEKLY SUMMARY OF HEALTH STATUS OF PERSONNEL AND LEARNERS

Inclusive Dates: ________________________
School: TIBABO ELEMENTARY SCHOOL

NO. OF PUPILS WITH COVID-19 Status per

NUMBER OF ACTION TAKEN
GRADE LEVEL/SECTION DATE REPORTED SYMPTOMS Follow-Up REMARKS
LEARNERS (Referred to)
Observed/Reported (Positive/Negative)

Submitted by: Noted by:

__________________________________________ _____________________________________________
Clinic Teacher School Head