Date: ________________

VISION SCREENING SUMMARY

NAME AGE EYE Visual Acuity RESULT

Far PASSED FAILED
Bangcaring, Alinor V. 13 R 20/50
L 20/40
Bondoc, John Leinard G. 13 R 20/30
L 20/40
Cagas, Joshua dP. 15 R 20/20
L 20/20
Camua, Aaron F. 12 R 20/20
L 20/20
Credo,John Kennedy M. 13 R 20/25
L 20/25
Cruz, Nick John C. 15 R 20/20
L 20/20
Lim, Harrod C. 15 R 20/20
L 20/20
Magsakay, Ronel C. 13 R 20/25
L 20/20
Montarial, Jestoni S. 13 R 20/25
L 20/20
Noriesta, John Louis C. 13 R 20/50
L 20/50
Oclarino, Justin C. 13 R 20/25
L 20/25
Pasco, Rojan I. 14 R 20/25
L 20/25
Pascual, Mark Clarence 13 R 20/20
C. L 20/20
Robles, Charles Vhenese 13 R 20/30
B. L 20/20
Santiago, Mart Aeron S. 13 R 20/20
L 20/20
Santos, Ed Simon M. 16 R 20/30
L 20/30
Sebastian, Jillian Mark C. 13 R 20/25
L 20/20
Bautista, Janella Mae C. 13 R 20/200
L 20/200
Caino, Hannah Mhey DG 13 R 20/20
L 20/20
Chua, Angelyn S. 13 R 20/20
L 20/20
Dela Pena, Fatima Joyce 14 R 20/20
A. L 20/20
Isidro, Kristina Cassandra 13 R 20/25
P. L 20/20
 Lomotan, Kyla Marie D. 13 R 20/20
L 20/25
Magsakay, Andrea R. 13 R 20/200
L 20/200
Marcos, Christa Mae E. 13 R 20/20
L 20/20
Penaranda, Melody A. 13 R 20/20
L 20/20

Submitted by: RUTH KLARIBELLE C. VILLACERAN Noted by: ELMER H. MAGPAYO

Class Adviser School Principal