DEFAULTERS MASTERLIST

NAME OF BHC: NAME OF BRGY: NAME OF PUROK:

NAME OF MIDWIFE: NAME OF BHW: DATE OF COMPLETION:

PREPARED BY:

PENTA PCV OPV

MMR
HEPA

AMV
AGE IN

BCG
NO NAME OF CHILD BIRTHDATE MOTHER'S NAME ADDRESS REMARKS

IPV
B
MONTHS
1 2 3 1 2 3 1 2 3
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
 DEFAULTERS MASTERLIST

NAME OF BHC: NAME OF BRGY: NAME OF PUROK:

NAME OF MIDWIFE: NAME OF BHW: DATE OF COMPLETION:

PREPARED BY:

PENTA PCV OPV

HEPA
BCG
NO NAME OF CHILD AGE IN MONTHS BIRTHDATE MOTHER'S NAME ADDRESS

B
1 2 3 1 2 3 1 2
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
OPV
MMR
AMV

REMARKS
IPV

3
NAME OF BHC: NAME OF BRGY:

NAME OF MIDWIFE: NAME OF BHW:

PREPARED BY:

AGE IN
NO NAME OF CHILD MONTHS BIRTHDATE MOTHER'S NAME

1 Pangilinan Liam M 9/19/2016 Lea

2 Umpad John Michael M 3/29/2017 Marivic
3 Santos Julia Isabel F 12/15/2016 Angelita
4 Baginaon Carl Arvey M 3/22/2017 Carla
5 Cabalang Aleeyah Lauren F 4/26/2017 Cecilia
6 Gumarao Raniel M 5/10/2017 Rica
7 Elpa Arjay M 3/7/2017 Jenny
8 Mascarriola Mary Mae F 7/13/2017 Wilma
9 Cruz Marich Ann F 11/6/2017 Marites
10 Larin Ronn Phil M 6/13/2017 Lee Ronna
11 Tolentino Arjay M 8/7/2017 Marie
12 Roldan Pinky Zhane F 6/28/2017 Cherryl
13 Grijaldo Zhairon Charles M 10/7/2017 Catherine
14 Garcia Andrie M 10/23/2017 Evelyn
15 Clores Cristal Jane F 12/3/2017 Mary Jane
16 Perez Nathalie F 11/15/2017 Diana Rose
Jan=2018 Penta1=F-1 Penta2=M-1 PCV1=F-1 Pcv2=M-1
18 Ramirez Athena F 11/25/2017 Delilah
19 Din AJ M 11/18/2017 Rose Marie
20 Cruz Triyan Monique F 1/25/2018 Donna
Feb.2018 Bcg=M-1=F-1 Penta1=M-1=F-2 Penta2=M-1 Penta3=M-1=F=1
Mar-18 Penta1=F-1 Penta2=M-1 =F-3 PCV1=F-1
23 Balanay Kyle David M 2/15/2018 Dalia
24 Berenguela Sheena mae F 1/21/2018 Rechel
April-2018 Penta1=M-1=F-1 Penta2=F-1 Penta3=M-1=F=3
May-18 Penta2=M-1 =F-1 Penta3=F=1 Pcv2=M-1=F-1
27 Dohinog Zane Danrenz M 4-18-18 Irene
28 Cruz Maria Dolores F 5-19-18 Lilibeth
29
30
31
32
33
34
35
36
37
38
39
40
41
42
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45
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49
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 DEFAULTERS MASTERLIST

NAME OF PUROK:

DATE OF COMPLETION:

PENTA

HEPA
BCG

ADDRESS

B
1 2 3
P-1 9/19/2016 9/19/2016 11/17/2016 12/15/2016 1/18/2017
P-1 3-29-16bmc 3-29-16bmc 5/17/2017 6/21/2017 7/19/2017
P-1 1-25-17bdh 1-23-17bdh 4-12-17mlamg 5/17/2017 6/21/2017
P-1 3-23-17lyn 3-23-17lyn 5/17/2017 7/19/2017 9/20/2017
P-1 6/14/2017 sanjse bal 6/21/2017 7/19/2017 8/16/2017
P-1 5-17-17snh 5-17-17snh 7/19/2017 8/16/2017 9/20/2017
P-1 6/21/2017 11/22/2017 12/20/2017
P-1 8/17/2017 9/20/2017 10/18/2017 2/21/2018
P-1 1-11-17mlamg 3-8-17mlamg 7/19/2017 9/20/2017
P-1 8/17/2017 8/16/2017 9/20/2017 11/22/2017
P-1 8-7-17bdh 8-7-17bdh 10/18/2017 11/22/2017 12/20/2017
P-1 11/19/2017 10/18/2017 11/22/2017 12/20/2017
P-1 11/20/2017 11/22/18lost feb-18 2/21/2018 4/18/2018
P-1 10/23/17bmc 10-23-17bmc 12/20/2017 1/17/2018 2/21/2018
P-1 12-3-17bdh 12-3-17bdh 2/21/2018 3/21/2018 4/18/2018
P-1 12-26-17lying 11-15-17lying 1/17/2018 3/21/2018 4/18/2018
OPV1=F-1 Opv2=M-1 Mv=M-1 Mmr=F-1 Fic=M-1
P-1 11/27/17castro 11/27/17castro 2/21/2018 3/21/2018 4/18/2018
P-1 2/21/2018 2/21/2018 3/21/2018
P-1 2/21/2018 3/21/2018 4/18/2018 5/16/2018
PCV1=M-1=F-3 Pcv2=M-1 Pcv3=M-1 OPV1=M-1=F-2 Opv2=M-1 Opv3=M-1=F-1
Pcv2=M-1=F-4 OPV1=F-1 Opv2=M-1=F-3 Mv=M-1=F-1 Fic=M-1=F-1 Mmr=M-2
P-1 2-15-18bmc 2-15-18bmc 4/18/2018 5/16/2018 6/20/2018
P-1 4/18/2018 5/16/2018 6/20/2018
PCV1=M-1=F-1 Pcv2=F-1 Pcv3=M-1=F3 OPV1=M-1=F-1 Opv2=F-1 Opv3=M-1=F-3
Pcv3=F1 Opv2=M-1=F-1 Opv3=F-1 IPV=F-1 Mmr=M-1=F-1
P-1 4-15-18=Bdh 4-15-18=Bdh 6-20-18 7/18/2018
P-1 6-20-18
STERLIST

PCV OPV
1 2 3 1 2 3
11/17/2016 12/15/2016 1/18/2017 11/17/2016 12/15/2016 1/18/2017
5/17/2017 6/21/2017 7/19/2017
4-12-17mlamg 5/17/2017 6/21/2017
5/17/2017 7/19/2017 9/20/2017
6/21/2017 7/19/2017 8/16/2017
7/19/2017 8/16/2017 9/20/2017
6/21/2017 11/22/2017 12/20/2017
2/21/2018 3/21/2018 4/18/2018 9/20/2017 10/18/2017 2/21/2018
3-8-17mlamg 7/19/2017 9/20/2017
8/16/2017 9/20/2017 11/22/2017
10/18/2017 11/22/2017 12/20/2017 10/18/2017 11/22/2017 12/20/2017
10/18/2017 11/22/2017 12/20/2017
11/22/18lostfeb-18 2/21/2018 4/18/2018 11/22/18lostfeb-18 2/21/2018 4/18/2018
12/20/2017 1/17/2018 2/21/2018 12/20/2017 1/17/2018 2/21/2018
2/21/2018 3/21/2018 4/18/2018 2/21/2018 3/21/2018 4/18/2018
1/17/2018 3/21/2018 4/18/2018 1/17/2018 3/21/2018 4/18/2018

2/21/2018 3/21/2018 4/18/2018 2/21/2018 3/21/2018 4/18/2018

2/21/2018 3/21/2018 2/21/2018
3/21/2018 4/18/2018 5/16/2018 3/21/2018 4/18/2018 5/16/2018
IPV=M-1=F-1 Mv=M-1=F-2 Fic=M-1=F-2

4/18/2018 5/16/2018 6/20/2018 4/18/2018 5/16/2018 6/20/2018

4/18/2018 5/16/2018 6/20/2018 4/18/2018 5/16/2018 6/20/2018
IPV=M-1=F-3 Mmr=F-1

6-20-18 7/18/2018 6-20-18 7/18/2018

 MMR
AMV

REMARKS
IPV

1/18/2017 4/27/18CIC
7/19/2017 1/17/2018 3/28/2018
6/21/2017 10/18/2017 1/17/2018
9/20/2017 2/21/2018 3/29/2018
8/16/2017 2/21/2018 5/9/2018
9/20/2017 2-21-18lost 5/16/2018
12/20/2017 12/20/2017 6/20/2018
2/21/2018 2/21/2018
9/20/2017 9/20/2017 4/27/2018
11/22/2017 3/28/2018
12/20/2017 7/18/2018
12/20/2017 3/28/2018 7/18/2018
4/18/2018
2/21/2018
4/18/2018
4/18/2018

4/18/2018
home
5/16/2018 Rugay

6/20/2018
6/20/2018
NAME OF BHC: NAME OF BRGY:

NAME OF MIDWIFE: NAME OF BHW:

PREPARED BY:

NO NAME OF CHILD Sex BIRTHDATE MOTHER'S NAME ADDRESS

1 Grijaldo Zhian Carl M 7/26/2016 Catherine P-2

2 Sioson Eurico Shan M 12/5/2016 Jenny P-2
3 Melencio Mathaios M 1/27/2017 Gemarie P-2
4 Hernandez Jainamei F 1/23/2017 Melbie P-2
5 Dela Cruz Clea Aicka F 6/9/2016 Jenica P-2
6 Perez Nathan M 12/31/2016 Hellen P-2
7 Cruz Dave Arwind M 2/6/2017 Lilibeth P-2
8 Ressurreccion Rhyskeon M 4/6/2017 Rose Ann P-2
9 Lacno Tristan James M 4/5/2017 Rechelle P-2
10 Reyes Euwan Gabriel M 6/15/2017 Liza P-2
11 Domingo Kyle Noel M 7/3/2017 Michaela P-2
12 Sison Rhydian Austin M 6/23/2017 Princess shella Mae P-2
13 Bojangin Jhazelle F 6/24/2017 Jocelyn P-2
14 Tadeo Noel M 8/11/2017 Rizza P-2
15 Munar Jyuan M 7/16/2017 Jocelyn P-2
16 Martin Clarence M 8/14/2017 Claire P-2
17 Castillo Secret Nicole F 9/1/2017 Joan P-1
18 Tabo Callian Nicole F 11/4/2017 Kai Maurine P-2
Jan=2018 MV=M-3 MMR=M-1=F-1 Fic=M-3
20 Garcia Zoey Harriet M 12/4/2017 Jessica Marie P-2
21 Navarro John Cedrick M 12/14/2017 Monica P-2
Feb.2018 Penta1=M-1 Penta3=F-1 PCV1=M-1 Pcv3=F-1 OPV1=M-1
23 Macabenta Gian khin M 2/17/2018 Gina P-2
24 Perez Zeus Maddison M 1/24/2018 Mayline P-2
Hijanda Ricia Margaret F 2/26/2018 Alicia P-2
Mar2018 Bcg=M-2 =F-1 Hepab-F-1 Penta1=M-2 Penta2=M-1 PCV1=M-2
April-2018 Penta1=M-1=F-1 Penta2=M-2 Penta3=M-1 PCV1=M-1=F-1
28 Critobal Paulo M 4/19/2018 Rose Marie P-2
29 Critobal Patrick M 4/19/2018 Rose Marie P-2
May=2018 Penta2=F-1 Penta3=M-2 Pcv2=F-1 Pcv3=M-2
31 Perez Sam M 4/8/2018 Sheryl P-2
32 Cruz Prince Reniel M 4/8/2018 May Angelyn P-2
33
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37
38
39
40
41
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43
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46
47
48
49
50
51
52
53
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55
56
57
58
59
60
61
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 DEFAULTERS MASTERLIST

NAME OF PUROK:

DATE OF COMPLETION:

PENTA PCV
HEPA
BCG

1 2 3 1
7-27-16lyn 7-27-16lyn 1/18/2017 6/21/2017 11/22/2017 1/18/2017
12/5/2016 12/5/2016 2/15/2017 3/15/2017 4/17/2017
2/15/2017 3/15/2017 4/17/2017 5/17/2017
2/15/2017 3/15/2017 4/17/2017 5/17/2017
7/13/2016 8/18/2016 9/22/2016 10/20/2016 10/20/2016
1-9-17lyn 12-31-16lyn 2/15/2017 3/15/2017 4/17/2017
2-14-17lyn 2-6-17lyn 4/17/2017 6/21/2017 7/19/2017
4/8/2017 4/7/2017 6/21/2017 7/19/2017 8/16/2017
4/5/2017 4/5/2017 6/21/2017 7/19/2017 8/16/2017
7/12/2017 8/16/2017 9/20/2017 10/18/2017
7/12/2017 10/18/2017 11/22/2017 12/20/2017 10/18/2017
6-29-17bdh 6-23-17bdh 8/16/2017 7/20/2017 10/16/2017
6-28-17lyn 6-24-17lyn 9/20/2017 10/18/2017 11/22/2017
9/20/2017 8-11-17bdh 10/18/2017 11/22/2017 12/20/2017 10/18/2017
8-1-17lyn 7-16-17lyn 9/20/2017 10/18/2017 11/22/2017
11/22/2017 10/18/2017 11/22/2017 12/20/2017 10/18/2017
10/18/2017 11/22/2017 2/21/2018 10/18/2017
11-1-17bdh 11-1-17bdh 12/21/2017 12/21/2017

12-6-17snh 12-6-17snh 2/21/2018 3/21/2018 4/18/2018 2/21/2018

12-14-17-bdh 12-14-17-bdh 3/21/2018 4/18/2018 5/16/2018 3/21/2018
Opv3=F-1 IPV=F-1 Mmr=M-1
3/21/2018 4/18/2018 5-16-18=lost rep june 6/20/2018 4/18/2018
3/21/2018 3/21/2018 4/18/2018 5/16/2018 3/21/2018
3/7/2018 3/6/2018 4/18/2018 5/16/2018 6/20/2018 4/18/2018
Pcv2=M-1 OPV1=M-2 Opv2=M-1 Mv=M-2 Fic=M-2 Mmr=F-1
Pcv2=M-2 Pcv3=M-1 OPV1=M-1=F-1 Opv2=M-2 Opv3=M-1 IPV=M-1
5/16/2018 6/20/2018 7/18/2018 6/20/2018
5/16/2018 6/20/2018 7/18/2018 6/20/2018
Opv2=F-1 Opv3=M-2 IPV=M-2 Mv=M-2 Fic=M-2
4-8-18=Bmc 4-8-18=Bmc 6/20/2018 7/18/2018 6/20/2018
4-9-18=Bch 4-9-18=Bch 6/20/2018 7/18/2018 6/20/2018
T

PCV OPV

IPV
2 3 1 2 3
11/22/2017 1/18/2017 6/21/2017 11/22/2017 11/22/2017
2/15/2017 3/15/2017 4/17/2017 4/17/2017
3/15/2017 4/17/2017 5/17/2017 5/17/2017
3/15/2017 4/17/2017 5/17/2017 5/17/2017
8/18/2016 9/22/2016 10/20/2016 10/20/2016
2/15/2017 3/15/2017 4/17/2017 4/17/2017
4/17/2017 6/21/2017 7/19/2017 7/19/2017
6/21/2017 7/19/2017 8/16/2017 8/16/2017
6/21/2017 7/19/2017 8/16/2017 8/16/2017
8/16/2017 9/20/2017 10/18/2017 10/18/2017
11/22/2017 12/20/2017 10/18/2017 11/22/2017 12/20/2017 12/20/2017
8/16/2017 7/20/2017 10/16/2017 10/16/2017
9/20/2017 10/18/2017 11/22/2017 11/22/2017
11/22/2017 12/20/2017 10/18/2017 11/22/2017 12/20/2017 12/20/2017
9/20/2017 10/18/2017 11/22/2017 11/22/2017
11/22/2017 12/20/2017 10/18/2017 11/22/2017 12/20/2017 12/20/2017
11/22/2017 2/21/2018 10/18/2017 11/22/2017 2/21/2018 2/21/2018
12/21/2017

3/21/2018 4/18/2018 2/21/2018 3/21/2018 4/18/2018 4/18/2018

4/18/2018 5/16/2018 3/21/2018 4/18/2018 5/16/2018 5/16/2018

5-16-18=lost rep june 6/20/2018 4/18/2018 5-16-18=lost rep june 6/20/2018 6/20/2018
4/18/2018 5/16/2018 3/21/2018 4/18/2018 5/16/2018 5/16/2018
5/16/2018 6/20/2018 4/18/2018 5/16/2018 6/20/2018 6/20/2018

Mv=M-2=F-1 Fic=M-2=F-1 Mmr=M-3

7/18/2018 6/20/2018 7/18/2018
7/18/2018 6/20/2018 7/18/2018

7/18/2018 6/20/2018 7/18/2018

7/18/2018 6/20/2018 7/18/2018
 MMR
AMV

REMARKS

11/22/2017 4/27/2018
9/20/2017 1/17/2018
11/22/2017 2/21/2018
11/22/2017 3/21/2018
3-15-17Ne 1/17/2018
10/18/2017 1/17/2018
1/17/2018
1/17/2018 4/18/2018
1/17/2018 4/18/2018
3/21/2018 7/18/2018
4/18/2018 7/18/2018
3/28/2018 7/18/2018
4/18/2018 7/18/2018
5/18/2018
4/27/2018 7/18/2018
5/16/2018

t.o.
NAME OF BHC: NAME OF BRGY:

NAME OF MIDWIFE: NAME OF BHW:

PREPARED BY:

NO NAME OF CHILD SEX BIRTHDATE MOTHER'S NAME

1 Monticalvo Carl Nathaniel M 10/4/2016 Leslie

2 Acedillo Gregory M 11/17/2016 Hellen Grace
3 Baltazar Jay-V M 2/7/2017 Sharmaine
4 Gonzales King Jhameela M 12/7/2016 Lovelyn
5 Dela Cruz Chris Raymond M 2/25/2017 Cindy
6 Panlilio Zack Riel M 5/6/2017 Honey
7 De Lara Princess F 8/9/2016 Lorena
8 Santos Jheeio Mate M 12/16/2016 Romina
9 Nepomuceno Prince Kevin M 4/23/2017 Lizalyn
10 Talusan Akeisha Kairra F 3/21/2017 jhesca Anne
11 Mendoza Ana Sofia F 5/21/2017 Monica
12 Ileto Ayahnna F 5/25/2017 Bernadeth
13 Marquez Rose Jane F 12/30/2016 Jenny
14 Rebadaja Gia Patrice F 7/30/2017 Giselle
15 Avelin John Nigel M 7/9/2017 Ronalyn
16 San Juan Brylle Kylie M 8/16/2017 Hazeline
17 Cea Raylie Anne F 8/26/2017 Ann Michelle
18 Pajela Melandro Jr. M 10/12/2017 Melody
19 Rebvotoc Miguel M 10/14/2017 Annalyn
20 Galvez Elisa Beth F 10/16/2017 Jonelyn
21 Magbanwa Kyle Justin M 10/17/2017 Lea
22 Angeles Mhir David M 11/4/2017 Hazel
23 Cruz Khia May F 1/7/2018 Shiela Mae
24 Perez Kiel Inigo M 1/10/2018 Abegail
Jan=2018 Bcg=M-1=F-1 Hepab=M-1=F-1 Penta2=M-2=F-1 Penta3=M-1
Feb.2018 Penta1=F-1 Penta2= M-1 Penta3= M-1=F-1 Pcv1=F-1
Mar.2018 Penta1=M-1 Penta2=F-1
28 Asaytono John Iron M 4/3/2018 Josephine
29 Nicolas Prince Mikael M 4/1/2018 Mia
April=2018 Bcg=M-2 MMr=M-2
31 Mariano Kenjie F 4/24/2018 Jermie
May=2018 Penta3=F-1 Pcv3=F-1 Opv3=F-1
33 Versales Kyle Alexis M 5/23/2018 Marica
34
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37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
 DEFAULTERS MASTERLIST

