DEPARTMENT OF HEALTH

CENTER FOR HEALTH DEVELOPMENT- NORTHERN MINDANAO

J. V. Seriña Street, Carmen, Cagayan de Oro City
PABX (+63) 917-148-3298
Email address: pacd@ro10.doh.gov.ph
Website: http://www.ro10.doh.gov.ph

IMMUNIZATION MASTERLIST
0-59 MONTHS OLD COVERAGE
VACCINATION STATUS
(PLEASE CHECK  THE BOX IF VACCINATON IS GIVEN, PLEASE MARK X IF VACCINATION NOT RECEIVED)

NO. NAME OF CHILD NAME OF MOTHER BIRTH AGE IN

PUROK REMARKS
(LAST NAME, FIRST NAME, MIDDLE NAME) (LAST NAME, FIRST NAME, MIDDLE NAME) DATE MONTHS

PENTA 1

PENTA 2

PENTA 3

MRSIA
MCV 1

MCV 2
HEP B

OPV 1

OPV 2

OPV 3

PCV 1

PCV 2

PCV 3
IPV 1

IPV 2

2023
BCG