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BALITE HEALTH CENTERBarangay Balite, Rodriguez, Rizal
EXPANDED PROGRAM IMMUNIZATION
TOOLS FOR SIMPLE GUIDE: MASTERLIST IN PRIORITY BARANGAYS
MASTERLIST OF CHILDREN (0-23 MONTHS)
NAME OF BHS: ___________________________________________NAME OF MIDWIFE/NURSE: _________________________________________PUROK: _____________________NAME OF BHW: ________________________________________DATE OF COMPLETION: _____________________________________________
No.House No.Name of ChildBirth DateAgeSexMotherVACCINCES GIVEN (PLACE A CHECK ( )TETANUS TOXOID STATUSREMARKS
BCGHEP BPENT 1PENT 2PENT 3OPV 1OPV 2OPV 3AMVMMRTT 3
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