NAME OF PUROK:

DATE OF COMPLETION:

PENTA
HEPA
BCG

ADDRESS
B
1 2 3
P-3 10-5-16bdh 10-5-16bdh 12/15/2016 2/15/2017 3/15/2017
P-3 12/21/2016 1/18/2017 2/15/2017 3/15/2017
P-3 2/15/2017 5/17/2017 7/19/2017 2/21/2018
P-3 12/7/2016 12/7/2016 2/15/2017 3/15/2017 4/17/2017
P-3 2/25/2017 2/25/2017 4/17/2017 5/17/2017 7/19/2017
P-3 5/17/2017 7/19/2017 8/16/2017 10/18/2017
P-3 8/15/2016 11-9-16mlamg 4/17/2017 5/17/2017
P-3 12-28-16lyn 12-21-16lyn 6/21/2017 7/19/2017 9/20/2017
P-3 4-23-17bmc 4-23-17bmc 6/21/2017 7/19/2017 8/16/2017
P-3 3/23/2017 3/23/2017 5/18/2017 6/21/2017 7/19/2017
P-3 5-21-17cvite 5-21-17cvite 7/12/2017 8/12/2017 9/9/2017
P-3 6-6-17snh 6-6-17snh 7/19/2017 8/16/2017 9/20/2017
P-3 5/18/2017 8/16/2017 9/20/2017
P-3 7/30/2017 7/30/2017 9/20/2017 10/18/2017 11/22/2017
P-3 7/4/2017 7/4/2017 9/20/2017 10/18/2017 11/22/2017
P-3 10/18/2017 11/22/2017 1/17/2018
P-3 10/18/2017 11/22/2017 12/20/2017
P-3 10/19/2017 12/20/2017 1/17/2018 2/21/2018
P-3 10-14-17bmc 10-14-17bmc 12/20/2017 1/17/2018
P-3 10/20/2017 10/20/2017 12/20/2017 1/17/2018 2/21/2018
P-3 10/17/2017 10/17/2017 12/20/2017 2/21/2018 3/21/2018
P-3 12/20/2017 11/4/2017 12/20/2017
P-3 1/18/2018 1/9/2018 2/21/2018 3/21/2018 5/16/2018
P-3 1/18/2018 1/17/2018 3/21/2018
Pcv2=M-2=F-1 Pcv3=M-1 Opv2=M-2=F-1 Opv3=M-1 Ipv=M-1 Mv=M-1
Pcv2=M-1 Pcv3=M-1=F-1 Opv1=F-1 Opv2=M-1 Opv3=M-1=F-1 Ipv=M-1=F-1
PCV1=M-1 Pcv2=F-1 Pcv3=M-1 Opv1=M-1 Opv2=F-1 Opv3=M-1
P-3 4/18/2018 6/20/2018 7/18/2018
P-3 4/18/2018 5/16/2018 6/20/2018 7/18/2018

P-3 5/2/2018 6/20/2018

Ipv=F-1 Mv=M-1=F-1 Fic=M-1=F-1 MMr=M-1
P-3 5-20-18=bmc 5-20-18=bmc 7/18/2018
MASTERLIST

PCV OPV
1 2 3 1 2 3
12/15/2016 5/17/2017 10/18/2017 12/15/2016 2/15/2017 3/15/2017
1/18/2017 4/17/2017 5/17/2017 1/18/2017 2/15/2017 3/15/2017
5/17/2017 7/19/2017 2/21/2018
2/15/2017 3/15/2017 4/17/2017
9/20/2017 11/23/2017 1/17/2018 4/17/2017 5/17/2017 7/19/2017
7/19/2017 8/16/2017 10/18/2017
10-12-16mlamg 11-9-16mlamg 12-14-16mlamg
6/21/2017 7/19/2017 9/20/2017
6/21/2017 7/19/2017 8/16/2017
5/18/2017 6/21/2017 7/19/2017
7/14/2017 8/12/2017 9/9/2017 7/14/2017 8/12/2017 9/9/2017
7/19/2017 8/16/2017 9/20/2017
5/18/2017 8/16/2017 9/20/2017
9/20/2017 10/18/2017 11/22/2017
9/20/2017 10/18/2017 11/22/2017
10/18/2017 11/22/2017 1/17/2018 10/18/2017 11/22/2017 1/17/2018
10/18/2017 11/22/2017 12/20/2017 10/18/2017 11/22/2017 12/20/2017
12/20/2017 1/17/2018 2/21/2018 12/20/2017 1/17/2018 2/21/2018
12/20/2017 1/17/2018 12/20/2017 1/17/2018
12/20/2017 1/17/2018 2/21/2018 12/20/2017 1/17/2018 2/21/2018
12/20/2017 2/21/2018 3/21/2018 12/20/2017 2/21/2018 3/21/2018
12/20/2017 12/20/2017
2/21/2018 3/21/2018 5/16/2018 2/21/2018 3/21/2018 5/16/2018
3/21/2018 3/21/2018
Fic=M-1
Mv=M-2=F-1 Fic=M-1=F-1 Cic=M-1
Ipv=M-1 Mv=M-1=F-1 Fic=M-1=F-1 MMr=M-2=F-1
6/20/2018 7/18/2018 6/20/2018 7/18/2018
5/16/2018 6/20/2018 7/18/2018 5/16/2018 6/20/2018 7/18/2018

6/20/2018 6/20/2018
7/18/2018 7/18/2018
 MMR
AMV

REMARKS
IPV

3/15/2017 7/19/2017 4/27/2018

3/15/2017 8/17/2017
2/21/2018 2/21/2018 3/28/2018 cic
4/17/2017 9/20/2017 1/17/2018
7/19/2017 1/17/2018 3/28/2018
10/18/2017 3/21/2018 5/16/2018
12-14-16mlamg 6/21/2017
9/20/2017 9/20/2017 4/27/2018
8/16/2017 2/21/2018 5/16/2018
7/19/2017 12/20/17lost rep feb-18 3/21/2018
9/9/2017 given in private given in private
9/20/2017 3/21/2018 6/20/2018
9/20/2017
11/22/2017 5/16/2018
11/22/2017
1/17/2018 5/16/2018
12/20/2017 6/20/2018
2/21/2018

2/21/2018
3/21/2018
tocatacte
5/16/2018
NAME OF BHC: NAME OF BRGY:

NAME OF MIDWIFE: NAME OF BHW:

PREPARED BY:

MOTHER'S
NO NAME OF CHILD SEX BIRTHDATE ADDRESS
NAME
1 Blanco Rylle Kahlix M 12/16/2016 Kristel P-4
2 Escal Ellick Denver M 12/30/2016 Reina P-4
3 Lubiano Athena Fhaye F 12/5/2016 Eva P-4
4 Dino Mark Aldrick M 3/11/2017 Algrace P-4
5 Manalastas Arkeisha Ceana F 3/29/2017 Acezel P-4
6 Pineda Julissa Amarie F 4/22/2017 Maricris P-4
7 Magat Yumiko Jewel F 10/20/2016 Gina P-4
8 Cruz Tiffany Rae F 3/7/2017 Sofia Ann P-4
9 Galvez Miel Jillian F 9/9/2017 Monica P-4
10 Hernandez Kim Justin F 8/26/2017 Jaquiline P-4
11 Galang Xarene F 11/27/2017 Rose Marie P-4
Jan=2018 Penta1=F-1 Penta3=F-1 PCV1=F-1 PCV3=F-1
13 Santos Jhon Renz M 4/24/2017 Theressa P-4
14 Roque Ivie Brooklyn F 2/8/2018 Cherry P-4
Feb.2018 Bcg=F-1 Hepab=F-1Penta2=F-1 PCV2=F-1 Opv2=F-1 Mv=F-2
16 Flores Crystal Maiden F 1/28/2018 Racel P-4
Mar2018 Bcg=F-1bmc Hepab=F-1bmc Penta1=F-1 PCV1=F-1
April 2018 Penta1=F-1 Penta2=F-1 PCV1=F-1 Pcv2=F-1
May=2018 Penta2=F-1 Penta3=F-1 Pcv2=F-1 Pcv3=F-1
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 DEFAULTERS MASTERLIST

NAME OF PUROK:

DATE OF COMPLETION:

PENTA PCV
HEPA
BCG

1 2 3 1 2
12/21/2016 12/27/2016 2/15/2017 3/15/2017 4/17/2017
1/18/2017 2/15/2017 3/15/2017 4/17/2017
12-5-16bmc 3/15/2017 4/17/2017 5/18/2017
3/22/2017 3/15/2017 5/17/2017 6/21/2017 9/20/2017
3-30-17castro 3-30-17castro 5/17/2017 6/20/2017 7/26/2017 5/17/2017 6/20/2017
5/17/2017 7/19/2017 8/16/2017 12/20/2017
12-21-16pamp 12-27-16pamp 12-7-16pamp 1-11-17pamp 2-7-17pamp 2-15-17pamp 3-15-17pamp
3-7-17bdh 3-7-17bdh 5/18/2017 6/21/2017 7/19/2017
9-9-17bmc 11/22/2017 12/20/2017 1/17/2018 11/22/2017 12/20/2017
8-26-17bdh 8-26-17bdh 10/18/2017 11/16/2017 12/20/2017 10/18/2017 11/16/2017
11/29/2017 11/29/2017 1/17/2018 2/21/2018 3/21/2018 1/17/2018 2/21/2018
Opv3=F-1 IPV=F-1 MMR=M-1
7/24/17paltok 7/24/17paltok 8/22/17paltok 9/22/17paltok 8/22/17paltok 9/22/17paltok
2/14/2018 2-8-18snh 4/18/2018 5/16/2018 4/18/2018 5/16/2018
Fic=F-2 MMR=F-1
1-28-18bmc 1-28-18bmc 3/21/2018 4/18/2018 5/16/2018 3/21/2018 4/18/2018
Pcv3=F-1 Opv1=F-1 Opv3=F-1 Ipv=F-1
Opv1=F-1 Opv2=F-1 MMR=M-1
Opv2=F-1 Opv3=F-1 Ipv=F-1 MMR=M-1=F-2
PCV OPV

