Form 1_2014

Harmonized Schedule of Mass Drug Administration Classroom Record

for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Ci * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 12-C

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 Agacita, Bonifacio X X 7/7/2017 X X 1/31/2018 X
2 Andrada, Astryd X X 7/7/2017 X X 1/31/2018 X
3 Andrada, Gerald X X 7/7/2017 X X 2/1/2018 X
4 Andrada, Pablo X X 7/7/2017 X X 1/31/2018 X
5 Baltazar, Jay Marlo A. X X 7/7/2017 X X 1/31/2018 X
6 Bernardo, Andrew Philip S. X X 7/7/2017 X X 2/2/2018 X
7 Delizo, Brian Carl A. X X 7/7/2017 X X 1/31/2018 X
8 Estabillo, Edrian X X 7/7/2017 X X 2/1/2018 X
9 Grego, Gerald E. X X 7/7/2017 X X 2/2/2018 X
10 Laguna, Aedrian X X 7/7/2017 X X 1/31/2018 X
11 Laguna, Fidel X X 7/7/2017 X X 2/1/2018 X
12 Llaguno, Gianne Kyle B. X X 7/7/2017 X X 1/31/2018 X
13 Macaraeg, John Robert C. X X 7/7/2017 X X 2/2/2018 X
14 Mendez, Emmanuel X X 7/7/2017 X X 2/2/2018 X
15 Molina, Aldrin X X 7/7/2017 X X 2/2/2018 X
16 Olimpo, Mark Edrich X X 7/7/2017 X X 2/1/2018 X
17 Polanco, Allan D. X X 7/7/2017 X X 1/31/2018 X
18 Porquillano, Jasper N. X X 7/7/2017 X X 1/31/2018 X
19 Ramirez, Jayson C. X X 7/7/2017 X X 2/2/2018 X
20 Sagurit, Mark Jerwin X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 Valdez, Michael H. X X 7/7/2017 X X 1/31/2018 X
22 Villaroman, Mc Neil X X 7/7/2017 X X 1/31/2018 X
23 Alvaro, Quimberly X X 7/7/2017 X X 2/2/2018 X
24 Antonio, Mary Joy X X 7/7/2017 X X 2/2/2018 X
25 Baloran, Jenica T. X X 7/7/2017 X X 2/1/2018 X
26 Campanero, Jonalyn X X 7/7/2017 X X 1/31/2018 X
27 De Guzman, Nicole X X 7/7/2017 X X 1/31/2018 X
28 Domingo, Ryli C. X X 7/7/2017 X X 2/2/2018 X
29 Ganzagan, Charlene G. X X 7/7/2017 X X 1/31/2018 X
30 Lorenzo, Daniela X X 7/7/2017 X X 2/1/2018 X
31 Marquita, Eden May X X 7/7/2017 X X 2/2/2018 X
32 Nosis, Angelica B. X X 7/7/2017 X X 2/2/2018 X
33 Presbitero, Noela Mae X X 7/7/2017 X X 1/31/2018 X
34 Ramos, Angelica X X 7/7/2017 X X 2/2/2018 X
35 Ramos, Meca Ella X X 7/7/2017 X X 2/2/2018 X
36 Rodriguez, Cindy X X 7/7/2017 X X 1/31/2018 X
37 Valdez, Jessilyn X X 7/7/2017 X X 2/1/2018 X
Total: 8 29 37 37 37
orm 1_2014
sroom Record

ariasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Cit * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 12-B

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 Barroga, Gerald M. X X 7/7/2017 X X 2/1/2018 X
2 Bernardo, Lovern Ken X X 7/7/2017 X X 1/31/2018 X
3 Cayetano, Emilio X X 7/7/2017 X X 1/31/2018 X
4 Cresencia, Xenon Xyrill E. X X 7/7/2017 X X 2/2/2018 X
5 Dailisan, Reynante M. X X 7/7/2017 X X 1/31/2018 X
6 De Guia, Jerry X X 7/7/2017 X X 2/1/2018 X
7 Dela Cruz, Mark Ian M. X X 7/7/2017 X X 2/1/2018 X
8 Estabillo, Nico N. X X 7/7/2017 X X 1/31/2018 X
9 Estioko, Johnny X X 7/7/2017 X X 2/2/2018 X
10 Eugenio, Rolando X X 7/7/2017 X X 2/2/2018 X
11 Laguna, Jimmy A. X X 7/7/2017 X X 1/31/2018 X
12 Llamoso, Carl Gabriel M. X X 7/7/2017 X X 2/1/2018 X
13 Lopez, Guilson John D. X X 7/7/2017 X X 1/31/2018 X
14 Lopez, Keanu Lee T. X X 7/7/2017 X X 1/31/2018 X
15 Lorenzo, John Paul X X 7/7/2017 X X 2/1/2018 X
16 Lozano, Earl Patrick J. X X 7/7/2017 X X 2/2/2018 X
17 Marzan, John Grey X X 7/7/2017 X X 1/31/2018 X
18 Pedroza, Christian Jewel D. X X 7/7/2017 X X 2/1/2018 X
19 Tesoro, Jomar D. X X 7/7/2017 X X 1/31/2018 X
20 Yalung, Jomari X X 7/7/2017 X X 2/1/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 Andrada, Samantha Pauline X X 7/7/2017 X X 1/31/2018 X
22 Bautista, Julie Ann X X 7/7/2017 X X 2/1/2018 X
23 Camara, Michaela D. X X 7/7/2017 X X 2/2/2018 X
24 Cavero, Yobhel X X 7/7/2017 X X 2/1/2018 X
25 Corpuz, April Jane X X 7/7/2017 X X 1/31/2018 X
26 Damasco, Marivic X X 7/7/2017 X X 1/31/2018 X
27 Domingo, Honey C. X X 7/7/2017 X X 2/1/2018 X
28 Emboltorio, Mary Grace X X 7/7/2017 X X 2/1/2018 X
29 Fabia, Rica Mae G. X X 7/7/2017 X X 1/31/2018 X
30 Finuliar, Judy Ann X X 7/7/2017 X X 2/2/2018 X
31 Laguna, Roselyn E. X X 7/7/2017 X X 2/1/2018 X
32 Melendez, Veronica X X 7/7/2017 X X 1/31/2018 X
33 Permison, Rhodalyn X X 7/7/2017 X X 2/1/2018 X
34 Serafino, Mildred E. X X 7/7/2017 X X 2/1/2018 X
35 Siquig, Marjorie B. X X 7/7/2017 X X 1/31/2018 X
36 Talvo, Gemma X X 7/7/2017 X X 1/31/2018 X
37 FABRIGAS, REYLAN X X 7/7/2017 X X 1/31/2018 X
Total: 9 28 37 37 37
orm 1_2014
sroom Record

ariasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Cit * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 12-A

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 Andrada, Ben X X 7/7/2017 X X 1/31/2018 X
2 Andrada, Mark Lycko L. X X 7/7/2017 X X 1/31/2018 X
3 Antonio,Dondel X X 7/7/2017 X X 1/31/2018 X
4 Babe, Jay Lorenz A. X X 7/7/2017 X X 1/31/2018 X
5 Baltazar, Jeric L. X X 7/7/2017 X X 1/31/2018 X
6 Baraquio, KC D. X X 7/7/2017 X X 1/31/2018 X
7 Bautista, Juliemar X X 7/7/2017 X X 1/31/2018 X
8 Cacho, Romulo Jr. X X 7/7/2017 X X 1/31/2018 X
9 Cambay, John Lawrence A. X X 7/7/2017 X X 1/31/2018 X
10 Cea, John Paul E. X X 7/7/2017 X X 1/31/2018 X
11 Dela Cruz, Jay-R X X 7/7/2017 X X 1/31/2018 X
12 Ellazar, John Rey E. X X 7/7/2017 X X 1/31/2018 X
13 Esteron, John Patrick X X 7/7/2017 X X 1/31/2018 X
14 Eugenio, Christian F. X X 7/7/2017 X X 1/31/2018 X
15 Garcia, Conrado X X 7/7/2017 X X 1/31/2018 X
16 Marzan, John Mark X X 7/7/2017 X X 1/31/2018 X
17 Molina, Jevie T. X X 7/7/2017 X X 1/31/2018 X
18 Polanco, Rodolfo, D. X X 7/7/2017 X X 1/31/2018 X
19 Tienzo, Neil Bryan C. X X 7/7/2017 X X 1/31/2018 X
20 Valena, John Wilson X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 Villacorte, Sigmund Gale X X 7/7/2017 X X 1/31/2018 X
22 Caalim, Mary Rose X X 7/7/2017 X X 1/31/2018 X
23 Cabarubias, Remedios X X 7/7/2017 X X 1/31/2018 X
24 Corpuz, Hannah R. X X 7/7/2017 X X 1/31/2018 X
25 De Fiesta, Mary Jane X X 7/7/2017 X X 1/31/2018 X
26 Dela Cruz, Jackielyn X X 7/7/2017 X X 1/31/2018 X
27 Dilan Rizza Elaine B. X X 7/7/2017 X X 1/31/2018 X
28 Estorel, Heidy M. X X 7/7/2017 X X 1/31/2018 X
29 Lachica, Juliebelle P. X X 7/7/2017 X X 1/31/2018 X
30 Laguna, Angelica X X 7/7/2017 X X 1/31/2018 X
31 Laguna, Judy Ann X X 7/7/2017 X X 1/31/2018 X
32 Lorenzo, Angela R. X X 7/7/2017 X X 1/31/2018 X
33 Lutrania, Krizia Mae Lacaden X X 7/7/2017 X X 1/31/2018 X
34 Penecilla, Princess X X 7/7/2017 X X 1/31/2018 X
35 Ringor, Shaira X X 7/7/2017 X X 1/31/2018 X
36 Sotto, Jhocelyn Javillo X X 7/7/2017 X X 1/31/2018 X
37 CORPUZ, DAN EMILSON X X 7/7/2017 X X 1/31/2018 X
Total: 11 26 37 37 37
orm 1_2014
sroom Record

ariasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Ci * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 11-C

