Republic of the Philippines
City of Pagadian
OFFICE OF THE CITY HEALTH OFFICER
City Hall Compound, Pagadian City
Tel. No. (062) 2141 – 966
NOT DEWORMED
BARANGAY: KALASAN Total Given VITAMIN A: 0
ELIGIBLE POPULATION: 31 Total Not Dewormed: 9
N Name of Child Sex Age Date of Name of Mother Purok Date Date
o in Birth VIT. A Albendazole
. Mos. Given Given
1 CHAVEZ, NEHEMIAH PAUL D. Male 145 12/17/2011 Cindy Lnn D. Chavez 2B
2 INDANAN, PRINCE ALJHAYSER Male 138 07/15/2012 Eslie A. Indanan 5
A.
3 OTOM, REMARC A. Male 144 12/31/2011 Maricel A. Otom 6
4 SALINAS, JAMES H. Male 169 12/15/2009 Renalyn H. Salinas 7
5 TIC-ING, PRINCE FYVHONE Male 148 09/15/2011 Honney Jane T. Tic-ing 3
REUEL T.
6 UDAC, MARC NELSON C. Male 138 06/25/2012 Elsie C. Udac 3
7 ANDUCAL, MARIA GABRIEL A. Female 148 09/09/2011 Margie A. Anducal 6
8 ENDAB, ASHLEY MONIC A. Female 141 04/17/2012 Joy A. Endab 4
9 MENDIG, SHYRA JANE S. Female 141 03/26/2012 Violeta S. Mendig 1
Prepared by:
RAYMOND CHRISTOPHER P. ONG
Teacher Adviser