AMV
IPV
3 1 2 3
2/15/2017 3/15/2017 4/17/2017 4/17/2017 9/19/2017
2/15/2017 3/15/2017 4/17/2017 4/17/2017 10/18/2017
3/15/2017 4/17/2017 5/18/2017 5/18/2017 9/19/2017
5/17/2017 6/21/2017 9/20/2017 9/20/2017 12/20/2017
7/26/2017 5/17/2017 6/20/2017 7/26/2017 7/26/2017
7/19/2017 8/16/2017 12/20/2017 12/20/2017 2/21/2018
5/17/2017 12-7-16pamp 1-11-17pamp 2-7-17pamp
5/18/2017 6/21/2017 7/19/2017 7/19/2017 2-8-18private
1/17/2018 11/22/2017 12/20/2017 1/17/2018 1/17/2018 6/20/2018
12/20/2017 10/18/2017 11/16/2017 12/20/2017 12/20/2017
3/21/2018 1/17/2018 2/21/2018 3/21/2018 3/21/2018

2/21/2018 7/24/17paltok 8/22/17paltok 9/22/17paltok 9/22/17paltok 2/21/2018

4/18/2018 5/16/2018

5/16/2018 3/21/2018 4/18/2018 5/16/2018 5/16/2018

MMR

REMARKS

5/2/2018
1/17/2018
2/28/2018
4/26/2018
transplant
5/8/2018
to pampanga
5/16/2018

6/20/2018
NAME OF BHC: NAME OF BRGY:

NAME OF MIDWIFE: NAME OF BHW:

PREPARED BY:

MOTHER'S
NO NAME OF CHILD SEX BIRTHDATE ADDRESS
NAME
1 Sargento Samantha Nicole M 4/8/2016 Jackie P-5
2 Cruz Michella Elyzia F 1/17/2017 Emiluz P-5
3 Ramirez Mark Drake M 12/22/2016 Jocelyn P-5
4 Guansing Sanya Ellie F 5/23/2017 Sheena P-5
5 Yabut Yvon F 7/29/2017 Ma. April P-5
6 Castro Austine Franco M 7/8/2017 Lea P-5
7 Bartolome Amanda Jass F 10/21/2017 Joy P-5
8
Jan=2018 Penta2=F-1 PCV2=F-1 MMR=M-1=F-1
10 Dela Cruz Kyriene faye F 12/27/2017 Maricar P-5
11 Mendoza Claire F 7/2/2017 Connie P-5
Feb.2018 Bcg=F-1 Hepab=F-1 Penta1=F-1 Penta3=F-2 PCV1=F-1
Mar2018 Penta2=F-1 Pcv2=F-1 Opv2=F-1
April=2018 Penta3=F-1 PCV3=F-1 Opv3=F-1 Ipv=F-1
May=2018 Mv=F-1 M-1 Private Fic=F-1=M-1 Private
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 DEFAULTERS MASTERLIST

NAME OF PUROK:

DATE OF COMPLETION:

PENTA PCV
HEPA
BCG

1 2 3 1
4-14-16bdh 4-8-16bdh 6/16/2016 7/21/2017 8/18/2016 1/18/2017
2/8/2017 1/24/2017 3/8/2017 4/7/2017 5/10/2017 3/8/2017
12/23/2016 12/23/2016 2/15/2017 3/15/2017 4/17/2017 10/18/2017
5/31/2017 5/25/2017 7/9/2017 8/9/2017 9/9/2017 7/9/2017
7-30-17castro 7-30-17castro 9-11-17castro 10/9/2017 11/28/2017 9/25/2017
7-12-17rhu 7-12-17rhu 9-20-17tnawan 10/25/2017 12/8/2017 10/4/2017
10/22/2017 10/22/2017 12/15/2017 1/26/2018 2/27/2018 12/15/2017

1/10/18snh 1/10/18snh 2/21/2018 3/21/2018 4/18/2018 2/21/2018

7/13/17tibag 7/2/17tibag 11/14/17tibag 12/14/17tibag 2/21/2018
PCV3=F-1 Opv1=F-1 Opv3=F-2 Ipv=F-2 Mv=F-1 Fic=F-1

Mv=F-1 Fic=F-1
T

PCV OPV

IPV
2 3 1 2 3
8/17/2017 2/21/2018 6/16/2016 7/21/2017 8/18/2016
4/7/2017 5/10/2017 3/8/2017 4/7/2017 5/10/2017 5/10/2017
11/21/2017 1/31/2018 2/15/2017 3/15/2017 4/17/2017 4/17/2017
8/9/2017 9/9/2017 7/9/2017 8/9/2017 9/9/2017 9/9/2017
11/28/2017 1/29/2018 9-11-17castro 10/9/2017 11/28/2017 11/28/2017
12/8/2017 1/24/2018 9-20-17tnawan 10/25/2017 12/8/2017 12/8/2017
1/26/2018 2/28/2018 12/15/2017 1/26/2018 2/27/2018 2/27/2018

3/21/2018 4/18/2018 2/21/2018 3/21/2018 4/18/2018 4/18/2018

11/14/17tibag 12/14/17tibag 2/21/2018 2/21/2018
MMR=F-1
 MMR
AMV

REMARKS

1/18/2017 2/21/2018
10/18/2017 1/17/2018
10/18/2017 1/31/2018
2/28/2018 7/12/2018
5/24/2018
5-17-18private

4/30/2018
NAME OF BHC: NAME OF BRGY:

NAME OF MIDWIFE: NAME OF BHW:

PREPARED BY:

MOTHER'S
NO NAME OF CHILD Sex BIRTHDATE ADDRESS
NAME
1 Terga Aljohn M 2/20/2016 Jenalyn P-6
2 Ting Sophia Isabelle F 1/10/2017 Ivy Rose P-6
3 Pabuna Anea Miles F 3/7/2017 Jonalyn P-6
4 Juan Rafael M 4/2/2017 Rose Marie P-6
5 Operiano Shaina Mae F 6/20/2017 Julie Ann P-6
6 Aureada Shaira Mae F 5/31/2017 Hyra P-6
7 Samson Isabelle Mae F 5/24/2017 Princess P-6
8 Eduarte Ashlie Zhanne F 7/9/2017 Mary Grace P-6
9 Esmas Gelyn F 7/20/2017 Marivel P-6
10 Nepomuceno Mia Aleina F 1/12/2017 Mildred P-6
11 Dino Brent Khailer M 8/18/2017 Raquel P-6
12 Mercado Julian Irie M 9/22/2017 Julie P-6
13 Templado John Rheniel M 9/16/2017 Rose P-6
14 Descallar Kiara F 11/1/2017 Liza P-6
15 Dionisio Devin Maxgrey M 8/24/2017 Sarah Mae P-6
16 Delos Reyes Nino Paulo M 1/15/2018 Armida P-6
Jan=2018 Bcg=M-1 Hepab=M-1 Penta1=M-1 Penta2=M-1 Penta3=M-2
18 Dupalco Sophia Ysabelle 1/12/2018 Lenie P-6
Feb.2018 Penta2=F-1 Penta3=M-1 Pcv2=F-1 Pcv3=M-1 Opv2=F-1
20 Iliw- Iliw Prince Alden M 1/22/2018 Baby Jane P-6
21 Iliw- Iliw Prince Alvin M 1/22/2018 Baby Jane P-6
22 Claveria French Sherwin M 2/3/2018 Ging-ging P-6
Mar2018 Bcg=M-1bdh=M-2 Hepab=M-3bdh Penta1=M-4=F-1 Penta3=F-1
April=2018 Penta2=M-2=F-1 Pcv2=M-2=F-1 Opv2=M-2=F-1
May=2018 Penta2=M-1 Penta3=M-1=F-1 Pcv2=M-1 Pcv3=M-1=F-1
26 Mislos Rayzen M 5-18-18 Anabelle P-6
27
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 DEFAULTERS MASTERLIST

NAME OF PUROK:

DATE OF COMPLETION:

PENTA PCV
HEPA
BCG

1 2 3 1
3-16-16cam 4-20-16cam 6/16/2016 10/20/2016 11/17/2016
1/20/2017 1-10-17lyn 4/17/2017 5/17/2017 6/21/2017
3-7-17bdh 3-7-17bdh 5/17/2017 6/21/2017 7/19/2017
7/12/2017 6/21/2017 8/16/2017 10/18/2017
7/12/2017 8/16/2017 9/20/2017 10/18/2017
7/12/2017 7/19/2017 8/16/2017 10/18/2017
5/25/2017 5/24/2017 7/19/2017 8/16/2017 9/20/2017
7-12-17bmc 7-12-17bmc 9/20/2017 10/18/2017 11/22/2017
8-1-17masbate 7/25/2017 9/20/2017 10/18/2017 11/22/2017
2/13/2017 3/15/17catacte 4/19/17catacte 5-17-17catacte 4-19-17catacte
8-19-17castro 8-18-17castro 10/18/2017 12/20/2017 1/17/2018 10/18/2017
9-25-17lyn 9-22-17lyn 11/22/2017 12/20/2017 1/17/2018 11/22/2017
12/20/2017 12/20/2017 1/17/2018 2/21/2018 12/20/2017
11/1/17bdh 11/1/17bdh 12/20/2017 2/21/2018 3/21/2018 12/20/2017
8/24/2017 1/17/2018 1/17/2018
1/18/2017 1/22/2018 3/21/2018 4/18/2018 5/16/2018 3/21/2018
Pcv1=M-1 Pcv2=M-1 Opv1=M-1 Opv2=M-1 Opv3=M-2
1/12/18bmc 1/12/18bmc 3/21/2018 4/18/2018 5/16/2018 3/21/2018
Opv3=M-1 Ipv=M-1 Mv=F-2 Fic=F-2 Mmr=F-1
3/21/2018 1-22-18bdh 3/21/2018 4/18/2018 6/20/2018 3/21/2018
3/21/2018 1-22-18bdh 3/21/2018 6/20/2018 3/21/2018
2/4/18bdh 2/3/18bdh 3/21/2018 5/16/2018 6/20/2018 3/21/2018
PCV1=M-4=F-1 Pcv3=F-1 Opv1=M-4=F-1 Opv3=F-1 Ipv=F-1 Mv=M-1=F-3

