DepEd Form 2 (Secondary)

NATIONAL SCHOOL DEWORMING MONTH

SY 2019-2020 Month of July
Province: Catanduanes
District: Virac North
School: Buyo Integrtaed School
Address: Tubaon, Virac, Catanduanes
Date: January 21, 2020

Age Group Enrolment Dewormed % of Accomplishment 4Ps Enrolled 4Ps Dewormed 4 Ps Accomplishment

M F Total M F Total M F Total M F Total M F Total M F Total

10-19 y/o

20 above

Grand Total

Accomplished by:

ALLAN A. SORREDA
School Principal II
 DepEd Form 3
NATIONAL SCHOOL DEWORMING MONTH
SY 2019-2020 Month of July

Province: Catanduanes
District: Virac North
Address: Tubaon, Virac, Catanduanes
Date: January 21, 2020

School 4Ps Enrolled 4Ps Dewormed 4Ps % Accomplishment

10-19 y/o 20 above 10-19 y/o 20 above 10-19 y/o 20 above

M F Total M F Total M F Total M F Total M F Total M F Total

Buyo Integrated
School

Grand Total

Accomplished by:

MARIANNE E. GONZALES
Nutrition School Coordinator
 DepEd Form 3

NATIONAL SCHOOL DEWORMING MONTH

SY 2019-2020

Province: Catanduanes
District: Virac North
Address: Tubaon, Virac, Catanduanes
Date: January 21, 2020

School Enrolment Dewormed % of Accomplishment

10-19 y/o 20 above 10-19 y/o 20 above 10-19 y/o 20 above

M F Total M F Total M F Total M F Total M F Total M F Total

Buyo Integrated
School

Grand Total

Accomplished by:

MARIANNE E. GONZALES
Nutrition School Coordinator
Annex 2
INTEGRATED HELMINTH CONTROL PROGRAM
Adverse Events Following Deworming
REPORTING FORM
To be filled in the Physician/Midwife/Barangay Health Workers/Teacher or Parent as needed during every mass deworming campaign

Region: V-Bicol Province: Catanduanes Municipality: Virac

Service outlet: (Please check and indicate name of RHU, School, Daycare
___ Barangay Health Station/RHU: ___________ / School: Buyo Integrated School
Date of Deworming: July 31, 2019 Time of Deworming: 9:00am Meds Taken: Albendazole 400mg

Name of Patient Age Complete Address Chief Complaint and time Action Taken Remarks
of onset of signs and
symptoms

Remarks: Name of drugs (brand/generic name): ALBENDAZOLE 400mg

Batch and lot number: ALB 8124
Expiration Date: 04/2021
Date meds taken: JULY 31, 2019

Accomplished by: MARIANNE E. GONZALES

Nutrition School Coordinator
Date: 08-06-2020