Republic of the Philippines

Department of Health
Eastern Visayas
Center for Health Development

Regional Epidemiology and Surveillance Unit 8

April 29, 2024

RESEARCH INSTITUTE FOR TROPICAL MEDICINE

SURVEILLANCE and RESPONSE UNIT
9002 RESEARCH Drive, Filinvest Corporate City, Alabang, Muntinlupa City, 1781

Tel. nos: (632)807-2628 loc. 239; (632) 994-1887; Fax: (632) 842-2828/ (632) 842-2245

Email add: ritmsu@gmail.com

SURVEILLANCE AND RESPONSE SUPPLY UTILIZATION FORM

STOCK ON QUANTITY
DATE ITEM PURPOSE
HAND REQUESTED
DRIED BLOOD FOR
04/29/2024 0 30
SPOT SHEET SURVEILLANCE

Requested by:

Boyd Roderick S. Cerro, RN

RESU Unit Head, Nurse V
DEPARTMENT OF HEALTH - EV CHD VIII

Government Center, Brgy. Candahug, Palo, Leyte, Philippines 6501 • No: (+63) 928 278 6567
doh.resu@ro8.doh.gov.ph • www.ro8.doh.gov.ph