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WASH / WINS MONITORING

SCHOOL YEAR: 2019 - 2020

GRADE AND SECTION: ______________


ADVISER: __________________________

DATE DATE DATE DATE DATE DATE DATE DATE DATE DATE DATE DATE DATE DATE DATE DATE DATE DATE DATE DATE DATE DATE

NAME OF PUPILS

HW

HW

HW

HW

HW

HW

HW

HW

HW

HW

HW

HW

HW

HW

HW

HW

HW

HW

HW

HW

HW

HW
T

T
Total
SUMMARY: IMMUNIZATION FOR GRADE 1 PUPILS

School Year: ___________________________ Date: ______________________________________

No. of Pupils Immunization Availed


Name of Adviser Section Male Female Remarks
Male Female Total
MR TD MR TD
Total
SUMMARY: IMMUNIZATION FOR GRADE 4 PUPILS

School Year: ______________________________________ Date: ___________________________________

Immunization Availed
Number of Pupils HPV
Name of Adviser Section Remarks
1st Dose 2nd Dose
Female Female Total Female Total
Total

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