Speed Form.docx
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S.P.E.E.D. Syndromic Reporting Form – 1 V2.0 (EVACUATION CENTERS, HEALTH CENTERS, BHS, TEMPORARY AND MOBILE CLINICS) Province/City/Municipality: NCR/Muntinlupa Name of Evacuation Centers: La Guerta Covered Court EC Espeleta Pantalan Vacant Lot EC Espeleta Pantalan Court EC Name of Reporting Health Unit: Poblacion Health Center HF Code: NCRMUN003R Date of Submission: Reporting Officer: John Russel Benavidez,RN
Barangay: Poblacion Population: (<5y/o) 161 (>5y/o) 988 (Pregnant) 8
Total Consultation: Date Patient Seen / Consulted: Contact Number: 09275882880 / 8971536
Barangay: Poblacion Population: (<5y/o) 161 (>5y/o) 988 (Pregnant) 8
Total Consultation: Date Patient Seen / Consulted: Contact Number: 09275882880 / 8971536
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