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    Philhealth Survey

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    ANALOU CAPILLO
    This document summarizes a PhilHealth survey conducted in Davao Oriental province, Region XI. It provides a table to enumerate the cities/municipalities of Davao Oriental and record the number of families with parents who are not yet registered with PhilHealth as of a given date, broken down by educational level (elementary, high school, ALS). The table is to be copied and completed for additional provinces in the region. The survey summary was prepared by an unnamed representative of Davao Oriental province.

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    Philhealth Survey

    Uploaded by

    ANALOU CAPILLO
    30 views208 pages
    This document summarizes a PhilHealth survey conducted in Davao Oriental province, Region XI. It provides a table to enumerate the cities/municipalities of Davao Oriental and record the number of families with parents who are not yet registered with PhilHealth as of a given date, broken down by educational level (elementary, high school, ALS). The table is to be copied and completed for additional provinces in the region. The survey summary was prepared by an unnamed representative of Davao Oriental province.

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    This document summarizes a PhilHealth survey conducted in Davao Oriental province, Region XI. It provides a table to enumerate the cities/municipalities of Davao Oriental and record the number of families with parents who are not yet registered with PhilHealth as of a given date, broken down by educational level (elementary, high school, ALS). The table is to be copied and completed for additional provinces in the region. The survey summary was prepared by an unnamed representative of Davao Oriental province.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    30 views208 pages

    Philhealth Survey

    Uploaded by

    ANALOU CAPILLO
    This document summarizes a PhilHealth survey conducted in Davao Oriental province, Region XI. It provides a table to enumerate the cities/municipalities of Davao Oriental and record the number of families with parents who are not yet registered with PhilHealth as of a given date, broken down by educational level (elementary, high school, ALS). The table is to be copied and completed for additional provinces in the region. The survey summary was prepared by an unnamed representative of Davao Oriental province.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 208

    SUMMARY OF PHILHEALTH SURVEY TO ALL PARENTS PER PROVINCE

    REGION XI

    Province: Davao Oriental


    Note: Copy and Paste table for additional provinces in the regions.
    City/Municipality Data as of

    (Enumerate all (Indicate Date of


    cities/municipalities in the Reporting: Month # of Families with Parents who are not yet registered
    province) DD, YYYY) to Philhealth
    Elementary High School ALS
    Tarragona
    Manay
    Caraga
    Baganga
    Cateel
    Boston
    Banaybanay
    San Isidro
    Governor Generoso
    Lupon
    TOTAL:

    Prepared by:
    PROVINCE
    Annex B - District Form

    SUMMARY OF PHILHEALTH SURVEY TO ALL PARENTS PER PROVINCE


    REGION XI
    As of: _________________

    District:__________________
    Division: ________________
    Note: Copy and Paste table for additional provinces in the regions.
    Name of School

    (Enumerate all schools # of Families with Parents who are not yet registered to
    within the district) Philhealth
    Elementary High School ALS

    TOTAL
    Prepared by: Noted by:

    _________________________________ ______________________
    Ditrsict Nurse/District Health Coordinator PSDS
    R PROVINCE
    Annex A - School Form
    PHILHEALTH SURVEY TO ALL PARENTS
    School: ______________________
    District: ______________________
    Division: _____________________
    S.Y. 2022 - 2023

    Grade Level: __________________________


    Section: ________________

    Is the Father registered


    Name of Students Name of Father Name of Mother
    with Philhealth?

    Prepared by:

    ____________________________
    Clinic In-Charge

    **Note:
    1. If Father/Mother was already dead, please don't reflect their name/s on the column, instead reflect the name of the guardian
    2. If the student is living with his/her guardian in the case of neglect/abandonment, please reflect the name of the guardian and
    O ALL PARENTS
    __________
    __________
    __________
    23

    Is the Guardian
    Is the Mother registered
    Name of Guardian registered with
    with Philhealth?
    Philhealth?

    Noted by:

    ________________________
    School Principal

    reflect the name of the guardian whom the student already lived and the status of his/her PhilHealth enrolment.
    ect the name of the guardian and the status of his/her PhilHealth enrolment.

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