Republic of the Philippines

Province of Masbate
Municipality of Uson
Office of Rural Health Unit

ENDORSEMENT OF TASK
PLEASE USE THIS FORM TO REQUEST MY ENDORSEMENT OF TASK. THIS LETTER
VERIFIED MY ENDORSEMENT OF DUTIES AND RESPONSIBILITIES OF OUR MUNICIPALITY
SPECIALLY IN RURAL HEALTH UNIT OF USON.

FULL NAME MATAWA, KRISTINA ANN IBAÑEZ

PRC LICENSE NUMBER 0940897
DESIGNATION HPO II - VACCINATOR
AREA OF ASSIGNMENT RHU - USON / ALL BARANGAY
DATE OCTOBER 2 2023 - DECEMBER 31, 2023

No. Tasks Status

1 Endorsement of Duties as HPO II - Vaccinator ( Defaulters of Accepted
Immunization, Anti - Flu Vaccine, PCV Vaccine as a vaccinator
and other activities) to Mrs. Jackie M. Fuentes, RN NIP
Coordinator.
2 Endorsement of my daily Accomplishment Report and monthly Received
DTR from October 2, 2023 to December 31,2023 and other
reports to Mrs. Jackie M. Fuentes, RN NIP Coordinator.
3 Endorsement of entry to specific barangay’s for immunization Received
and or vaccination at all ages with low rate of immunization.
4
5
6

THIS CERTIFICATE IS TO VERIFIED THAT THE ABOVE NAME ARE ACCEPTED AS HPO II
VACCINATOR OF RURAL HEALTH UNIT OF USON. VERIFIED TODAY AT 11TH DAY OF
JANUARY 2024.

THIS CERTIFICATE IS BEING ISUED FOR WHATEVER PURPOSE IT MAY SERVED.

MARIA PATRICIA MORAN, MD

MHO - OIC / DTTB