REPUBLIC OF THE PHILIPPINES

Province of Camarines Sur

Municipality of Minalabac
Barangay San Felipe- Santiago
BARANGAY SAN FELIPE- SANTIAGO HEALTH STATION

VITAMIN A SUPPLEMENTATION REPORT 2021

INFANTS 6-11 MONTHS OLD

FIRST DOSE : APRIL 21, 2021 SECOND DOSE:

ZONE MALE FEMALE TOTAL ZONE MALE FEMALE TOTAL

ZONE 1A 1 1 2 ZONE 1A

ZONE 1 2 2 ZONE 1

ZONE 2 ZONE 2

ZONE 3 ZONE 3

TOTAL 1 3 4 TOTAL
CHILDREN 12- 59 MONTHS OLD
FIRST DOSE : APRIL 21, 2021 SECOND DOSE:

ZONE MALE FEMALE TOTAL ZONE MALE FEMALE TOTAL

ZONE 1A 9 8 17 ZONE 1A

ZONE 1 7 15 22 ZONE 1

ZONE 2 3 2 5 ZONE 2

ZONE 3 5 10 15 ZONE 3

TOTAL 24 35 59 TOTAL
Prepared by:

CHARLOTE J. INFANTADO, RM
 REPUBLIC OF THE PHILIPPINES
Province of Camarines Sur
Municipality of Minalabac
Barangay San Felipe- Santiago
BARANGAY SAN FELIPE- SANTIAGO HEALTH STATION
VITAMIN A SUPPLEMENTATION REPORT 2021 12- 59 MONTHS OLD

AGE IN MONTHS DATE GIVEN REMARKS

NO. ZONE LAST NAME, FIRST NAME, MIDDLE SEX BIRTHDATE MOTHER’S FULL NAME
ST ND
1 DOSE 2 DOSE

1. 1A BORJA, JOBEL DELOS SANTOS M 04-09-20 12 IVY DELOS SANTOS 04-21-21

2. 1A RAMOS, NATHAN M 09-27-16 55 ANITA RAMOS 04-21-21

3. 1A SERRANO, SAMANTHA NICOLE F 05-03-17 47 ROSE ANN LABIAN 04-21-21
4. 1A CUSTODIO, MHIEL ZHOEBE F 04-29-17 48 LANIE CUSTODIO 04-21-21
5. 1A CUSTODIO, REVIA M 08-04-17 40 RENA CUSTODIO 04-21-21

6. 1A OLIVA, JORDAN M 08-17-17 40 RICHELLE OLIVA 04-21-21

7. 1A DELOS ANGELES, GHELAY F 12-14-19 28 JANE DELOS ANGELES 04-21-21
8. 1A VELARDE, LARNS KIECER M 11-16-19 29 CARILYN VELARDE 04-21-21
9. 1A DELA ROSA, JOHNRICK M 08-11-16 56 ANABELLE DELA ROSA 04-21-21

10. 1A BUTIHI, ATARA GRACE F 01-31-19 26 RIEZAROSE ANN DULLAS 04-21-21

11. 1A BARROSA, JONAH MAE F 03-11-20 13 MARILOU BARROSA 04-21-21
12. 1A MAGISTRADO, YURIE M 11-28-18 28 SHIRLEY MAGISTRADO 04-21-21
13. 1A DE VERA, JOHN RAY M 02-12-17 50 GIRLIE DE VERA 04-21-21

14. 1A DELA CRUZ, RAIVEN M 09-08-16 55 ROSLIN DELA CRUZ 04-21-21

15. 1A DELA CRUZ, MIRACLE F 11-21-16 53 MARIA DELA CRUZ 04-21-21
16. 1A OROLFO, JESSA F 04-16-16 59 LEONOR MACARIOLA 04-21-21
17. 1A CALOTE, AIRABELLA F 03-15-16 59 MINDA CALOTE 04-21-21

18. 1 DE ASIS, LAWRENCE M 09-04-16 59 LEAH DE ASIS 04-21-21

19. 1 BACLAS, MARY SONNYLYN F 05-10-18 35 MEDILYN BACLAS 04-21-21

20. 1 PENALES, CHIARA SOFIA F 03-29-20 12 ELOISA PENALES 04-21-21

 REPUBLIC OF THE PHILIPPINES
Province of Camarines Sur
Municipality of Minalabac
Barangay San Felipe- Santiago
BARANGAY SAN FELIPE- SANTIAGO HEALTH STATION
VITAMIN A SUPPLEMENTATION REPORT 2021 12 -59 MONTHS OLD

AGE IN MONTHS DATE GIVEN REMARKS

NO. ZONE LAST NAME, FIRST NAME, MIDDLE SEX BIRTHDATE MOTHER’S FULL NAME
ST ND
1 DOSE 2 DOSE

1. 1

2. 1
3. 1
4. 1
5. 1

6. 1
7. 1
8. 1
9. 1

10. 1
11. 1
12. 1
13. 1

14. 1
15. 1
16. 1
17. 1

18. 1

19. 1

20. 2

REPUBLIC OF THE PHILIPPINES

 Province of Camarines Sur
Municipality of Minalabac
Barangay San Felipe- Santiago
BARANGAY SAN FELIPE- SANTIAGO HEALTH STATION
VITAMIN A SUPPLEMENTATION REPORT 2021 12 -59 MONTHS OLD

AGE IN MONTHS DATE GIVEN REMARKS

NO. ZONE LAST NAME, FIRST NAME, MIDDLE SEX BIRTHDATE MOTHER’S FULL NAME
ST ND
1 DOSE 2 DOSE

1. 2

2. 2
3. 2
4. 2
5. 3

6. 3
7. 3
8. 3
9. 3

10. 3
11. 3
12. 3
13. 3

14. 3

15. 3
16. 3
17. 3

18. 3

19. 3

20. 3

REPUBLIC OF THE PHILIPPINES

 Province of Camarines Sur
Municipality of Minalabac
Barangay San Felipe- Santiago
BARANGAY SAN FELIPE- SANTIAGO HEALTH STATION
VITAMIN A SUPPLEMENTATION REPORT 2021 12 -59 MONTHS OLD

AGE IN MONTHS DATE GIVEN REMARKS

NO. ZONE LAST NAME, FIRST NAME, MIDDLE SEX BIRTHDATE MOTHER’S FULL NAME
ST ND
1 DOSE 2 DOSE

1.

2.
3.
4.
5.

6.
7.
8.
9.

10.
11.
12.
13.

14.
15.
16.
17.

18.

19.

20.