Opv2=M-1 Opv3=M-1=F-1 Ipv3=M-1=F-1

6-20-18
 PCV OPV

IPV
2 3 1 2 3
5/17/2017 6/16/2016 10/20/2016 11/17/2016 11/17/2016
4/17/2017 5/17/2017 6/21/2017 6/21/2017
5/17/2017 6/21/2017 7/19/2017 7/19/2017
6/21/2017 8/16/2017 10/18/2017 10/18/2017
8/16/2017 9/20/2017 10/18/2017 10/18/2017
7/19/2017 8/16/2017 10/18/2017 10/18/2017
7/19/2017 8/16/2017 9/20/2017 9/20/2017
9/20/2017 10/18/2017 11/22/2017 11/22/2017
9/20/2017 10/18/2017 11/22/2017 11/22/2017
5-17-17catacte 9-20-17catacte 3/15/17catacte 4/19/17catacte 5-17-17catacte
12/20/2017 1/17/2018 10/18/2017 12/20/2017 1/17/2018 1/17/2018
12/20/2017 1/17/2018 11/22/2017 12/20/2017 1/17/2018 1/17/2018
1/17/2018 2/21/2018 12/20/2017 1/17/2018 2/21/2018 2/21/2018
2/21/2018 3/21/2018 12/20/2017 2/21/2018 3/21/2018 3/21/2018
1/17/2018
4/18/2018 5/16/2018 3/21/2018 4/18/2018 5/16/2018 5/16/2018
Ipv=M-2 Mmr=F-1
4/18/2018 5/16/2018 3/21/2018 4/18/2018 5/16/2018 5/16/2018

4/18/2018 6/20/2018 3/21/2018 4/18/2018 6/20/2018 6/20/2018

6/20/2018 3/21/2018 6/20/2018
5/16/2018 6/20/2018 3/21/2018 5/16/2018 6/20/2018 6/20/2018
Fic=F-2 CIC=M-1=F-1
 MMR
AMV

REMARKS

5/17/2017
10/18/2017 1/17/2018
2/28/2018
4/27/2018 7/18/2018 CIC
3/21/2018 7/18/2018
4/27/2018 CIC
2/28/2018 6/20/2018
4/18/2018 7/18/2018
4/18/2018
10/18/2017 2/21/2018
7/18/2018
7/18/2018
NAME OF BHC: NAME OF BRGY:

NAME OF MIDWIFE: NAME OF BHW:

PREPARED BY:

MOTHER'S
NO NAME OF CHILD SEX BIRTHDATE NAME
1 San Diego Jazmine F 1/7/2016 Janet
2 Rodriguez Denice Ann F 4/2/2016 Rose Ann
3 Santos JV M 7/25/2016 Vilma
4 Bautista Princess Gabbie F 10/10/2016 Abegail
5 Remias Precious Syra F 10/4/2016 Emily
6 Labuan Khaina Reign F 3/30/2017 Annaliza
7 Dino Hailey Dennice F 2/14/2017 Haide
8 De Vera Angela F 3/28/2017 Annie
9 Grijaldo Jane Mariz F 4/27/2017 Mary Jane
10 Arevalo Jacob Kyronn M 5/18/2017 Aireen Kate
11 Bagay Danaya Jairah F 4/26/2017 Jacquinlyn
12 Estrada Abrianna Kamile F 8/22/2017 Annalisa
13 Santiago Marco Jordan M 7/30/2017 Marissa
14 Lansangan James Reed M 10/4/2017 Catherine
15 Dosal Cyrill Mae F 10/21/2017 Lea
16 Abante Jace Alexander M 10/17/2017 Mylene
17 Isidro Jeydy M 12/15/2017 Sarah
18 Pasa Justine M 11/5/2017 Ritchel
Jan=2018 Penta1=M-1=Penta2=M-1 PCV1=M-1 pcv2=m-1
Feb.2018 Penta1=M-1=F-1 Penta2=M-2 Penta3=M-1=F-1 Pcv1=M-1=F-1
Mar2018 Penta2=M-1 Penta3=M-2 Pcv2=M-1
Apri=2018 Mmr=F-2
22 Manlangit Cresel Mae F 4/30/2018 Venus
23 Galvez Ayesha Joyce F 3/5/2018 Jocelyn
May=2018 Bcg=F-1 1-f private Hepa b-after F-1 Penta1=F-1
26 Omeriada Prince kyle M 4/8/2017 Manilyn
27 Bonion Roniel M 5-29-18 Mary Jane
28 Baltazar Jeuseff M 5/19/2018 Sharmaine
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59
60
61
62
 DEFAULTERS MASTERLIST

AME OF BRGY: NAME OF PUROK:

AME OF BHW: DATE OF COMPLETION:

PENTA
HEPA
BCG

ADDRESS
B 1 2 3
p-7 6/9/2016 3/16/2016 5/19/2016 8/31/2016
p-7 6/16/2016 5/19/2016 6/16/2016 12/15/2016
P-7 12/21/2016 12/15/2016 1/18/2017 2/15/2017
p-7 12/21/2016 12/15/2016 1/18/2017 4/17/2017
p-7 12/15/2016 1/18/2017 2/15/2017
p-7 5/17/2017 5/17/2017 6/21/2017 7/19/2017
p-7 2-14-17castro 2-17-17castro 5/17/2017 6/21/2017 7/19/2017
p-7 3-28-17bmc 3-28-17bmc 5/18/2017 7/19/2017 8/16/2017
p-7 9/20/2017 7/1/1917 9/20/2017 10/18/2017
P-7 5-29-17snh 5-29-17snh 7/19/2017 8/16/2017 9/20/2017
p-7 8/17/2017 4-26-17bdh 8/16/2017 10/18/2017 11/22/2017
p-7 9/20/2017 8-22-17bdh 10/18/2017 11/22/2017 2/21/2018
P-7 8-9-17snh 8-9-17snh 9/20/2017 10/18/2017 12/29/2017
P-7 11/22/2017 10-5-17lyn 11/22/2017 2/21/2018 3/21/2018
p-7 11/22/2017 11-21-17bch 2/21/2018
P-7 10-17-17bdh 10-17-17bdh 12/20/2017 1/17/2018 2/21/2018
P-7 12-15-17bmc 12-15-17bmc 2/21/2018 3/21/2018 6/20/2018
P-7 11-10-17lyn 11-6-17lyn 1/17/2018 2/21/2018 3/21/2018
Mv=F-2 Fic=F-2
Pcv2=M-2=F-1 Pcv3=M-1 OPV1=M-1=F-1 OPV2=M-2 OPV3=M-1=F-1 Ipv=M-1=F-1
Pcv3=M-2=F-1 OPV2=M-1 OPV3=M-2 Ipv=M-2 Mv=F-1 Fic=F-1

P-7 5/16/2018 6/20/2018 7/18/2018

P-7 3/14/18snh 3/14/18snh 5/17/2018 6/20/2018 7/18/2018
Pcv1=F-1 OPV1=F-1 Mv=M-1 Fic=M-1
P-7 8-20-17=Bdh 8-20-17=Bdh 11-10-17=sanmiguel 12-13-17 san miguel

P-7 5-29-18=bdh 5-29-18=bdh

P-7 7/18/2018 7/18/2018
MASTERLIST

PCV OPV
1 2 3 1 2 3
5/19/2016 8/31/2016 10/20/2016 3/16/2016 5/19/2016 8/31/2016
5/19/2016 6/16/2016 12/15/2016
12/15/2016 1/18/2017 9/13/2017 12/15/2016 1/18/2017 2/15/2017
12/15/2016 1/18/2017 4/17/2017 12/15/2016 1/18/2017 4/17/2017
12/15/2016 1/18/2017 5/17/2017 12/15/2016 1/18/2017 2/15/2017
5/17/2017 6/21/2017 7/19/2017
5/17/2017 6/21/2017 7/19/2017
5/18/2017 7/19/2017 8/16/2017
7/1/1917 9/20/2017 10/18/2017
7/19/2017 8/16/2017 9/20/2017
8/16/2017 10/18/2017 11/22/2017
11/21/18lostfeb-18 2/21/2018 3/21/2018 10/18/2017 11/22/2017 2/21/2018
9/20/2017 10/18/2017 12/29/2017 9/20/2017 10/18/2017 12/29/2017
11/22/2017 2/21/2018 3/21/2018 11/22/2017 2/21/2018 3/21/2018
2/21/2018 2/21/2018
12/20/2017 1/17/2018 2/21/2018 12/20/2017 1/17/2018 2/21/2018
2/21/2018 3/21/2018 6/20/2018 2/21/2018 3/21/2018 6/20/2018
1/17/2018 2/21/2018 3/21/2018 1/17/2018 2/21/2018 3/21/2018

Mv=M-1=F-1 Fic=M-1=F-1 Mmr=F-1

6/20/2018 7/18/2018 6/20/2018 7/18/2018

5/17/2018 6/20/2018 7/18/2018 5/17/2018 6/20/2018 7/18/2018

1-11-18 san miguel 11-10-17=sanmiguel 12-13-17 san miguel 1-11-18 san miguel 11-10-17=sanmiguel 12-13-17 san miguel

7/18/2018 7/18/2018
 MMR
AMV

REMARKS
IPV

10/20/2016

2/15/2017 7/19/2017
4/17/2017 7/19/2017
2/15/2017 7/19/2017 4/28/2018 mmrlost to be rep may2018