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 Abadin Johnmel X X 7/7/2017 X X ### X
2 Agacita, Mark Anthony S. X X 7/7/2017 X X ### X
3 Banaria, Mark John Lhe S. X X 7/7/2017 X X ### X
4 Banig, Boy Jerry X X 7/7/2017 X X ### X
5 Bautista, Richard X X 7/7/2017 X X ### X
6 Calma, Ryan D. X X 7/7/2017 X X ### X
7 Caranto, Jerico X X 7/7/2017 X X ### X
8 Castisimo, John Kennedy X X 7/7/2017 X X ### X
9 Datuin, John Kenneth N. X X 7/7/2017 X X ### X
10 Dela Cruz, Alfer Jay X X 7/7/2017 X X ### X
11 Dela Paz, Rae Vincent X X 7/7/2017 X X ### X
12 Delizo, Ronnie X X 7/7/2017 X X ### X
13 Egipto, Sherin L X X 7/7/2017 X X ### X
14 Garcia, Job X X 7/7/2017 X X ### X
15 Nosis, Jonathan X X 7/7/2017 X X ### X
16 Oribado, Dexter V. X X 7/7/2017 X X ### X
17 Parinas, Ericson A. X X 7/7/2017 X X ### X
18 Quinagon, Jefferson X X 7/7/2017 X X ### X
19 Quiocho, Jodel X X 7/7/2017 X X ### X
20 CRESENCIA, LEOMAR X X 7/7/2017 X X ### X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 Sarmiento Paolo X X 7/7/2017 X X ### X
22 Sarmiento, Jun X X 7/7/2017 X X ### X
23 Sumiklab, Aldrin X X 7/7/2017 X X ### X
24 Tabobo, John Mark A. X X 7/7/2017 X X ### X
25 Tabunda, Rogelio L. X X 7/7/2017 X X ### X
26 Torne, John Mark O. X X 7/7/2017 X X ### X
27 Valencia, Olivia X X 7/7/2017 X X ### X
28 Alvaro, Angelica X X 7/7/2017 X X ### X
29 Andrada, Rhealyn X X 7/7/2017 X X ### X
30 Benito, Erika Mae A. X X 7/7/2017 X X ### X
31 Ellano, Angelica A. X X 7/7/2017 X X ### X
32 Esteron, Liezel X X 7/7/2017 X X ### X
33 Lachica, Alyanna Kate X X 7/7/2017 X X ### X
34 Lachica, Ruizlyn X X 7/7/2017 X X ### X
35 Olegario, Alexis Jeynelle X X 7/7/2017 X X ### X
36 Omillio, Anne Mikaela X X 7/7/2017 X X ### X
37 Sanidad, Glyza X X 7/7/2017 X X ### X
38 Subito, Jenny E. X X 7/7/2017 X X ### X
39 Torne, Ivy Joie X X 7/7/2017 X X ### X
40 Torne, Jeannie Rose A. X X 7/7/2017 X X ### X
41 Valencia, Olivia X X 7/7/2017 X X ### X
42 Lutrania, Everlyn X X 7/7/2017 X X ### X
43 GONZAGA, NORBERT X X 7/7/2017 X X ### X
Total: 14 29 43 43 43
orm 1_2014
sroom Record

lariasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Ci * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 11-B

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 Alarcon, Jestoni X X 7/7/2017 X X 1/31/2018 X
2 Allas, Adrian X X 7/7/2017 X X 1/31/2018 X
3 Alvaro, Joemari B. X X 7/7/2017 X X 1/31/2018 X
4 Banaria, Lenard X X 7/7/2017 X X 1/31/2018 X
5 Bucsit, John Basti X X 7/7/2017 X X 1/31/2018 X
6 Calexterio, Jomar X X 7/7/2017 X X 1/31/2018 X
7 Cea, Jake X X 7/7/2017 X X 1/31/2018 X
8 Renti Cruz, Alvin X X 7/7/2017 X X 1/31/2018 X
9 De Lara, Mark Yhamel X X 7/7/2017 X X 1/31/2018 X
10 Dela Cruz, Chester T. X X 7/7/2017 X X 1/31/2018 X
11 Dela Cruz, Wendell John J. X X 7/7/2017 X X 1/31/2018 X
12 Egipto, Jerome A. X X 7/7/2017 X X 1/31/2018 X
13 Eugenio, John Carlo X X 7/7/2017 X X 1/31/2018 X
14 Fabro, Frank Anthony X X 7/7/2017 X X 1/31/2018 X
15 Fajardo, Gell X X 7/7/2017 X X 1/31/2018 X
16 Flores, Glemar X X 7/7/2017 X X 1/31/2018 X
17 Gaitos, Henrico, Jr. E. X X 7/7/2017 X X 1/31/2018 X
18 Intendencia, Rodney X X 7/7/2017 X X 1/31/2018 X
19 Jasmin, Jeremy X X 7/7/2017 X X 1/31/2018 X
20 Juan, Henschel John X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 Mamaradlo, Dax F. X X 7/7/2017 X X 1/31/2018 X
22 Marquez, Vince Christian X X 7/7/2017 X X 1/31/2018 X
23 Rafanan, Leonard X X 7/7/2017 X X 1/31/2018 X
24 Samson, Ruben X X 7/7/2017 X X 1/31/2018 X
25 Santos, Greg Albert X X 7/7/2017 X X 1/31/2018 X
26 Tandingan, Kyle Bryan X X 7/7/2017 X X 1/31/2018 X
27 Torne, Ariel B X X 7/7/2017 X X 1/31/2018 X
28 Caliboso, Benjie Jr. M. X X 7/7/2017 X X 1/31/2018 X
29 Andrada, Meanne P. X X 7/7/2017 X X 1/31/2018 X
30 Baltazar, Michelle A. X X 7/7/2017 X X 1/31/2018 X
31 Bicay, Nicole X X 7/7/2017 X X 1/31/2018 X
32 De Jesus, Bianca Sophia G. X X 7/7/2017 X X 1/31/2018 X
33 Ellazar, Janille Ann X X 7/7/2017 X X 1/31/2018 X
34 Etrata, Diana Grace X X 7/7/2017 X X 1/31/2018 X
35 Eugenio, Rizalyn C. X X 7/7/2017 X X 1/31/2018 X
36 Garcia, Pamela X X 7/7/2017 X X 1/31/2018 X
37 Gatchalian, Elodie A. X X 7/7/2017 X X 1/31/2018 X
38 Lutrania, Jennica X X 7/7/2017 X X 1/31/2018 X
39 Marata, Annabelle X X 7/7/2017 X X 1/31/2018 X
40 Marata, Jolina X X 7/7/2017 X X 1/31/2018 X
41 Mendoza, Antonette X X 7/7/2017 X X 1/31/2018 X
42 Queyquep, Jalene Ann Joy A. X X 7/7/2017 X X 1/31/2018 X
Total: 10 32 42 42 42
orm 1_2014
sroom Record

ariasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Reco
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Citrate * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 11-A

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 Acuna, Marvin X X 7/7/2017 X X ### X
2 Banlog, Mark John X X 7/7/2017 X X ### X
3 Barbudo, Jaime X X 7/7/2017 X X ### X
4 Carino, John Rey Vincent X X 7/7/2017 X X ### X
5 Debalocus, Aaron Justin X X 7/7/2017 X X ### X
6 Dilan, Joshua Emil X X 7/7/2017 X X ### X
7 Doloque, Julina G. X X 7/7/2017 X X ### X
8 Fabia, Freddierick X X 7/7/2017 X X ### X
9 Fajardo, Kenneth Bryll X X 7/7/2017 X X ### X
10 Flores, Glennmar X X 7/7/2017 X X ### X
11 Flores, Naval X X 7/7/2017 X X ### X
12 Garcia, Fernando X X 7/7/2017 X X ### X
13 Gramaje, Harold Bryan E. X X 7/7/2017 X X ### X
14 Lagria, John Vincent N. X X 7/7/2017 X X ### X
15 Lorenzo, Aldrin X X 7/7/2017 X X ### X
16 Lucena, Jessy X X 7/7/2017 X X ### X
17 Maranion, Jerwynne M. X X 7/7/2017 X X ### X
18 Marciano, Quervim Rexamdeo B. X X 7/7/2017 X X ### X
19 Mayandoc, Christian Allen X X 7/7/2017 X X ### X
20 Moises, Juani Paolo X X 7/7/2017 X X ### X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 Osario, Joe Lester X X 7/7/2017 X X ### X
22 Porquillano, Ryan X X 7/7/2017 X X ### X
23 Sesor, Kamlom X X 7/7/2017 X X ### X
24 Andrada, Jessabel M. X X 7/7/2017 X X ### X
25 Bernabe, Jessa Mae F. X X 7/7/2017 X X ### X
26 Cantativo, Jessa E. X X 7/7/2017 X X ### X
27 Costales, Mae Joy S. X X 7/7/2017 X X ### X
28 Domenden, Ranzel X X 7/7/2017 X X ### X
29 Egipto, Rowenalyn X X 7/7/2017 X X ### X
30 Estrada, Rachel X X 7/7/2017 X X ### X
31 Gerona, Rugene Marie X X 7/7/2017 X X ### X
32 Laxamana, Danna Angel X X 7/7/2017 X X ### X
33 Marquez, Ashley X X 7/7/2017 X X ### X
34 Mendez, Arriane O. X X 7/7/2017 X X ### X
35 Mequin, Evangelyn B. X X 7/7/2017 X X ### X
36 Nosis, Mary Rose X X 7/7/2017 X X ### X
37 Ramirez, Jennifer X X 7/7/2017 X X ### X
38 Romero, Glydel Anne X X 7/7/2017 X X ### X
39 Viillafania, Rosalinda X X 7/7/2017 X X ### X
Total: 10 29 39 39 39
orm 1_2014
sroom Record

ilariasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Ci * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 10-Emerald

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 AGOSTO , KIM LUTANG X X 7/7/2017 X X 1/31/2018 X
2 AQUINO, AMADOR III NOSIS X X 7/7/2017 X X 1/31/2018 X
3 BANARIA, MHAR MELVIN SOROTEN X X 7/7/2017 X X 1/31/2018 X
4 DE GUIA, JUNIEL CORONEL X X 7/7/2017 X X 1/31/2018 X
5 DE LEON JR, ROLANDO FAJARDO X X 7/7/2017 X X 1/31/2018 X
6 ESTEBAN, HAROLD L. X X 7/7/2017 X X 1/31/2018 X
7 FLORES , FRANCIS DELA TORRE X X 7/7/2017 X X 1/31/2018 X
8 JAVIER JR, PEDRO LUTRANIA X X 7/7/2017 X X 1/31/2018 X
9 LACADEN , DEXTER IVAN MEPUA X X 7/7/2017 X X 1/31/2018 X
10 LOZANO , JOED PORQUILLANO X X 7/7/2017 X X 2/1/2018 X
11 LOZANO , PERRY PHILIP JULIT X X 7/7/2017 X X 1/31/2018 X
12 MANIPON, FRANCIS CHARLES REBUSIT X X 7/7/2017 X X 1/31/2018 X
13 'CAMARILLO , HAWIE GOROSPE X X 7/7/2017 X X 1/31/2018 X
14 SINGH , GAGANDEEP MARAPO X X 7/7/2017 X X 1/31/2018 X
15 TACULOG , JUN JUN CACHOLA X X 7/7/2017 X X 1/31/2018 X
16 TORNE , JUNELLE LATABA X X 7/7/2017 X X 2/1/2018 X
17 ZURITA , ARMSKERR GARCIA X X 7/7/2017 X X 1/31/2018 X
18 ALCANTARA , LORIE ANN ALDE X X 7/7/2017 X X 1/31/2018 X
19 CORPUZ , EMMARIE EGLOSO X X 7/7/2017 X X 1/31/2018 X
20 CRUZ , CAMELA JENIKA ELEAZAR X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 ESPELETA , NARIANNE SISON X X 7/7/2017 X X 1/31/2018 X
22 ESTRADA, ANGELICA CAPINPIN X X 7/7/2017 X X 1/31/2018 X
23 FERNANDEZ , JEHENA AIRA CRISOS X X 7/7/2017 X X 1/31/2018 X
24 LUCENA , ELLA MARIE UBALDO X X 7/7/2017 X X 2/1/2018 X
25 LUTRANIA , REENDEL LHYN MACASOJOT X X 7/7/2017 X X 1/31/2018 X
26 MOLINA , CLARISSA - X X 7/7/2017 X X 1/31/2018 X
27 ORTIZ , JHYZELL CAMPANERO X X 7/7/2017 X X 1/31/2018 X
28 SAGAY , DIMPLE ANNE - X X 7/7/2017 X X 1/31/2018 X
29 SAMSON , MONIQUE FIEL X X 7/7/2017 X X 1/31/2018 X
30 SANCHEZ , TRISHA RICA EUGENIO X X 7/7/2017 X X 1/31/2018 X
31 SUMAIT, SAMANTHA ELLAZAR X X 7/7/2017 X X 2/1/2018 X
32 TUVERA, ROSEMARIE AQUINDE X X 7/7/2017 X X 1/31/2018 X
33 VILLARUZ , CHERRY BELLE - X X 7/7/2017 X X 1/31/2018 X
34 SHARIEF, OMAIR X X 7/7/2017 X X 1/31/2018 X
Total: 3 31 34 34 34
orm 1_2014
sroom Record

riasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Cit * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 10-Diamond

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 BENITEZ, LORENZ - X X 7/7/2017 X X ### X
2 CALIBOSO , CRISTOPHER MACARAEG X X 7/7/2017 X X ### X
3 CALMA , ALMEN JOHN DORIA X X 7/7/2017 X X ### X
4 CASARENO , BENNY CORPUZ X X 7/7/2017 X X 2/1/2018 X
5 CORPUZ , JOKO ZOSIMO X X 7/7/2017 X X ### X
6 CORPUZ , JUSTHINE BAUTISTA X X 7/7/2017 X X ### X
7 DELA CRUZ , KEITH JOHN RIVERO X X 7/7/2017 X X ### X
8 DIOLAN , CYRIL JAMES - X X 7/7/2017 X X 2/1/2018 X
9 DULNUAN , JOMARIE CORPUZ X X 7/7/2017 X X ### X
10 ELLAZAR , JONATHAN ESTIMADA X X 7/7/2017 X X ### X
11 BUCSIT , KERR JENSER BAUTISTA X X 7/7/2017 X X ### X
12 FERNANDEZ, LEWIS DERICK FRANCISCO X X 7/7/2017 X X ### X
13 LAGUNA JR, LEON ALABAB X X 7/7/2017 X X 2/1/2018 X
14 MACARAEG JR, MARIO CABANGON X X 7/7/2017 X X ### X
15 MAGALONG III, MODESTO MARQUEZ X X 7/7/2017 X X ### X
16 MENDOZA , JERRY LACSON X X 7/7/2017 X X ### X
17 SISON , HARRY AVECILLA X X 7/7/2017 X X 2/1/2018 X
18 TAMAYO , KIRBY KENT - X X 7/7/2017 X X ### X
19 TOREJAS, MARVIN LAZO X X 7/7/2017 X X ### X
20 ZAMORA , DANICA ROSE - X X 7/7/2017 X X ### X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 ALBARICO , EDMAJOY ARELLANO X X 7/7/2017 X X ### X
22 BARROGA, CLARISSA CORDOVA X X 7/7/2017 X X ### X
23 BERGANIO , JERMELYN HALOG X X 7/7/2017 X X ### X
24 CRESENCIA , FEMELYN MARCELINO X X 7/7/2017 X X ### X
25 DIAZ, RACIEL ANNE CRESENCIA X X 7/7/2017 X X ### X
26 EUGENIO , ERIKA ANN MANAOIS X X 7/7/2017 X X 2/1/2018 X
27 FABRO, MARIA PRINCESS DIANE OCAMPO X X 7/7/2017 X X ### X
28 FERRER , THRISHA LUJ MARAYAN X X 7/7/2017 X X ### X
29 GARCIA, PAMIELA RAMOS X X 7/7/2017 X X ### X
30 GREGO, JOSEPHINE EGIPTO X X 7/7/2017 X X 2/1/2018 X
31 MACANLALAY , AILEEN BOLSICO X X 7/7/2017 X X ### X
32 MIMIS , MARILYN ORLANDA X X 7/7/2017 X X ### X
33 PORQUILLANO , NERLIE ANDALES X X 7/7/2017 X X ### X
34 RINGOR , JOMLEA KIM SENDAYEN X X 7/7/2017 X X 2/1/2018 X
35 RODRIGO , MAY FERNANDEZ X X 7/7/2017 X X ### X
36 LAGUNA , LORENZ X X 7/7/2017 X X ### X
37 LUBIANO, JEHAN X X 7/7/2017 X X ### X
Total: 14 23 37 37 37
orm 1_2014
sroom Record

lariasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Cit * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 10-Ruby

