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Department of Education

Region VII, Central Visayas


Division of Cebu
DISTRICT OF TABUELAN
MONITORING CHECKLIST OF SCHOOL CHILDREN HANDWASHING ACTIVITIES
(Essential Health Care Program)
SY 2019 – 2020
NAME OF SCHOOL: KANLUNGCAB ELEM. SCHOOL TEACHER:_________________________ GRADE/SECTION:_________________ MONTH OF:___________20____
DAILY CHECKLIST OF HANDWASHING TOTAL NUMBER
No NAME OF PUPILS Handwash Not Washing
.
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PREPARED BY: NOTED:


EDILYN M. ARNADO LEGEND :BLUE--MORNING MARCELO D. GONZAGA
Adviser BLACK--AFTERNOON,RED--ABSENT Principal
Department of Education
Region VII, Central Visayas
Division of Cebu
DISTRICT OF _______________
MONITORING CHECKLIST OF SCHOOL CHILDRENTOOTHBRUSHINGACTIVITIES
(Essential Health Care Program)
SY 2019 – 2020
NAME OF SCHOOL:_________________________________ TEACHER:_______________________ GRADE/SECTION:______________________ MONTH OF:___________20____
DAILY CHECKLIST OF TOOTHBRUSHING DRILL TOTAL NUMBER
No. NAME OF PUPILS Brushing Not Brushing

PREPARED BY: NOTED:


_________________________ ___________________________
Adviser Principal
Department of Education
Region VII, Central Visayas
Division of Cebu
DISTRICT OF TABUELAN
MONITORING CHECKLIST OF SCHOOL CHILDREN HANDWASHING ACTIVITIES
(Essential Health Care Program)
SY 2019 – 2020
NAME OF SCHOOL:_________________________________ TEACHER:_______________________ GRADE/SECTION:___________________ MONTH OF:___________20____
DAILY CHECKLIST OF HANDWASHING TOTAL NUMBER
No NAME OF PUPILS Handwash Not Washing
.

PREPARED BY: NOTED:


_________________________ LEGEND :BLUE--MORNING ___________________________
Adviser BLACK--AFTERNOON,RED--ABSENT SCHOOL HEAD