Deworming Checklist

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Republic of the Philippines

Department of Education
Division of Camarines Sur
Freedom, Sports Complex, San Jose, Pili, Camarines Sur

NATIONAL SCHOOL DEWORMING DAY


Deworming Checklist

Division: ____________________________________________________________________________________________________________
District: ____________________________________________________________________________________________________________
Name of School: ____________________________________________________________________________________________________________
School Address: ____________________________________________________________________________________________________________
Total Enrollement: ____________________________________________________________________________________________________________
Grade Level And Section: ____________________________________________________________________________________________________________

Name of Student Barangay Gender 4Ps/ Handwashing Feeding Dewormed Toothbrush Remarks Action Taken
Non 4Ps Taken
Name of Student Barangay Gender Handwashing Feeding Dewormed Toothbrush Remarks Action Taken
Taken

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