Health Information Sheet

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Republic of the Philippines

Department of Education
Region III- Center Luzon
Division of Pampanga
BACOLOR NORTH DISTRICT
Eliseo-Belen Elementary School Annex

GRADE LEVEL:SECTION: VI-VENUS TEACHER: CHRISTIAN JOHN M. ESCANO

FEEDING
VACINATION DATA (DATE&BRAND) PARENT'S
NAME OF PUPILS AGE BENIFICIARY BIRTHDATE HEIGHT (cm) WEIGHT (kl)
MOBILE NO.
√ If YES 1ST DOSE 2ND DOSE BOOSTER
1 RUSSEL F. ARCIBAL 14 1/12/2022 (pfizer) 12/2/1982 (pfizer) 4/5/2008 157 35 9327873255

2 MICHAEL ANGELO D. ARENAS 12 12/2/1983 (pfizer) 11/15/2009 132 25 9657324070

3 RAVEN S. BARTOLOME 12 03/08/2021 (pfizer) 12/2/1984 (pfizer) 9/7/2010 137 35 9634266649

4 CASZLIE JARED C. CABERO 10 12/2/1985 (pfizer) 12/10/2011 143 33 9657324070

5 RAYNIER D. CORONEL 12 1/10/2021 (pfizer) 12/2/1986 (pfizer) 10/29/2010 148 46 9510535838

6 JAMES PHILIP D. DANGA 14 6/15/2022 (pfizer) 12/2/1987 (pfizer) 07/25/2008 165 54 9552579274

7 CHRISTIAN N. DIESTRO JR. 11 12/2/1988 (pfizer) 03/28/2011 137 50 9976350345

8 JOHN KURT D. GALANG 15 1/10/2021 (pfizer) 12/2/1989 (pfizer) 3/1/2022 (pfizer) 03/13/2007 161 46 9090735778

9 AKIHIRO C. GAMAYAO 12 12/2/1990 (pfizer) 12/9/2010 147 34 9657324070

10 PETER T. HENZON 11 6/15/2022 (pfizer) 12/2/1991 (pfizer) 02/16/2011 152 43 9167762426

11 CHRIS JACOB M. IGNACIO 12 12/2/1992 (pfizer) 10/31/2010 141 31 9058511203

12 JONAS M. MALLARI 11 12/2/1993 (pfizer) 11/11/2010 135 30 9651492408

13 BERWIN JOHN D. OCAMPO 11 12/2/1994 (pfizer) 9/1/2010 136 32 9657324070

14 GIAN CARLO M. PABUSTAN 14 12/2/1995 (pfizer) 8/9/2008 156 48 9657324071

15 RHEX RHEIVHEN S. YABUT 11 03/11/2022 (pfizer) 12/2/1996 (pfizer) 11/24/2010 145 46 9657324070

16 LEXIES F. DIMABUYU 12 12/2/1997 (pfizer) 8/4/2010 137 33 9300049910

17 JERBIN E. GUEVARRA 11 12/2/1998 (pfizer) 01/31/2011 145 30 9657324070

18 REY VEN C. DELFIN 12 3/27/2022 12/2/1999 (pfizer) 11/30/2009 153 30 9958241626

19 PRINCE ANGELO G. ANTONIO 11 12/2/2000 (pfizer) 10/4/2011 142 28 9652678741

20 IVAN JAIRUS GARCIA 11 3/27/2022 12/2/2001 (pfizer) 08/20/2011 156 30 9657324070

21 JOHN WESLIE G. CANLAS 11 12/2/2002 (pfizer) 09/14/2010 142 30 9657324070

22 JOROS GAALFLI R. PANGILINAN 11 12/2/2003 (pfizer) 11/15/2010 157 28 9657324070

23 LANCE RYLEE N. REGALA 11 12/2/2004 (pfizer) 10/29/2010 137 28 9657324070

24 HENRY M. BULAON 11 7/20/2022 (pfizer) 12/2/2005 (pfizer) 11/29/2010 137 27 9510143581

GIRLS 12/2/2006 (pfizer)

1 ZAIRIE P. APODACA 12 12/2/2007 (pfizer) 03/15/2010 138 30 9325862338

2 ROE CHARISH M. BAYSA 11 2/23/2022 (pfizer) 12/2/2008 (pfizer) 6/12/2010 144 47 9657324070

3 KYLLE O. DAYUDAY 14 1/11/2022 (pfizer) 12/2/2009 (pfizer) 08/28/2008 147 42 9706645824

DE GUZMAN,JILLIAN KHEY NICDAO 12 03/08/2021 (pfizer) 12/2/2010 (pfizer) 08/20/2010 144 40


4 9657324070

5 MARJORIE U. GALANG 12 12/2/2011 (pfizer) 07/26/2010 153 36 9070774101


GALANG,VANNERY SHAINE DEL
13 1/10/2021 (pfizer) 12/2/2012 (pfizer) 3/1/2022 (pfizer) 07/30/2008 146 30
6 ROSARIO ✓ 9090735778

7 JADE,TRICIA GALLE MANUNTAG 11 12/2/2013 (pfizer) 12/28/2010 153 54 9358701122

8 HARIN M. KIM 11 12/2/2014 (pfizer) 06/18/2011 138 33 9566994520

9 MAÑALAC,BILLIAN REGALA 11 1/11/2022 (pfizer) 12/2/2015 (pfizer) 4/3/2011 146 37 9657256136

10 KRIS G. NASAL 13 12/2/2016 (pfizer) 08/17/2009 139 29 9657324070

11 RODETH S. ANTIPINO 13 ✓ 12/2/2017 (pfizer) 10/7/2009 131 24 9657324070

12 ORGELA,MICKAELA - 11 3/14/2022 (pfizer) 12/2/2018 (pfizer) 01/26/2011 145 39 9128258495

13 PINEDA,CHRISTINE JOY DAVID 11 12/2/2019 (pfizer) 09/21/2010 148 46 9702577073

14 PINEDA,JENICA MAE CUSTODIO 11 3/1/2021 (pfizer) 12/2/2020 (pfizer) 6/6/2011 145 29 9262291095

15 SALUT,ANGEL VENZON 11 1/10/2021 (pfizer) 12/2/2021 (pfizer) 2/10/2010 155 40 9152691114

16 SHAHIRA NICOLE D. CANLAS 11 09/19/2010 136 28 9657324070

17 KARYL F. VILLANUEVA 12 3/11/2009 159 41 9363104640

18 TAFALLA, ASHLEY CHEN PANLILIO 11 11/24/2010 152 38 9106153959

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