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 ALVARO, SAMSON ELIEZER EUGENIO X X 7/7/2017 X X 1/31/2018 X
2 BARROGA, JOHN VICTOR BELTRAN X X 7/7/2017 X X 2/1/2018 X
3 BARROS , GIN BOY GARCIA X X 7/7/2017 X X 1/31/2018 X
4 BELISARIO , JUSTINE - X X 7/7/2017 X X 1/31/2018 X
5 CAPAGNGAN , MARK GIL CRESENCIA X X 7/7/2017 X X 1/31/2018 X
6 DE FIESTA, MELVIN PAHAYAHAY X X 7/7/2017 X X 1/31/2018 X
7 DULNUAN, JOMARIE CORPUZ X X 7/7/2017 X X 1/31/2018 X
8 ESPAÑA , RONEL GARCIA X X 7/7/2017 X X 1/31/2018 X
9 FERNANDEZ, GENY TIBUS X X 7/7/2017 X X 1/31/2018 X
10 FERRER, KEMUEL SABIANO X X 7/7/2017 X X 1/31/2018 X
11 NILO, REGIE PEREZ X X 7/7/2017 X X 2/1/2018 X
12 NOJOR , CIELO GIN - X X 7/7/2017 X X 1/31/2018 X
13 PAZ , JOSHUA CALIXTERIO X X 7/7/2017 X X 1/31/2018 X
14 QUITOLES , DENNIS MARK ESNIL X X 7/7/2017 X X 1/31/2018 X
15 SUAN, ROLAND MARCELLA X X 7/7/2017 X X 2/1/2018 X
16 TABOBO , SHERWIN FELIX SUAREZ X X 7/7/2017 X X 1/31/2018 X
17 TABOBO, RICKY - X X 7/7/2017 X X 1/31/2018 X
18 VILLACORTE , SHEM RHOXY TORNE X X 7/7/2017 X X 1/31/2018 X
19 ANDRADA, VERNAVELA LANUZA X X 7/7/2017 X X 1/31/2018 X
20 BAUTISTA , J-ANN-ME DISCARGA X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 CASIMIRO , ARVIE JOY RUAR X X 7/7/2017 X X 1/31/2018 X
22 CORPUZ , LYKA MAE PANGUIO X X 7/7/2017 X X 1/31/2018 X
23 DILAN, CATHERINE ANN BERNARDO X X 7/7/2017 X X 1/31/2018 X
24 FABRO , MICAH ASHLEY DE VERA X X 7/7/2017 X X 1/31/2018 X
25 HERMOSURA, CHRISTINE MAE DISCI X X 7/7/2017 X X 1/31/2018 X
26 LAZO , ALMA FE ANTONIO X X 7/7/2017 X X 1/31/2018 X
27 LAZO , MA CONCEPCION GOTGOTAO X X 7/7/2017 X X 1/31/2018 X
28 NORIEGA, TINTIN BURAC X X 7/7/2017 X X 1/31/2018 X
29 PADUA, PRINCESS DIANE DACASIN X X 7/7/2017 X X 2/1/2018 X
30 PARINAS, CHRISTINE ORIEL X X 7/7/2017 X X 1/31/2018 X
31 DE GUZMAN , DANA LORAINNE MAINES X X 7/7/2017 X X 1/31/2018 X
32 LAGUNA , MA VICTORIA DONATO X X 7/7/2017 X X 1/31/2018 X
33 VIADO, CRISTINE MAE - X X 7/7/2017 X X 1/31/2018 X
34 VILLACERA , JOVELYN BARROGA X X 7/7/2017 X X 1/31/2018 X
35 'LAGUNA , MONICA - X X 7/7/2017 X X 1/31/2018 X
Total: 15 20 35 35 35
orm 1_2014
sroom Record

riasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Cit * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 10-Jade

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 ANSELMO , JHENT MARK BANIG X X 7/7/2017 X X 1/31/2018 X
2 LUCENA , RODEL LAGUNA X X 7/7/2017 X X 1/31/2018 X
3 DE VERA , MICO AGTUCA X X 7/7/2017 X X 1/31/2018 X
4 FABIA , JOSEPH LUCENA X X 7/7/2017 X X 1/31/2018 X
5 MOLINA , EMREY RIMOCAL X X 7/7/2017 X X 1/31/2018 X
6 MOLINA, JAYLORD TAMONDONG X X 7/7/2017 X X 2/1/2018 X
7 PORQUILLANO , ARMAN ANDALES X X 7/7/2017 X X 1/31/2018 X
8 RIVERA , MARLON MEDRIANO X X 7/7/2017 X X 1/31/2018 X
9 ROCA , JOSHUA PASCUA X X 7/7/2017 X X 1/31/2018 X
10 SABLAON , ALLEN ESCALADA X X 7/7/2017 X X 1/31/2018 X
11 SALMASAN , EDMOND LABANAN X X 7/7/2017 X X 1/31/2018 X
12 SANTOS , CIPRIANO RJ OLIVER X X 7/7/2017 X X 2/1/2018 X
13 TABUNDA , YVAN LALAS X X 7/7/2017 X X 1/31/2018 X
14 TORNE , JHOEREX TABAS X X 7/7/2017 X X 1/31/2018 X
15 VELASCO, RONILIO BULOSAN X X 7/7/2017 X X 1/31/2018 X
16 BALOCATING , IAN QUINTO X X 7/7/2017 X X 1/31/2018 X
17 CORPUZ , JENNYLYN LORENZO X X 7/7/2017 X X 1/31/2018 X
18 DE GUZMAN , HANNAH FRANCHESKA MAINES X X 7/7/2017 X X 1/31/2018 X
19 DE GUZMAN. SWEET HEARTH MAY DIZON X X 7/7/2017 X X 1/31/2018 X
20 ELLANO , ADRIANA DATILES X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 FABIA , MARJORIE SERAFICA X X 7/7/2017 X X 1/31/2018 X
22 GUELA, DIOSA LALAINE MAINES X X 7/7/2017 X X 1/31/2018 X
23 LAGUNA , KRISTAL LYN ABON X X 7/7/2017 X X 1/31/2018 X
24 LAGUNA , MILA DONATO X X 7/7/2017 X X 1/31/2018 X
25 LINCOD , FIONA MILLE ROSS - X X 7/7/2017 X X 1/31/2018 X
26 MORLA , ANGELICA JOLLY CASTILLO X X 7/7/2017 X X 2/1/2018 X
27 PARIÑAS , TRICIA MAE CABISON X X 7/7/2017 X X 1/31/2018 X
28 PAZ , JOANNA MARIE CALIXTERIO X X 7/7/2017 X X 1/31/2018 X
29 TOMAS , PRINCESS LYN OLLERO X X 7/7/2017 X X 1/31/2018 X
30 VALDEZ , ABEGAIL AGACITA X X 7/7/2017 X X 1/31/2018 X
31 VALDEZ , JESSIE MAY BOLESA X X 7/7/2017 X X 1/31/2018 X
32 HOJOR, CIELO GIN X X 7/7/2017 X X 1/31/2018 X
33 EUGENIO, LEAN KEVIN X X 7/7/2017 X X 1/31/2018 X
Total: 7 26 33 33 33
orm 1_2014
sroom Record

riasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Cit * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 9-Mercury

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 ABEJURO , JOMAR SOLIS X X 7/7/2017 X X 1/31/2018 X
2 ANTONIO, JOMAR DELA PEÑA X X 7/7/2017 X X 1/31/2018 X
3 AQUINO , ANGELO AGUSTIN NOSIS X X 7/7/2017 X X 2/1/2018 X
4 BARROGA , REGIN REX - X X 7/7/2017 X X 1/31/2018 X
5 BERNARDO, MARK LESTER X X 7/7/2017 X X 1/31/2018 X
6 CABANGBANG , JHON MICHAEL - X X 7/7/2017 X X 1/31/2018 X
7 CARAJAY , JULIUS CESAR MABALOT X X 7/7/2017 X X 1/31/2018 X
8 CREDO , GINEIL MICHAEL CASTAÑAG X X 7/7/2017 X X 2/1/2018 X
9 DE LEON , JEROME PORQUILLANO X X 7/7/2017 X X 1/31/2018 X
10 DELA CRUZ , JERICO VILLACORTE X X 7/7/2017 X X 1/31/2018 X
11 DELA CRUZ , RAYMARK CRESENCIA X X 7/7/2017 X X 1/31/2018 X
12 FERNANDEZ , MIKE JAYSON PLARES X X 7/7/2017 X X 2/1/2018 X
13 HERMENEGILDO , VLADIMIR BALLESTEROS X X 7/7/2017 X X 1/31/2018 X
14 MATEDIO , ROY CRESENCIA X X 7/7/2017 X X 1/31/2018 X
15 MAYANDOC , MARK BRYAN - X X 7/7/2017 X X 1/31/2018 X
16 PALIT-ANG , JHON DRIX FONTANILLA X X 7/7/2017 X X 1/31/2018 X
17 QUICHO, JAYLORD X X 7/7/2017 X X 1/31/2018 X
18 QUIMSON , AARON IMPERIO X X 7/7/2017 X X 1/31/2018 X
19 SAMAR , PAUL ANGELO CORPUZ X X 7/7/2017 X X 1/31/2018 X
20 TUBERA , JAYSON DORIA X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 SOROTEN , PHILIP ECAL X X 7/7/2017 X X 1/31/2018 X
22 VILLARUZ , VINCENT BEMBONG X X 7/7/2017 X X 1/31/2018 X
23 ASTELERO , JASMIN - X X 7/7/2017 X X 1/31/2018 X
24 CALICA, AUBREY X X 7/7/2017 X X 1/31/2018 X
25 CEA , CINDY EUGENIO X X 7/7/2017 X X 1/31/2018 X
26 CRUCERO , RACHEL ZAMORA X X 7/7/2017 X X 1/31/2018 X
27 DULNUAN , ROSALIE CORPUZ X X 7/7/2017 X X 1/31/2018 X
28 EGIPTO , CATHERINE ADVIENTO X X 7/7/2017 X X 1/31/2018 X
29 ELLANO , MELODY LEONORA X X 7/7/2017 X X 1/31/2018 X
30 ESGUERRA, LUDY JOY TORNE X X 7/7/2017 X X 1/31/2018 X
31 ESTRADA , DANICA MEJA X X 7/7/2017 X X 1/31/2018 X
32 EUGENIO , CHIRA MAE X X 7/7/2017 X X 1/31/2018 X
33 FERRER, CRYSTAL MAE BARROGA X X 7/7/2017 X X 2/1/2018 X
34 FERNANDEZ , KRISTINE BERNADETTE FRANCIS X X 7/7/2017 X X 1/31/2018 X
35 LAZAGA, ANGELICA X X 7/7/2017 X X 1/31/2018 X
36 LOZANO , MICHELLE PORQUILLANO X X 7/7/2017 X X 1/31/2018 X
37 MILLARE, PHILLINE LEONORA X X 7/7/2017 X X 1/31/2018 X
38 OMILLIO , ALLYSSA MARIE MANAOIS X X 7/7/2017 X X 1/31/2018 X
39 PAGADUAN , MARIFE NACIANCINO X X 7/7/2017 X X 1/31/2018 X
40 REYES , MARJORIE PRIO X X 7/7/2017 X X 1/31/2018 X
41 SERBIENTE , ROWENA TAPORO X X 7/7/2017 X X 1/31/2018 X
42 GAMIAO, ROMIE X X 7/7/2017 X X 1/31/2018 X
Total: 15 27 42 42 42
orm 1_2014
sroom Record

riasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Cit * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 9-Neptune

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 DEBALUCOS, SHERWIN X X 7/7/2017 X X 1/31/2018 X
2 ANTONIO , LENARD TALVO X X 7/7/2017 X X 1/31/2018 X
3 BALGOA , JERALD BANARIA X X 7/7/2017 X X 1/31/2018 X
4 BAUTISTA , JAMES HOWARD FRIJAS X X 7/7/2017 X X 1/31/2018 X
5 CACHOLA , ANDY RAZON X X 7/7/2017 X X 2/1/2018 X
6 CALDITO , JERICO NOSIS X X 7/7/2017 X X 1/31/2018 X
7 CAMERO , CRIS MELO X X 7/7/2017 X X 1/31/2018 X
8 GUELA , ALLEN CEDRICK MAINES X X 7/7/2017 X X 1/31/2018 X
9 CAYETANO , JOSHUA TINO X X 7/7/2017 X X 2/1/2018 X
10 DE LEON, MARVIN PORQUILLANO X X 7/7/2017 X X 1/31/2018 X
11 FLORES , ANGELO - X X 7/7/2017 X X 2/1/2018 X
12 GASCON , JADMHER VINCE BARROGA X X 7/7/2017 X X 1/31/2018 X
13 IGNACIO , DARWIN JOSEPH BALTAZAR X X 7/7/2017 X X 1/31/2018 X
14 PARINAS , DANIEL DAYAO X X 7/7/2017 X X 2/1/2018 X
15 PAVO , JERICHO - X X 7/7/2017 X X 1/31/2018 X
16 QUIMSON , LYNDON IMPERIO X X 7/7/2017 X X 1/31/2018 X
17 SOTTO, JOSHUA S. X X 7/7/2017 X X 1/31/2018 X
18 SUMIO, ANGELO X X 7/7/2017 X X 1/31/2018 X
19 TABAS , GAIL ANDREI CRESENCIA X X 7/7/2017 X X 2/1/2018 X
20 TUAZON , PAUL ANDREW MUERONG X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 UBALDO , BRIANNE LLOYD LOPEZ X X 7/7/2017 X X 1/31/2018 X
22 BARROGA , BIANCA ROSE X X 7/7/2017 X X 1/31/2018 X
23 ANTONIO , DEVERLY LOVE BALDOS X X 7/7/2017 X X 1/31/2018 X
24 BARROGA , JESSICA CARPIO X X 7/7/2017 X X 2/1/2018 X
25 BASING, LEAH VIE PRIO X X 7/7/2017 X X 1/31/2018 X
26 CANTOR , RANELA MOLINA X X 7/7/2017 X X 1/31/2018 X
27 CEREZO , RYEIAN ALLAINE DELA CRUZ X X 7/7/2017 X X 1/31/2018 X
28 CORPUZ , ANNIE LYN - X X 7/7/2017 X X 1/31/2018 X
29 CRESENCIA , KRISTINE MAE EDRADA X X 7/7/2017 X X 2/1/2018 X
30 CUDIAMAT , DIANE BERNADETH - X X 7/7/2017 X X 1/31/2018 X
31 DE VERA , RAFAELLA FAJARDO X X 7/7/2017 X X 1/31/2018 X
32 DUCOSIN , SUNSHINE GRACE - X X 7/7/2017 X X 2/1/2018 X
33 FAJARDO , ANGELICA X X 7/7/2017 X X 1/31/2018 X
34 GANANCIAL , MILFRANCE PARBA X X 7/7/2017 X X 1/31/2018 X
35 LAGUNA , SHEILA ANN LAGUNA X X 7/7/2017 X X 1/31/2018 X
36 LUCENA , ARLEAH JENY TORIO X X 7/7/2017 X X 1/31/2018 X
37 MARATA, MARY JOY CABOTAJE X X 7/7/2017 X X 1/31/2018 X
38 PORQUILLANO , REYNA LAZO X X 7/7/2017 X X 1/31/2018 X
39 VILLOTA, KRISTINA CASSANDRA X X 7/7/2017 X X 1/31/2018 X
Total: 13 26 39 39 39
orm 1_2014
sroom Record

ariasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Rec
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Citrate * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 9-Jupiter

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 AGBANLOG JR, ROGELIO SIPIN X X 7/7/2017 X X 1/31/2018 X
2 BAUTISTA, FEDIRICHO JORIZ MAYANDOC X X 7/7/2017 X X 1/31/2018 X
3 BORAC , MICHAEL - X X 7/7/2017 X X 1/31/2018 X
4 CALIXTERIO , MARVIN LUTRANIA X X 7/7/2017 X X 1/31/2018 X
5 CORPUZ , JOSHUA CAMAT X X 7/7/2017 X X 1/31/2018 X
6 ELLANO , DARWIN DATILES X X 7/7/2017 X X 1/31/2018 X
7 HONRADO , LORD WALLEI ORTIZ X X 7/7/2017 X X 2/1/2018 X
8 JAVIER, JEFFERSON X X 7/7/2017 X X 1/31/2018 X
9 LAMINTAO , MARK ANTHONY FIGURACION X X 7/7/2017 X X 1/31/2018 X
10 LOPEZ , MIKO IVAN X X 7/7/2017 X X 1/31/2018 X
11 LUCENA , ARMAND JEGGIR TORIO X X 7/7/2017 X X 1/31/2018 X
12 MACANLALAY , RYAN JAY ANCIANO X X 7/7/2017 X X 1/31/2018 X
13 MILLARE , CURL ARNOLD BATURI X X 7/7/2017 X X 2/1/2018 X
14 MILLARE, JENARD BATARI X X 7/7/2017 X X 1/31/2018 X
15 NOSIS , JASPER BLAZO X X 7/7/2017 X X 1/31/2018 X
16 SABADO , RHON VINCENT - X X 7/7/2017 X X 1/31/2018 X
17 SORIANO , MARK IVAN CARIAZO X X 7/7/2017 X X 1/31/2018 X
18 BERTILLO , LUISA MAE CRESENCIA X X 7/7/2017 X X 1/31/2018 X
19 CACHO , ROSALIA ERPELO X X 7/7/2017 X X 1/31/2018 X
20 CERVANTES , JYNYLLE - X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 CRESENCIA, SHEN X X 7/7/2017 X X 1/31/2018 X
22 DELA CRUZ , ERICA BALTAZAR X X 7/7/2017 X X 1/31/2018 X
23 ENON , MENIROSE BERTO X X 7/7/2017 X X 1/31/2018 X
24 ESPINOZA , MELODY - X X 7/7/2017 X X 1/31/2018 X
25 FABIA , DIANA SERAFICA X X 7/7/2017 X X 1/31/2018 X
26 FABIA , JOANNA LANDAYAN X X 7/7/2017 X X 1/31/2018 X
27 FAJARDO , DIANE GRACE CRESENCIA X X 7/7/2017 X X 1/31/2018 X
28 FAJARDO , JOELMA-ROSE IBAY X X 7/7/2017 X X 1/31/2018 X
29 FLORES, ME-SOL COLIBRA X X 7/7/2017 X X 1/31/2018 X
30 GODOY , LETLET REYES X X 7/7/2017 X X 2/1/2018 X
31 GOROSPE, GRACE ANN FERNANDEZ X X 7/7/2017 X X 1/31/2018 X
32 JOAQUIN , RIJANAH COELI - X X 7/7/2017 X X 1/31/2018 X
33 MENDOZA , JULLIANNE RAINE - X X 7/7/2017 X X 1/31/2018 X
34 MEQUIN, MARY ROSE CONCEPCION X X 7/7/2017 X X 1/31/2018 X
35 PORQUILLANO , CATHY X X 7/7/2017 X X 1/31/2018 X
36 RAFANAN , CAMILA GARCIA X X 7/7/2017 X X 1/31/2018 X
37 VELASCO , BERNADETTE MACANLAL X X 7/7/2017 X X 1/31/2018 X
38 ADVIENTO, MICHAEL X X 7/7/2017 X X 1/31/2018 X
39 CRESENCIA, NIKKO X X 7/7/2017 X X 1/31/2018 X
Total: 11 28 39 39 39
orm 1_2014
sroom Record

ariasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Cit * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 9-Saturn

