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Holy Trinity University

College of Nursing and Health Sciences


Puerto Princesa City
DAILY HEALTH MONITORING RECORD

Name of Student: Area:

MONTH DATE JANUARY FEBRAURY MARCH


WEEK: 10 17 24 31 7 14 21 28 7 14 21 28
Schedule/shift
Cough
Colds
Runny Nose
Sore Throat
Difficulty of breathing

Body Temperature
Others:

Signature of the student

Signature of CI

Signature of the Student over Printed Name Clinical Instructor

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