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Health Information Sheet
Department of Education
Region III- Center Luzon
Division of Pampanga
BACOLOR NORTH DISTRICT
Eliseo-Belen Elementary School Annex
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
6 JAMES PHILIP D. DANGA 14 6/15/2022 (pfizer) 12/2/1987 (pfizer) 07/25/2008 165 54 9552579274
8 JOHN KURT D. GALANG 15 1/10/2021 (pfizer) 12/2/1989 (pfizer) 3/1/2022 (pfizer) 03/13/2007 161 46 9090735778
15 RHEX RHEIVHEN S. YABUT 11 03/11/2022 (pfizer) 12/2/1996 (pfizer) 11/24/2010 145 46 9657324070
2 ROE CHARISH M. BAYSA 11 2/23/2022 (pfizer) 12/2/2008 (pfizer) 6/12/2010 144 47 9657324070
14 PINEDA,JENICA MAE CUSTODIO 11 3/1/2021 (pfizer) 12/2/2020 (pfizer) 6/6/2011 145 29 9262291095