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 AGOSTO , KERUBIN LUTANG X X 7/7/2017 X X 1/31/2018 X
2 BALLESTEROS , NIÑO SORILLANO X X 7/7/2017 X X 1/31/2018 X
3 BERTILLO , JAYVEE LAURON X X 7/7/2017 X X 1/31/2018 X
4 CAMPOS , MAR DANIEL LUCENA X X 7/7/2017 X X 1/31/2018 X
5 CORPUZ, JOHN LLYOD PANGUIO X X 7/7/2017 X X 1/31/2018 X
6 ESMABE, REAVEN JOHN ZAMORA X X 7/7/2017 X X 2/1/2018 X
7 FINULIAR , MARK EDELSON LACAMBRA X X 7/7/2017 X X 1/31/2018 X
8 LAGUNA, ROMEO JR CORPUZ X X 7/7/2017 X X 1/31/2018 X
9 MAGALONG , ELLIZ KEANU TALVO X X 7/7/2017 X X 1/31/2018 X
10 MARQUITA , MARK JERWIN MORANTE X X 7/7/2017 X X 1/31/2018 X
11 NACION, JAMES VINCENT - X X 7/7/2017 X X 1/31/2018 X
12 PAGADUAN, MJ SIBOLBORO X X 7/7/2017 X X 2/1/2018 X
13 PEÑALOSA , JAYSON ALCANTARA X X 7/7/2017 X X 1/31/2018 X
14 PINTO , JESTONI BAUTISTA X X 7/7/2017 X X 1/31/2018 X
15 PORQUILLANO, DANNY BOY I. X X 7/7/2017 X X 1/31/2018 X
16 QUIOCHO , JAY LORD X X 7/7/2017 X X 2/1/2018 X
17 SANGALAN , JHON CONRAD MALATA X X 7/7/2017 X X 1/31/2018 X
18 SORIANO , HERNAN BANARIA X X 7/7/2017 X X 1/31/2018 X
19 TABOBO , MICH LAPEÑA X X 7/7/2017 X X 1/31/2018 X
20 AQUINO , ATHALIA JAMYL ANDRADA X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 AQUINO , MICA ELLA LUCENA X X 7/7/2017 X X 1/31/2018 X
22 BARROGA , KIMBERLY FAJANILBO X X 7/7/2017 X X 1/31/2018 X
23 BAUSTISTA , ROSARY CLAIRE MAYANDOC X X 7/7/2017 X X 1/31/2018 X
24 BERNAL , ANA MARIE LORENZO X X 7/7/2017 X X 1/31/2018 X
25 BILAOS , MARY ANN VILLAFANIA X X 7/7/2017 X X 1/31/2018 X
26 CABOTAJE , CRISTINE ARCALAS X X 7/7/2017 X X 1/31/2018 X
27 FAJARDO , ALLYSA MAY CABANGON X X 7/7/2017 X X 2/1/2018 X
28 LAGUNA , GEMMA ROSE PANGILINAN X X 7/7/2017 X X 1/31/2018 X
29 LAGUNA , MARY ANN PEREZ X X 7/7/2017 X X 1/31/2018 X
30 LUTRANIA , REALYN SARMIENTO X X 7/7/2017 X X 1/31/2018 X
31 NACION , MARISSA VILLACORTE X X 7/7/2017 X X 1/31/2018 X
32 NOPRADA , MARICHU LOPEZ X X 7/7/2017 X X 1/31/2018 X
33 PASCASIO , GRACE ANN X X 7/7/2017 X X 1/31/2018 X
34 PENULLAR, ANGELYN L. X X 7/7/2017 X X 1/31/2018 X
35 SACLAYAN , JOYLENE CAMARA X X 7/7/2017 X X 1/31/2018 X
36 SARMIENTO , JUVY TAMONDONG X X 7/7/2017 X X 1/31/2018 X
37 TABUGA , AIDINE MAE NERA X X 7/7/2017 X X 1/31/2018 X
38 VELASCO , BERNADETTE MACANLALAY X X 7/7/2017 X X 1/31/2018 X
39 LAGUNA, JOMARI X X 7/7/2017 X X 1/31/2018 X
40 MENSALBAS, JOSEPH X X 7/7/2017 X X 1/31/2018 X
Total: 7 33 40 40 40
orm 1_2014
sroom Record

ariasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Ci * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 9-Venus

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 ALVARO , ALLEN JAMES EUGENIO X X 7/7/2017 X X 1/31/2018 X
2 BARRIENTOS, ERICKSON QUELLO X X 7/7/2017 X X 1/31/2018 X
3 BEDANIA, JOHN LEOMAR LUSTINA X X 7/7/2017 X X 1/31/2018 X
4 BILAOS , DANREN VILLAFANIA X X 7/7/2017 X X 1/31/2018 X
5 CATABAY, RYAN LAZO X X 7/7/2017 X X 2/1/2018 X
6 CHICO , JOHN MARK ORJALO X X 7/7/2017 X X 1/31/2018 X
7 CORPUZ JR, CHRISTOPHER LAGUNA X X 7/7/2017 X X 1/31/2018 X
8 DULNUAN , JOSEPH FERNANDEZ X X 7/7/2017 X X 1/31/2018 X
9 ELEAZAR , POPE JOHN PAUL BAUTISTA X X 7/7/2017 X X 1/31/2018 X
10 EUGENIO , JOHN REY NASTOR X X 7/7/2017 X X 1/31/2018 X
11 FERNANDEZ, MARC NELSON ESPOSO X X 7/7/2017 X X 1/31/2018 X
12 GALASI , JOHN PAUL - X X 7/7/2017 X X 1/31/2018 X
13 JAVIER , NIKKO SIBAYAN X X 7/7/2017 X X 2/1/2018 X
14 LACADEN, YYAN GWEN MEPUA X X 7/7/2017 X X 1/31/2018 X
15 LAZO , JOHN CONRAD GOTGOTAO X X 7/7/2017 X X 1/31/2018 X
16 LLAGUNO, JETRICK BRAINNE X X 7/7/2017 X X 1/31/2018 X
17 LUCENA JR, PEDRO LAGUNA X X 7/7/2017 X X 1/31/2018 X
18 MALAFO, KENNETH CAR-O X X 7/7/2017 X X 1/31/2018 X
19 QUEYQUEP , JAN ALLAN RONAELE ARIBE X X 7/7/2017 X X 1/31/2018 X
20 QUILAUSING , RAVEN CARL GARCIA X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 RAMIREZ , MARK JOVEN CRESENCIA X X 7/7/2017 X X 1/31/2018 X
22 SAMAR , NOAH ANTHONY CORPUZ X X 7/7/2017 X X 1/31/2018 X
23 SANTOS , RALPH EMERSON PESARIO X X 7/7/2017 X X 1/31/2018 X
24 ALCANTARA , MERITXELL X X 7/7/2017 X X 1/31/2018 X
25 ANTONIO, KAREN TIO X X 7/7/2017 X X 1/31/2018 X
26 BERNAL , MAE ANN LIBUNAO X X 7/7/2017 X X 1/31/2018 X
27 CALIMQUIM , RUBY ANN ICO X X 7/7/2017 X X 1/31/2018 X
28 CAYETANO , JHUSTINE DIZON X X 7/7/2017 X X 1/31/2018 X
29 CLEMENTE, QUYMSHIE JASTY BALGOA X X 7/7/2017 X X 1/31/2018 X
30 SALDUA , KYRA GWEN X X 7/7/2017 X X 1/31/2018 X
31 ELECCION , JERMAINE LACADEN X X 7/7/2017 X X 1/31/2018 X
32 ESTEBAN, HAZELYN L. X X 7/7/2017 X X 1/31/2018 X
33 EUGENIO, JEANYLYN TABANGCORA X X 7/7/2017 X X 1/31/2018 X
34 FERMIN , MIKAELA MAE MADRONA X X 7/7/2017 X X 1/31/2018 X
35 JANER , CRISTINE ALCANTARA X X 7/7/2017 X X 1/31/2018 X
36 JOSE , LEIZA MAUREEN REYES X X 7/7/2017 X X 1/31/2018 X
37 LAGUNA , APRIL ANN JAVIER X X 7/7/2017 X X 1/31/2018 X
38 LAGUNA , JEIZELLE ANN LANDAYAN X X 7/7/2017 X X 1/31/2018 X
39 LUCENA, ALIA BETH UBALDO X X 7/7/2017 X X 1/31/2018 X
40 NEPOMUCENO , TRISHA MAE LAGUNA X X 7/7/2017 X X 1/31/2018 X
41 ROCERO, JONABEL CRESENCIA X X 7/7/2017 X X 1/31/2018 X
42 TALVO , ALEXIE MAE CORPUZ X X 7/7/2017 X X 1/31/2018 X
43 VILLAMATER , ELAIZE ESMERIA X X 7/7/2017 X X 1/31/2018 X
44 ZAMORA , JILLIANNE SISON X X 7/7/2017 X X 1/31/2018 X
Total: 12 32 44 44 44
orm 1_2014
sroom Record

iasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Cit * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 8-Franklin

