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MFORMSjune 22
MFORMSjune 22
3 2 1
3 c. Adolsescents, 10-19 y/o dewormed (2 doses) 0 0
0
MCV1 (AMV) 1 4 5 Management of Sick Infants, Children, Adolescents
● MCV
MCV2 (MMR) 2 1 3 32. Sick Children 6-11 months old seen 0
0 0
Fully Immunized Child (0-12 months) 3 33. Sick Children 6-11months old received Vitamin A 0
2 1 0 0
Completely Immunized Child (13-23 34. Sick Children 12-59 months seen 0
0 0
months) 35. Sick Children 12-59 months received Vitamin A 0
0 0 0 0 0
Td,Grade 1 (NOV) 0 0 0
36. Diarrhea cases 0-59 months old seen 0
0 0
MR. Grade 1 0 0 0
37. Diarrhea cases 0-59 months old received ORS 0
0 0
38. Diarrhea cases 0-59 months old received ORS with
Td, Grade 7 0
0 0 0 zinc 0 0
MR Grade 7 0 0 0
39. Pneumonia cases 0-59 months old seen 0
0 0
40.Pneumonia cases 0-59 months old completed 0
treatment 0 0
OTHER VACCINATION Male Female Total
101
FHSIS Version 2018
8. FIC
Name of Barangay:
M2
STA TERESITA
ARI 1 1 1 1 2 2 4
dengue 3 3 2 2 1 1 6 6 12
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
FHSIS REPORT for the ANNUAL REPORT YEAR:____________
. Name of Health Facility: __________________________________________
Name of Barangay:
A2
_________________________________________________
Name of Barangay:
A3
_________________________________________________
MORTALITY