7/19/2017 1/17/2018 4/18/2018

7/19/2017 11/22/2017 2/21/2018
8/16/2017 1/17/2018 4/18/2018
10/18/2017 2/21/2018
9/20/2017 2/21/2018 6/20/2018
11/22/2017 3/21/2018
2/21/2018 6/20/2018
12/29/2017 5/2/2018
3/21/2018

2/21/2018
6/20/2018
3/21/2018

7/18/2018

1-11-18 san miguel 1-11-18 san miguel 6-20-18

 TARGET CLIENT LIST FOR FAMILY PLANNING
1 ROSALIE Catherine Cruz Briguerra 2/13/1986 32 PILL
2 Helen Parayno Nepomuceno 6/12/1980 38 PILL
3 Lucena Galvez 1/18/1983 35 BTL
4 Perla Ramos Melencio 10/16/1971 47 BTL
5 Cecilyn Austria Santiago 1/15/1984 34 BTL
6 Loreta Cruz Sulayao 10/5/1969 49 BTL
7 Yolanda Hernandez Silungan 7/4/1974 44 BTL
8 Malou Hernandez Ramos 4/28/1983 35 BTL
9 Caren Cruz Pascual 4/25/1993 25 PILL
10 CLARITA Castillo Joana Teodoro 1/24/1982 36 BTL
11 Abarri Ma. Doris Valderama 12/31/1976 42 PILL
12 Dela Cruz Janneth Daquiz 9/6/1979 39 DMPA
13 Perez Dianna Rose 4/30/1992 26 DMPA
14 MARING Alicia Cruz Hijanda 9/28/1979 39 BTL
15 Eliza Cruz Reyes 6/14/1981 37 BTL
16 MANE Cristobal Manilyn Banaga 9/3/1988 30 INPLANT
17 Perez Remedios Simbula 1/28/1988 30 PILL
18 Lagnason Janice Alsarce 6/26/1985 33 INPLANT
19 Perez Monica Perez 12/27/1993 25 INPLANT
20 Ocasta Emily Perez 11/22/1979 39 BTL
21 Julie Francisco 7/8/1997 21 BTL
22 BEVERLY Dela Cruz Rose Ann 4/4/1993 25 PILL
23 Tandunga Princess Shiela Mae 6/19/1997 20 DMPA
24 Perez Rowena Paulino 2/28/1975 43 PILL
25 Bautista Sharmaine Carla Valmoceno 11/30/1995 23 PILL
26 Sioson Jocelyn Ilagan 11/15/1989 29 PILL
27 Ramos Jenalyn Sioson 12/16/1987 31 INPLANT
28 Sioson Dulce Laceda 12/24/1979 39 PILL
29 Labastilla Hellen Grace Magbanva 9/20/1992 26 PILL
30 Cabillo Gina Mutia 5/29/1977 41 BTL
31 Javier Anna Marie Cruz 1/2/1982 36 PILL
32 Basa Shanny Saya 5/14/1983 35 INPLANT
33 Macabenta Gina Aldohesa 7/31/1982 36 BTL
34 Sioson Lealyn Ilagan 2/11/1992 26 PILL
35 Bocado Beverly Pritos 9/13/1992 26 INPLANT
36 OMA Jennica Tamayo Santos 2/21/1997 21 PILL
37 Michelle Alfabeto Dela Cruz 7/5/1983 35 PILL
38 Revie Esteban San Diego 7/19/1980 38 PILL
39 Gina Troyo Brugata 4/3/1971 47 BTL
40 Shiela May SR Cruz 8/24/1993 25 BTL
41 PIA Armida Cruz Cruz 5/31/1971 47 BTL
42 Baby Linda Perez Factor 12/28/1983 35 PILL
43 Selween Santos Roldan 11/16/1979 39 PILL
44 Jhen Chen De Lara 8/7/1989 29 PILL
45 Rizza Lajarteja Dela Peῆa 12/30/1973 45 BTL
46 Marivic Cruz Camba 12/23/1970 48 BTL
47 Vanessa Gabriel Navarro 3/27/1984 34 PILL
48 Marilou Toledo Cadiz 12/28/1970 48 BTL
49 Marilyn Dettellos Ilagan 6/24/1977 41 BTL
50 Precilla Paulino Galvez 8/7/1976 42 BTL
51 Sofia Ann Felipe Paulino 7/28/1983 35 DMPA
52 Wylene Beltran Pineda 5/3/1990 28 DMPA
53 Maricris Cruz Venturina 12/24/1994 24 INPLANT
54 GOYA Maximo Marissa C 10/19/1972 46 PILL
55 Nepomuceno Esmeralda Panganiban 2/28/1975 43 BTL
56 Ramos Marjorie Escal 11/21/1986 32 IUD
57 Mangahas Rita Hernandez 6/5/1990 28 PILL
58 Santos Ma. Luisa Castro 12/9/1975 43 BTL
59 Paggao Karen Cruz 1/1/1977 40 DMPA
60 De Vera Carla Cuz 2/7/1981 36 BTL
61 Cabahug Evelyn Pepito 11/28/1979 39 BTL
62 Florez Jocelyn Tayam 5/26/1985 33 BTL
63 Hernandez Jovylyn Florez 11/6/1982 35 BTL
64 Aquino Loida Salazar 2/17/1973 45 BTL
65 Cruz Melanie Serra 6/17/1974 44 IUD
66 Hernandez Elizabeth Advincula 8/18/1981 37 PILL
67 LENY Georgina Magdayao Salva 6/4/1978 40 BTL
68 Evangeline Navarro Cruz 10/27/81 37 PILL
69 Jocelyn Santos Santos 3/4/1971 47 PILL
70 Edna Daquiz Santos 8/5/1985 33 PILL
71 Rialie Siapco Ramirez 10/2/1980 38 DMPA
72 Jimberlyn Cruz Ulbata 06/16/80 38 PILL
73 Rea Rin Parado 05/31/88 30 PILL
74 LITA Jovilyn Balanay Santos 1/6/1983 35 BTL
75 CHONA Delos Reyes Cristina Ramos 11/19/77 41 BTL
76 Cruz Jenny Vicente 10/3/1985 33 PILL
77 Jatulan Daisy Solsona 2/12/1973 45 BTL
78 Diῆo Marilyn Marcelino 6/28/78 40 DMPA
79 Arlene Solsona 4/10/1982 36 PILL
80 Dela Cruz Marivic Baranda 5/4/1980 38 BTL
81 Lotivio Marie Cristobal 3/30/73 45 BTL
82 Nepomuceno Melissa Panganiban 8/15/94 24 PILL
83 ROSITA Remies Emely 1/28/1992 26 PILL
84 Capua Myra 12/9/1987 31 PILL
85 Lopez Jinky 4/28/1994 24 PILL
86 Lopez Belen 8/28/1978 40 BTL
87 Analee Bangcaya 6/10/1980 37 BTL
88 Ma. Luisa Nepomoceno 3/21/1989 28 PILL
89 Corpuz Joyce 7/7/1984 34 PILL
90 Ablao Angelita 11/8/1981 37 BTL
91 Salamat Elena 6/24/1979 39 BTL
92 Reyes Jonalyn 4/27/1987 31 PILL
93 Rodriguez Rose Ann 11/9/1993 25 PILL
94 CatherineLansangan 10/20/1991 27 PILL
95 Oarde Liezel 11/11/1977 41 CONDOM
96 Bonion Maricel 6/24/1987 31 DMPA
97 Abasola Lovely Joy 1/31/1990 28 PILL
98 Norbato Joanna Rose 6/10/1990 28 PILL
99 Manlangit Raquel 7/28/1989 29 PILL
ely b Bogangan Melody Jafa 9/4/1994 24 PILL
Terrer Melissa Madrigal 08/27/93 25 PILL
Catherine Fernandez 2/15/1993 25 DMPA
Sherryl Roldan 6/6/1990 28 PILL
Gumarao Rica Lauron 04/15/98 20 DMPA
Angelita Oropo 12/15/1999 19 DMPA
Marjorie Perez INPLANT
Blanca Mae Cruz INPLANT
Nancy Sabariaga BTL
Cindy Dela Cruz BTL
Mary Rose Capriano BTL
Rosalie corpuz BTL

lenie Mae dopalco p-6 5/19/1997 21 DMPA

Micaella Morelos 1/3/1996 22 DMPA
Sally Aureada 8/25/1985 33 DMPA
Nomie Roberto 5/28/1977 40 DMPA
Annalisa Labuan 4/24/1995 23 DMPA
Ma. Annalisa Espiritu 7/12/1996 22 DMPA
Abegail Baltazar 5/29/1993 25 DMPA
 45
44
1
2
3
4
5
6
43
7
42
1
2
8
9
9
41
8
7
10
11
40
3
39
38
37
6
36
35
12
34
5
13
33
4
32
31
30
14
15
16
29
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27
17
18
26
19
20
21
4
5
3
25
22
2
24
23
6
24
25
26
27
28
1
23
29
22
21
20
7
19
18
30
31
17
32
8
16
33
34
15
14
13
12
 35
36
11
10
37
38
9
8
7