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 BALLESTEROS, JOSHUA F. X X 7/7/2017 X X 1/31/2018 X
2 BARROGA, JOHN PAUL J. X X 7/7/2017 X X 1/31/2018 X
3 CACHO , MARK LESTER B. X X 7/7/2017 X X 2/1/2018 X
4 CALIMQUIM, ROLANDO ICO III X X 7/7/2017 X X 1/31/2018 X
5 CAMPENA , VHAN EXELL F. X X 7/7/2017 X X 1/31/2018 X
6 CARILLO, TOBY JOSH - X X 7/7/2017 X X 1/31/2018 X
7 CRESCENCIA, RAYMOND M. X X 7/7/2017 X X 1/31/2018 X
8 CUTARON, JHOREX B. X X 7/7/2017 X X 1/31/2018 X
9 DELOS REYES , REYMAR P. X X 7/7/2017 X X 2/1/2018 X
10 GOROSPE, CHRISTIAN PAUL L. X X 7/7/2017 X X 1/31/2018 X
11 LAGUNA , ANTONIO D. JR X X 7/7/2017 X X 1/31/2018 X
12 LAGUNA JR, FELICIANO M. X X 7/7/2017 X X 1/31/2018 X
13 LAGUNA, FRANCIS ANGELO L. X X 7/7/2017 X X 2/1/2018 X
14 LAGUNA,RONALD X X 7/7/2017 X X 2/1/2018 X
15 MAGALONG , KEEN T. X X 7/7/2017 X X 1/31/2018 X
16 RAMIREZ, JOHN DEXTER G. X X 7/7/2017 X X 1/31/2018 X
17 REASONDA , AARON NICOLAI C. X X 7/7/2017 X X 1/31/2018 X
18 SALVADOR, JOHN PAUL M. X X 7/7/2017 X X 1/31/2018 X
19 SARMIENTO, MARK L. X X 7/7/2017 X X 2/1/2018 X
20 SUMIO, YVAN DAVID A. X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 UBALDO, CEDRIC MARJOHN A. X X 7/7/2017 X X 1/31/2018 X
22 ALVIAR, HANNAH JULEA E. X X 7/7/2017 X X 1/31/2018 X
23 BARROGA , ANGEL DIANNE G. X X 7/7/2017 X X 2/1/2018 X
24 CAMBAY, GYPSY A. X X 7/7/2017 X X 1/31/2018 X
25 CAVERO, AIYANA ROSS P. X X 7/7/2017 X X 1/31/2018 X
26 CEA, REYNALE E. X X 7/7/2017 X X 1/31/2018 X
27 DE GUZMAN, MAY X X 7/7/2017 X X 2/1/2018 X
28 FERNANDEZ, JAMELA KAYE P. X X 7/7/2017 X X 1/31/2018 X
29 GAMBOL, MARIA ABEGAIL N. X X 7/7/2017 X X 2/1/2018 X
30 GARCIA, DANNAH CATRINA O. X X 7/7/2017 X X 1/31/2018 X
31 MOLINA, MARY ROSE R. X X 7/7/2017 X X 1/31/2018 X
32 OIGUAN, TERESA O. X X 7/7/2017 X X 1/31/2018 X
33 ORPILLA, RODALYN C. X X 7/7/2017 X X 1/31/2018 X
34 PENULLAR , CIARA MAY L. X X 7/7/2017 X X 1/31/2018 X
35 PORQUILLANO, JANNISE T. X X 7/7/2017 X X 1/31/2018 X
36 RUALES, PEVERLYN B. X X 7/7/2017 X X 1/31/2018 X
37 SANTOS , ERICA C. X X 7/7/2017 X X 1/31/2018 X
38 SANTOS , JUNELA C. X X 7/7/2017 X X 1/31/2018 X
39 SORIANO , SAMANTHA M. X X 7/7/2017 X X 1/31/2018 X
40 UBALDO, MA. CRESTELYN L. X X 7/7/2017 X X 1/31/2018 X
41 ACUNA, JOHN REY X X 7/7/2017 X X 1/31/2018 X
Total: 14 27 41 41 41
orm 1_2014
sroom Record

ariasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Ci * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 8-Pascal

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 ALFECHE, KURT JOVERN D. X X 7/7/2017 X X 1/31/2018 X
2 AQUINO, EDRIAN X X 7/7/2017 X X 1/31/2018 X
3 CALIP, ANDREW A. X X 7/7/2017 X X 1/31/2018 X
4 CUDIAMAT, JOHN LLOYD T. X X 7/7/2017 X X 1/31/2018 X
5 DELA CRUZ, MARK ANTHONY A. X X 7/7/2017 X X 1/31/2018 X
6 DELIZO, RENON VINCENT R. X X 7/7/2017 X X 2/1/2018 X
7 ESTRADA, JERICHO C. X X 7/7/2017 X X 1/31/2018 X
8 EUGENIO, ANGELO G. X X 7/7/2017 X X 1/31/2018 X
9 FLORES , ROMAR C. X X 7/7/2017 X X 2/1/2018 X
10 FUERTE,GADWYN A. X X 7/7/2017 X X 1/31/2018 X
11 LOCQUIAO, B-JAY BENJAMIN B. X X 7/7/2017 X X 2/1/2018 X
12 LOZANO, RHONEL G. X X 7/7/2017 X X 1/31/2018 X
13 MARQUEZ , JOHN MICHAEL L. X X 7/7/2017 X X 1/31/2018 X
14 MENDOZA, JERICHO L. X X 7/7/2017 X X 2/1/2018 X
15 PASCUA, JAY VIE X X 7/7/2017 X X 1/31/2018 X
16 SERAIN, NEIL VIN X X 7/7/2017 X X 1/31/2018 X
17 TALVO, VINCENT C. X X 7/7/2017 X X 1/31/2018 X
18 TISBE, JUDE C. X X 7/7/2017 X X 2/1/2018 X
19 TORNE , NATHANIEL T. X X 7/7/2017 X X 2/1/2018 X
20 VASQUEZ, JOMEL L. X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 VILLAFANIA , DIVINO GABRIEL A. X X 7/7/2017 X X 1/31/2018 X
22 ASENIERO, GLENDA V. X X 7/7/2017 X X 1/31/2018 X
23 ASENIERO, JOANA MARIE V. X X 7/7/2017 X X 2/1/2018 X
24 EBREO, KRISHA MHAY S. X X 7/7/2017 X X 1/31/2018 X
25 ELLANO , MARIEL P. X X 7/7/2017 X X 1/31/2018 X
26 EUGENIO , JANICE X X 7/7/2017 X X 2/1/2018 X
27 FABRO , CRISTINA JANE O. X X 7/7/2017 X X 1/31/2018 X
28 GAMBOL, MARIA ANTONET N. X X 7/7/2017 X X 1/31/2018 X
29 JOSE, LENET MARGARET R. X X 7/7/2017 X X 1/31/2018 X
30 LOMEDA, BABY ROSE P. X X 7/7/2017 X X 1/31/2018 X
31 LUTRANIA , VEEJEE A. X X 7/7/2017 X X 2/1/2018 X
32 MARATA, AKEMI X X 7/7/2017 X X 1/31/2018 X
33 MILLARE, JORNALYN MAE B. X X 7/7/2017 X X 1/31/2018 X
34 NATIVIDAD, JESSICA A. X X 7/7/2017 X X 1/31/2018 X
35 ORPILLA, JACKILOU R. X X 7/7/2017 X X 1/31/2018 X
36 PALOLA, ANGIE C. X X 7/7/2017 X X 1/31/2018 X
37 PORQUILLANO, FATIMA C. X X 7/7/2017 X X 1/31/2018 X
38 PRAGO, ASHLEY NICOLE I. X X 7/7/2017 X X 1/31/2018 X
39 TABOBO, CHARMINE ANN A. X X 7/7/2017 X X 1/31/2018 X
40 TERNEO , CRENALYN C. X X 7/7/2017 X X 1/31/2018 X
41 TRILLANA, JAKELYN A. X X 7/7/2017 X X 1/31/2018 X
42 DE VERA, BUNNY X X 7/7/2017 X X 1/31/2018 X
Total: 9 33 42 42 42
orm 1_2014
sroom Record

iasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Cit * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 8-Eisntein

