Republic of the Philippines

Province of Masbate
Municipality of Esperanza
MUNICIPAL HEALTH OFFICE

ACCOMPLISHMENT REPORT
For the Month of _______________________ , 2017

The following are the accomplishment of the undersigned, as follows:

1. Maintained the cleanliness and upkeep of the following areas of the Rural Health Unit:
______________________________________________________________________________________
______________________________________________________________________________________

2. Assisted in segregating of non-biodegradable, biodegradable and recyclable wastes of assigned

areas

3. Performed other tasks as per instruction of my immediate supervisor.

Prepared by:

________________________________
(NAME AND SIGNATURE)

Noted by:

GABRIEL R. BORLONGAN, MD
Municipal Health Officer

AccRptUt
Revision: 01
2017-03-02
Page 1 of 1
 Republic of the Philippines
Province of Masbate
Municipality of Esperanza
MUNICIPAL HEALTH OFFICE

ACCOMPLISHMENT REPORT
For the Month of _______________________ , 2017

The following are the accomplishment of the undersigned, as follows:

1. Maintained the cleanliness and upkeep of the following areas of the Rural Health Unit:
______________________________________________________________________________________
______________________________________________________________________________________

2. Assisted in segregating non-biodegradable, biodegradable and recyclable wastes of assigned

areas

3. Assisted in the retrieval, filing, and storage of patient documents during consultation hours.

4. Performed other tasks as per instruction of my immediate supervisor.

Prepared by:

________________________________
(NAME AND SIGNATURE)

Noted by:

GABRIEL R. BORLONGAN, MD
Municipal Health Officer

AccRptUt
Revision: 01
2017-03-02
Page 1 of 1
 Republic of the Philippines
Province of Masbate
Municipality of Esperanza
MUNICIPAL HEALTH OFFICE

ACCOMPLISHMENT REPORT
For the Month of _______________________ , 2017

The following are the accomplishment of the undersigned, as follows:

1. Assisted in the encoding of administrative documents, such as but not limited to, travel orders,
purchase requests, and sanitary certificates.

2. Assisted in the submission of said pertinent documents to other offices within the LGU.

3. Assisted in the disbursement of office supplies to the personnel of the Rural Health Unit.

4. Performed other tasks as per instruction of my immediate supervisor.

Prepared by:

________________________________
(NAME AND SIGNATURE)

Noted by:

GABRIEL R. BORLONGAN, MD
Municipal Health Officer

AccRptUt
Revision: 01
2017-03-02
Page 1 of 1