9
6
5
4
3
2

1
10
11
2
1
39
40
41
42
42 18 45 9 2
btl dmpa pills inplant iud

12
13
14
15
16
17
18
 DATE& FAMILY
TIME OF SERIAL
DELIVERY NO.
NAME ADDRESS
11/25/2017 717 Ramirez Deleilah Abe P-1 B. Menor,Bustos,Bul.
1/7/2018 268 Cruz Shiela Mae P-3 B. Menor,Bustos,Bul.
1/10/2018 706 Perez Abegail P-3 B. Menor,Bustos,Bul.
1/15/2018 692 Isidro Armida P-6 B. Menor,Bustos,Bul.
1/22/2018 146 Colliantes Baby Jane P-6 B. Menor,Bustos,Bul.
1/12/2018 705 Dopalco Lennie Mae Eser P-6 B. Menor,Bustos,Bul.
1/29/2018 351 Florez Racel P-4 B. Menor,Bustos,Bul.
1/9/2018 Dela Pena Marilou P-7 B. Menor,Bustos,Bul.
FEB.
1/25/2018 718 Cruz Donna P-1 B. Menor,Bustos,Bul.
2/15/2018 685 Beringuela Dalia P-1 B. Menor,Bustos,Bul.
2/17/2018 204 Macabenta Gina P-2 B. Menor,Bustos,Bul.
2/3/2018 702 Marilla Ging ging P-6 B. Menor,Bustos,Bul.
2/12/2018 Perez Jenalyn P-2 B. Menor,Bustos,Bul.
12/4/2017 229 Garcia Jessica Marie P-2 B. Menor,Bustos,Bul.
1/21/2018 285 Berenguela Rechel P-1 B. Menor,Bustos,Bul.
2/26/2018 687 Jihanda Alicia P-2 B. Menor,Bustos,Bul.
2/8/2018 711 Roque Cherry P-4 B. Menor,Bustos,Bul.
2/3/2018 558 Zafra Joilyn P-4 B. Menor,Bustos,Bul.
MARCH
1/24/2018 725 Perez Mayline P-2 B. Menor,Bustos,Bul.
3/5/2018 732 Galvez Jocelyn Marquez P-7 B. Menor,Bustos,Bul.
3/18/2018 675 Coronel Rogene P-1 B. Menor,Bustos,Bul.
APRIL
4/3/2018 681 Asaytono Josephine P-3 B. Menor,Bustos,Bul.
4/1/2018 682 Sison Mia P-3 B. Menor,Bustos,Bul.
4/24/2018 731 Mariano Jermie P-3 B. Menor,Bustos,Bul.
4/18/2018 690 Dohinog Airene P-1 B. Menor,Bustos,Bul.
4/8/2018 220 Laranjo Shirley P-2 B. Menor,Bustos,Bul.
4/18/2018 29 Cruz Mary Angeline P-2 B. Menor,Bustos,Bul.
4/19/2018 135 Bernardo Rose Marie P-2 B. Menor,Bustos,Bul.
4/8/2018 Lazaro Levita P-6 B. Menor,Bustos,Bul.
4/30/2018 720 Manlangit Venus P-7 B. Menor,Bustos,Bul.
MAY
5/24/2018 704 Abangan Marica Boringot P-3 B. Menor,Bustos,Bul.
5/19/2018 13 Cruz Lilibeth P-1 B. Menor,Bustos,Bul.
5/24/2018 721 Bonion Mary Jane P-7 B. Menor,Bustos,Bul.
5/19/2018 591 Baltazar Sharmain P-7 B. Menor,Bustos,Bul.
5/22/2018 715 Pangan Ma Jessica P-7 B. Menor,Bustos,Bul.
5/18/2018 707 Mislos Annabelle P-6 B. Menor,Bustos,Bul.
 DATE POST-PARTUM VISITS DATE AND MICRONUTRIENT SUPPLEMENTATION
W/IN 24HOURS WITHIN ONE TIME IRON VITAMIN A
AFTER WEEK AFTER INITIATED
DELIVERY DELIVERY BREASTFEEDING DATE /NO. TABLETS DATE
11/26/2017 12/3/2017 11/26/2017 11/26/2017 12/26/2017 1/26/2017 11/26/2017
1/8/2018 1/15/2018 1/8/2018 1/7/2018 2/7/2018 3/7/2018 1/8/2018
1/11/2018 1/18/2018 1/11/2018 1/10/2018 2/10/2018 3/10/2018 1/11/2018
1/16/2018 1/23/2018 1/16/2018 1/15/2018 2/15/2018 3/15/2018 1/16/2018
1/23/2018 1/30/2018 1/23/2018 1/22/2018 2/22/2018 3/22/2018 1/23/2018
1/13/2018 1/20/2018 1/13/2018 1/12/2018 2/12/2018 3/12/2018 1/13/2018
1/30/2018 2/5/2018 1/30/2018 1/29/2018 2/28/2018 3/28/2018 1/30/2018
1/10/2018 1/17/2018 1/10/2018 1/9/2018 2/9/2018 3/9/2018 1/10/2018

1/26/2018 2/2/2018 1/26/2018 1/25/2018 2/25/2018 3/25/2018 1/26/2018

2/16/2018 2/23/2018 2/16/2018 2/15/2018 3/15/2018 4/15/2018 2/16/2018
2/18/2018 2/26/2018 2/18/2018 2/17/2018 3/17/2018 4/17/2018 2/18/2018
2/4/2018 2/12/2018 2/4/2018 2/3/2018 3/3/2018 4/3/2018 2/4/2018
2/13/2018 2/20/2018 2/13/2018 2/12/2018 3/12/2018 4/12/2018 2/13/2018
12/5/2017 12/19/2017 12/5/2017 12/4/2017 1/4/2018 2/4/2018 12/5/2017
1/22/2018 1/29/2018 1/22/2018 1/21/2018 2/21/2018 3/21/2018 1/22/2018
2/27/2018 3/7/2018 2/27/2018 2/26/2018 3/26/2018 4/26/2018 2/27/2018
2/9/2018 2/16/2018 2/9/2018 2/8/2018 3/8/2018 4/8/2018 2/9/2018
2/4/2018 2/12/2018 2/4/2018 2/3/2018 3/3/2018 4/3/2018 2/4/2018

1/25/2018 1/31/2018 1/25/2018 1/24/2018 2/24/2018 3/24/2018 1/25/2018

3/6/2018 3/13/2018 3/6/2018 3/5/2018 4/5/2018 5/5/2018 3/6/2018
3/19/2018 3/26/2018 3/19/2018 3/18/2018 4/18/2018 5/18/2018 3/19/2018

4/4/2018 4/11/2018 4/4/2018 4/3/2018 5/3/2018 4/4/2018

4/2/2018 4/9/2018 4/2/2018 4/1/2018 5/1/2018 4/2/2018
4/25/2018 5/2/2018 4/25/2018 4/24/2018 5/24/2018 4/25/2018
4/19/2018 4/26/2018 4/19/2018 4/18/2018 5/18/2018 4/19/2018
4/9/2018 4/16/2018 4/9/2018 4/8/2018 5/8/2018 4/9/2018
4/19/2018 4/26/2018 4/19/2018 4/18/2018 5/18/2018 4/19/2018
4/20/2018 4/27/2018 4/20/2018 4/19/2018 5/19/2018 4/20/2018
4/9/2018 4/16/2018 4/9/2018 4/8/2018 5/8/2018 4/9/2018
5/1/2018 5/15/2018 5/1/2018 4/30/2018 5/30/2018 5/1/2018

5/25/2018 6/8/2018 5/25/2018 5/24/2018 5/25/2018

5/20/2018 6/3/2018 5/20/2018 5/19/2018 5/20/2018
5/25/2018 6/8/2018 5/25/2018 5/24/2018 5/25/2018
5/20/2018 6/3/2018 5/20/2018 5/19/2018 5/20/2018
5/23/2018 6/7/2018 5/23/2018 5/22/2018 5/23/2018
5/19/2018 5/26/2018 5/19/2018 5/18/2018 5/19/2018
 REMARKS
castro-f-cs
f-bch
m-rugay
m-rugay
m-bdh twin
f-bmc
f-bmc
f-lying-in

f-rugay
m-bmc
m-shn
m-bdh
m-shn
m-shn
f-bdh
f-shn
f-shn
f-snh

m-rugay
f-shn
f-shn

m-shn
m-snh
f-rugay
m-bdh
f-bmc
m-bcf
m-home twin
f-rugay
plaridel-f

m=bmc
f-snh
m-bdh
m-rugay
f-bdh
m-home
 DATE OF FAMILY
REGIS- SERIAL NAME ADDRESS AGE LMP EDC
TRATION NO. BIRTHDAY (mm/dd/yy) (mm/dd/yy)
mm/dd/yy G-P

10/19/2017
1/9/2018 703 John Alexis Cayabyab P-2 1=0 7/26/2018
2/20/1997
Austrine Feb Tan 20
8/21/2017
1/3/2018 704 Julius Verseles P-3 1=0 5/28/2018
12/20/1997
Marica Boringot 20
3/25/2017
1/11/2018 705 Jophel Dupalco P-6 1/2/2018
5/19/1997
Lenie Mae Esen 20
6/23/2017
1/5/2018 711 Bobby Roque P-4 1=0 2/8/2018
6/3/1978
Cherry Ugat 39
8/24/2017
1/17/2018 707 Ronie Mislos P-6 3=2 6/1/2018
5/8/1980
Annabelle Relano 37
8/15/2017
1/22/2018 708 Alberto Secula Jr. P-6 2=1 5/22/2015
5/24/1996
Mylene Alisunurin 21
11/15/2017
1/24/2018 709 Mark Anthony Sacarias P-5 4=2 8/22/2018
2/3/1979
Chona De Leon 39
11/14/2017
1/24/2018 7 Noel Villa Ruel P-5 2-Apr 8/21/2018
7/13/1982
Madelyn sebastian 35
11/13/2017
1/26/2018 2 Daniel Mendegorin P-3 1-Mar 8/20/2018
3/11/1987
Jaidee Clarisse Cruz 30
11/30/2017
1/29/2018 710 Ron Ives Melencio P-3 2=0 9/6/2018

