Republic of the Philippines

Province of Misamis Occidental

Municipality of Tudela
BARANGAY CENTRO NAPU
BHW MONTHLY ACCOMPLISHMENT REPORT
For the Month of: __________________
I. PRE-NATAL (BUROS) NAME AGE LMP EDC GRAVIDA PARA
1
2
3
4
5
6
II. POST-PARTUM (NANGANAK) NAME AGE METHOD ACCEPTED ATTENDED BY: Doctor, Midwife
1
2
3
4
5
III. FAMILY PLANNING ACCEPTANCE NAME AGE METHOD ACCEPTED
1
2
3
4
5
IV. (EPI) IMMUNIZATION CHILD NAME BIRTHDATE DPT 1 DPT 2 DPT 3 OPV 1 OPV 2 OPV 3 PCV 1 PCV 2 PCV 3 MEASLES MMR 1 MMR 2 IPV
1
2
3
4
5
6
7
8
9
10
NEWBORN CARE NEWBORN
V. LIVE BIRTHS NAME BIRTHDATE BIRTH WEIGHT BIRTH LENGTH GENDER MOTHER HEP. B BCG
INITIATED BF SCREENING
1
2
3
4
5
VI. HYPERTENSION CLIENTS MAINTENANCE AGE BLOOD PRESSURE DATE
1
2
3
4
5
VII. DIABETIC CLIENTS MAINTENANCE AGE BLOOD SUGAR DATE
1
2
3
4
5
VIII. NTP CLIENTS DATE INITIATED TREATMENT CURRENT WEIGHT
1
2
3
4
5
OTHER ACTIVITIES:
PANIMBANG: NAME DATE OF BIRTH TIMBANG HEIGHT NUTRITIONAL STATUS
1
2
3
4
5
BP SA SAKOP NAME DATE BP BP
1
2
3
4
5
EBF NAME DATE OF BIRTH
1
2
3
4
5
 JOSEPHINE P. TOLEDO VICTORIA S. LAO NELVIN C. LAGUE
Barangay Health Worker Rural Health Midwife Punong Barangay