Manilyn Base
9/10/2017
2/6/2018 713 Nilo Salona P-3 6=3 6/17/2018
8/6/1981
Adeliza Juliano 36
11/18/2017
2/6/2018 712 Ricky Boy Magdahong P-3 4=3 8/25/2018
12/26/1983
Mary Grace Lanzarote 34
11/3/2017
2/7/2018 714 Diosdado Ferrer P-1 8/10/2018
4/25/1986
Janice Roldan 31
8/15/2017
2/7/2018 715 Rodolfo Sangil P-7 4=3 4/22/2018
3/31/1991
Ma. Jessica Pangan 26
 6/24/2017
2/14/2018 220 Manuel Perez P-2 2=1 3/31/2018
12/14/1989
Sherryl Laranjo 29
9/1/2017
2/17/2001 715 Marlon Santos P-5 1=0 6/8/2018
12/26/1990
Christine Dino 27
11/28/2017
2/19/2018 584 Danilo Talusan Jr. P-3 2=1 9/5/2018
4/5/1993
Jhesca Anne Santos 24
11/19/2017
2/14/2018 719 Willy Joe Manalo P-1 1=0 8/26/2018
6/10/1990
Mary Grace Dela Cruz 27
8/20/2017
2/19/2018 720 Cristian Manlangit P-7 4=3 5/27/2018
4/8/1979
Venus Napoles 9103369601 38
8/18/2017
2/26/2018 544 Erick Jimenez P-6 3=2 5/25/2018
2/19/1993
Lovely Quintos 09752527583 25
9/4/2017
2/27/2018 721 Ronnel Bonion P-7 2=0 6/11/2018
6/22/1988
Mary Jane Valdez 09121290825 30
11/24/2017
3/6/2018 186 Efren Alarcon P-3 4=3 9/1/2018
12/16/1984
Cherry Cruz 24
7/20/2018
3/15/2018 722 Jodel Navarro P-4 1=0 4/27/2018
12/11/1999
Baby Joy Aguado 09264705145 18
9/9/2017
3/16/2018 723 Nino De Leon P-7 1=0 6/16/2018
9/14/1995
Cherrel Borres 22
12/12/2017
3/20/2018 724 Rollyson Ruiz P-3 3=2 9/19/2018
7/13/1988
Annalisa Dohinog 29
11/3/2017
3/20/2018 415 Jonathan Buena P-5 8/10/2018
9/6/1992
Hazel Mendoza 24
12/1/2017
3/29/2018 Private P-3=Violy 9/8/2018
10/2/1978
Shiela Perez 39
1/17/2018
3/29/2018 Private P-3=cindy 10/24/2018
4/22/1984
Marilou Makagilla 34

3/29/2018 Private P-3=cindy

12/24/1991
Eva Abril 26
11/3/2017
3/13/2018 569 Ariel Clores P-7 4=3 8/10/2018
10/6/1983
Annabelyn Clores 35
3 mont
3/29/2018 Private Raf raf Mucho P-6 lita
3/29/2018 Private Raf raf Mucho P-6 lita 2=1
7/30/1984
Jennybeth Buena 34
8/4/2017
4/3/2018 13 Donathan Cruz P-2 4=3 5/11/2018
4/26/1986
Lilibeth Melencio 32
2/9/2018
4/3/2018 727 Ralph Michael Cordova P-1 11/16/2018
8/11/1986
Amalia Fuentes 31
1/20/2018
4/4/2018 728 Alson Mananghaya P-1 1=0 10/27/2018
3/14/1994
Kia Levie Cruz 09168469415 24
12/28/2017
4/4/2018 652 Victor Vincent De Vera P-4 2=1 10/5/2018
5/14/1998
Gina Magat 09551136617 19
11/16/2017
4/12/2018 729 Franz Jimmuel Maximo P-4 1=0 8/23/2018
12/30/1999
Janella Mae Jimenez 09331388767 18
12/30/2017
4/12/2018 213 Drandred Obando P-4 3=2 10/7/2018
5/23/1984
Mae Ann Dino 2-Feb
1/27/2018
4/20/2018 730 Geovan Cabalquinto P-2 1=0 10/4/2018
12/27/1987
Celine Joy Sioson 09757529675 21
3/21/2018
4/30/2018 433 Allan Leonel Santos P-7 2=1 11/28/2018
6/7/1990
Gladys San Diego 09051834016 27
3/14/2018
5/8/2018 661 Ariel Bartolome hipag m.lanie 3=1 12/21/2018
11/6/1987
Mylene Lansangan 09566846603 30
2/20/2018
5/15/2018 733 Jomar Generao P-7 3=2 11/27/2018
7/12/1991
Glenda Romagosa 09366936649 27
11-31-17
5/17/2018 735 Aldrin Zulueta P-3 1=0 9/7/2018
10/31/1984
Christine Balbueno 09978752944 33
1/20/2018
5/23/2018 620 Richard Elfa P-1 2=1 10/27/2018
5/3/1998
Jenny Tadeo 20
11/21/2017
5/22/2018 250 Jasper Dugayong P-6 3=2 8/28/2018
3/27/1992
Rochelle Mislos 26
12/16/2017
5/16/2018 734 John Rey Cabrera P-3 1=0 8/23/2018
5/2/1996
Vina Grace Ramos 09069345508 22
 TARGET CLIENT LIST FOR PREN
DATE DATE TETANUS TOXOID VACCINE
PRENATAL VISITS TETANUS GIVEN
STATUS
FIRST SECOND THIRD
TRIMESTER TRIMESTER TRIMESTER TT1 TT2 TT3 TT4 TT5
1/9/2018 2/9/2018

check-up in 1/3/2018 3-6-18=4-6-18

private 2/6/2018 5/15/2018 3/6/2018 4/6/2018

1/11/2018

9/16/2017 10/27/2017 12/30/2017

9/30/2017 11/22/2017 1/5/2018 1/5/2018
Private Private

1/17/2018 1998 1998 2002

2/7/2018 Calumpit

1/22/2018
2=2016 3=2016

1/24/2018 3/7/2018 6/1/2018

4/19/2018 1=2008 2=2008

1/24/2018 4/2/2018
5/8/2018 Done done Done

12-18-17=p
1/26/2018 3/21/20114=2011-tanawan
3/5/2018

1/29/2018 4/6/2018
2/28/2018 5/10/2018

1-15-18=p 5/9/2018 2000 2000 2002 2006 5/9/2018

2/6/2018 Sanrafael Baliwag San rafael

2/6/2018

2/7/2018 3/14/2018 2005 2005 2010 2012 2014

5/10/2018 B. Menor Laguna

2/7/2018 2009 2009 2012

Tibag
 2/14/2018 5/23/2012 7/4/2012 2/14/2018

check-up in 2/13/2018 2/13/2018 4/16/2018

private 3/13/2018 4/16/2018
5/21/2018

2/17/2018 4/10/2018 10/4/2016 12/2/2016

2/14/2018 3/27/2018
4/24/2018
5/22/2018

2/19/2018 3/19/2018 2000 2000 2005 2016

Bicol

2/26/2018 3/22/2018

check-up in 2/27/2018 4/27/2018 3/27/2018 4/27/2018

private 3/27/2018 5/21/2018

check-up in 3/6/2018
private 4/5/2018
5/21/2018

check-up in check-up in 3/15/2018 2/15/2018

sulivan sulivan Sulivan

12/18/2017 1/18/2018 4/16/2018 2/20/2018 4/16/2018

2/20/2018 5/8/2018 visaya
3/16/2018

3/20/2018 4/20/2018 2006 2006

5/21/2018 ormoc

check-up in 3/20/2018 5/21/2018 7/10/2014

private 4/20/2018
1/12/2018

3/29/2018

check-up in 3/13/2018 2007

private samar
1/10/2018
check-up in 1/17/2018 4/3/2018 11=2010 12=2010 2/15/2012 11/3/2016 4/3/2018
private 2/9/2018 5/8/2018

4/3/2018

4/4/2018

check-up in 4/4/2018
private 5/8/2018 pampanga

check-up in 4/12/2018
private

check-up in 4/12/2018
private

4/20/2018 5/28/2018

4/30/2018 2/4/2015 3/4/2015 9/8/2015

5/29/2018

5/8/2018

5/15/2018

check-up in 5/17/2018
private

check-up in 5/23/2018
private

5/22/2018

check-up in 5/16/2018
private
2/23/2018
3/26/2018
TARGET CLIENT LIST FOR PRENATAL CARE
MICRONUTRIENT SUPPLEMENTATION STI SURVEILLANCE

DATE DATE 7 NO. TESTED RESULT FOR

GIVEN IRON W/FOLIC ACID FOR SY SY TESTING

VIT-A WAS GIVEN Y/N

1/9/2018 2/9/2018

1/3/2018 2/6/2018 3/6/2018 4/6/2018 5/15/2018

1/17/2018 2/7/2018 3/7/2018

1/22/2018 2/22/2018 3/22/2018

1/24/2018 2/24/2018 3/7/2018 4/19/2018

1/24/2018 2/24/2018 3/24/2018 4/2/2018 5/8/2018

1/26/2018 2/26/2018 3/26/2018

1/29/2018 2/18/2018 3/21/2018 4/6/2018 5/10/2018 4/6/2018

y (-)

1/15/2018 2/6/2018 3/6/2018 4/6/2018 5/9/2018

2/6/2015 3/8/2018

2/7/2018 3/7/2018 4/9/2018 5/10/2018

y (-)
2/7/2018 3/7/2018
2/14/2018 3/14/2018

2/13/2018 3/13/2018 4/16/2018

3/13/2018
y (-)
2/17/2018 3/17/2018 4/10/2018

2/14/2018 3/27/2018

2/19/2018 3/19/2018

2/27/2018 3/27/2018

2/15/2018 3/15/2018

12/18/2017 1/18/2018 2/20/2018 3/16/2018 4/16/2018 5/8/2018 4/16/2018

Y (-)

3/20/2018

3/20/2018 4/20/2018 5/21/2018

1/17/2018 2/9/2018 4/3/2018 5/8/2018 4/3/2018
y (-)

4/3/2018

4/4/2018

4/4/2018 5/8/2018

4/12/2018

4/12/2018

4/20/2018 5/28/2018

4/30/2018 5/29/2018

5/8/2018

5/15/2018

5/17/2018

5/23/2018

5/22/2018

5/16/2018
SURVEILLANCE PREGNANCY LIVEBIRTHS

GIVEN DATE TERMI- OUT- LIVEBIRTHS PLACE OF DELIVERY ATTENDED BY

PENICILLIN NATED COME/Gender WEIGHT
Y/N (M/F) (grams) Health Facility NID

5/24/2018 M BMC Md

1/12/2018 F BMC Md

2/8/2018 F SNH Md

5/18/2018 M Home Hilot

5/22/2018 F Bdh
4/8/2018 F Bmc

Lb
4/30/2018 F plaridel Md

Lb
5/24/2018 M Bdh Md
5/19/2018 F SNH
 REMARKS

to.Manila
T.o Bicol