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 ADVIENTO, JOROSS P. X X 7/7/2017 X X 1/31/2018 X
2 AFICIAL, MELVIN JOHN X X 7/7/2017 X X 2/1/2018 X
3 BALLESTEROS , DENNIS L. X X 7/7/2017 X X 1/31/2018 X
4 BAUTISTA, CRIS KAIZER H. X X 7/7/2017 X X 1/31/2018 X
5 BITUIN, JOHN RUEL G. X X 7/7/2017 X X 2/1/2018 X
6 BURTON , EDRIYAN D. X X 7/7/2017 X X 2/1/2018 X
7 CABOTAJE, ROSIE BOY JR., A. X X 7/7/2017 X X 1/31/2018 X
8 CAJUDO, KARL CYRUS X X 7/7/2017 X X 1/31/2018 X
9 CALICA , LAWRENCE X X 7/7/2017 X X 1/31/2018 X
10 CALMA, MARVIN,JR. P. X X 7/7/2017 X X 1/31/2018 X
11 CASTRO II, MARINO V. X X 7/7/2017 X X 2/1/2018 X
12 ELLANO JR , ILARDE A. X X 7/7/2017 X X 1/31/2018 X
13 EUGENIO, NOEL F. X X 7/7/2017 X X 1/31/2018 X
14 FERNANDEZ , JERSON ANGELO E. X X 7/7/2017 X X 2/1/2018 X
15 LAURIO , GIOVANNI E. X X 7/7/2017 X X 1/31/2018 X
16 MARTINEZ, JHON MARK C. X X 7/7/2017 X X 1/31/2018 X
17 PALMA, TREVONNE ZACHARY G. X X 7/7/2017 X X 1/31/2018 X
18 PANELO, JUSTIN MILES J. X X 7/7/2017 X X 2/1/2018 X
19 PORQUILLANO, BRYAN L. X X 7/7/2017 X X 1/31/2018 X
20 VILLACERA, VENNIE JAMES B. X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 ABENIR, PRECY ANNE P. X X 7/7/2017 X X 1/31/2018 X
22 AQUINO , KIMBERLY E. X X 7/7/2017 X X 1/31/2018 X
23 CANSINO , ELAISA JANE L. X X 7/7/2017 X X 2/1/2018 X
24 DEBALUCOS, ALONA MAY X X 7/7/2017 X X 1/31/2018 X
25 DELA PAZ, HEART X X 7/7/2017 X X 2/1/2018 X
26 EUGENIO, JENLY P. X X 7/7/2017 X X 1/31/2018 X
27 EUGENIO, NHICOLE A. X X 7/7/2017 X X 1/31/2018 X
28 FAJARDO , ADRIANA X X 7/7/2017 X X 2/1/2018 X
29 FERNANDEZ , MIKAELLA B. X X 7/7/2017 X X 1/31/2018 X
30 MACARUBBO, LOVELY ANN M. X X 7/7/2017 X X 1/31/2018 X
31 NUEZCA, KATE X X 7/7/2017 X X 2/1/2018 X
32 OSORIO, JOE RAIGN A. X X 7/7/2017 X X 1/31/2018 X
33 PAGADUAN, JERICKA G. X X 7/7/2017 X X 2/1/2018 X
34 RAFANAN , APPLE G. X X 7/7/2017 X X 1/31/2018 X
35 RIBO , DIVINE KENNETH N. X X 7/7/2017 X X 1/31/2018 X
36 TABOBO , JHOVILYN TRIXIE G. X X 7/7/2017 X X 1/31/2018 X
37 TOLEDO , JONA KAYE R. X X 7/7/2017 X X 2/1/2018 X
38 TOREJAS, MARNEN GRACE L. X X 7/7/2017 X X 1/31/2018 X
39 VALDEZ, ROSSELLE X X 7/7/2017 X X 1/31/2018 X
40 PESCADOR, IRELYN X X 7/7/2017 X X 1/31/2018 X
41 UBALDO, RENALYN X X 7/7/2017 X X 1/31/2018 X
42 BARROGA, LENARD X X 7/7/2017 X X 1/31/2018 X
43 SALVADOR, GABRIEL X X 7/7/2017 X X 2/1/2018 X
Total: 14 29 43 43 43
orm 1_2014
sroom Record

riasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Citr * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 8-Newton

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 ALAOIG, ARVIN M. X X 7/7/2017 X X 1/31/2018 X
2 ANGELES, ROMMEL V. JR X X 7/7/2017 X X 1/31/2018 X
3 APELO,SHAUN ANDREW S. X X 7/7/2017 X X 1/31/2018 X
4 BARROGA, MARK ANTHONY C. X X 7/7/2017 X X 1/31/2018 X
5 CRESENCIA, JONARE E. X X 7/7/2017 X X 1/31/2018 X
6 EGIPTO, RHOY D. X X 7/7/2017 X X 1/31/2018 X
7 FRANCISCO, CHRISTIAN N. X X 7/7/2017 X X 1/31/2018 X
8 GAGARIN, YURI DV. X X 7/7/2017 X X 1/31/2018 X
9 GARCIA, JOSHUA D. X X 7/7/2017 X X 1/31/2018 X
10 GENISE , XIANG LEE CHAN E. X X 7/7/2017 X X 1/31/2018 X
11 HIMMIWAT,CHEDRIC T. X X 7/7/2017 X X 1/31/2018 X
12 JOSON, SOL CLEMENT S. X X 7/7/2017 X X 1/31/2018 X
13 LAGUNA, JOHN PAUL R. X X 7/7/2017 X X 1/31/2018 X
14 LAZO , RAYMAR JOSHUA X X 7/7/2017 X X 1/31/2018 X
15 LLAGAS, JODELL G. X X 7/7/2017 X X 1/31/2018 X
16 MAINES, KYLE CHRISTIAN X X 7/7/2017 X X 1/31/2018 X
17 MORANTE, JHON RHEY X X 7/7/2017 X X 1/31/2018 X
18 PORQUILLANO , ROGER M. X X 7/7/2017 X X 1/31/2018 X
19 QUILAUSING, RAINE WHEL G. X X 7/7/2017 X X 1/31/2018 X
20 RABAGO, RANDY G. JR X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 TAMAYO, JAN CARLO D. X X 7/7/2017 X X 1/31/2018 X
22 TORNE, JOEDELL L. X X 7/7/2017 X X 1/31/2018 X
23 VILLANUEVA, RYLE DAVID C. X X 7/7/2017 X X 1/31/2018 X
24 ANTONIO , KIMBERLY T. X X 7/7/2017 X X 1/31/2018 X
25 BALTAZAR , ANGELICA KYLE M. X X 7/7/2017 X X 1/31/2018 X
26 BAUTISTA , MA JENDER D. X X 7/7/2017 X X 1/31/2018 X
27 BERTILLO , SHIELA MAE L. X X 7/7/2017 X X 1/31/2018 X
28 CABANGON, JENNY ANNE F. X X 7/7/2017 X X 1/31/2018 X
29 CASTRO, ANNE E. X X 7/7/2017 X X 1/31/2018 X
30 DELA CRUZ , YSABELLA JESUSA F. X X 7/7/2017 X X 1/31/2018 X
31 ENCALLADO, MARJORIE P. X X 7/7/2017 X X 1/31/2018 X
32 FERNANDEZ , ABIGAIL S. X X 7/7/2017 X X 1/31/2018 X
33 LABASAN, JOVANIE D. X X 7/7/2017 X X 1/31/2018 X
34 LACAMBRA, MARIEL L. X X 7/7/2017 X X 1/31/2018 X
35 LAGUNA , SHERRYL F. X X 7/7/2017 X X 1/31/2018 X
36 MAYANDOC , MHEY BELYN X X 7/7/2017 X X 1/31/2018 X
37 NITURA, HANALIE S. X X 7/7/2017 X X 1/31/2018 X
38 OSORIO, AMINA MAE B. X X 7/7/2017 X X 1/31/2018 X
39 PACADA, NORAINE JANE Y. X X 7/7/2017 X X 1/31/2018 X
40 REYES, ROSE ANNE S. X X 7/7/2017 X X 1/31/2018 X
41 RINGOR, THAILA JOY S. X X 7/7/2017 X X 1/31/2018 X
42 TALVO, NICOLE F. X X 7/7/2017 X X 1/31/2018 X
43 TORNE, JOANA A. X X 7/7/2017 X X 1/31/2018 X
44 TABUNAN, SHEENA MARIE 0. X X 7/7/2017 X X 1/31/2018 X
Total: 6 38 44 44 44
orm 1_2014
sroom Record

ariasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Rec
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Citrate * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 7-Sunflower

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 ABENOJAR, JO-AR JUSTINE A X X 7/7/2017 X X 1/31/2018 X
2 ALAVARO, MAR ANGELO X X 7/7/2017 X X 1/31/2018 X
3 BANARIA, GILBERT N. X X 7/7/2017 X X 1/31/2018 X
4 BILIRAN, CEJAY T X X 7/7/2017 X X 2/1/2018 X
5 CALMA, MARK ANTHONY X X 7/7/2017 X X 1/31/2018 X
6 COLOMA, RONNIE MENDOZA X X 7/7/2017 X X 1/31/2018 X
7 DISCIPULO, KARLO X X 7/7/2017 X X 1/31/2018 X
8 EMBALSADO, JESSIE X X 7/7/2017 X X 1/31/2018 X
9 ESMANE, BEINMER X X 7/7/2017 X X 1/31/2018 X
10 ESTANTINO, LUIS C X X 7/7/2017 X X 1/31/2018 X
11 FLORES, MARK JOHN S X X 7/7/2017 X X 2/1/2018 X
12 GALAPATE, JEROME NACION X X 7/7/2017 X X 1/31/2018 X
13 GAMASON, CHRISTIAN S X X 7/7/2017 X X 1/31/2018 X
14 GARANCIANG, JOEY X X 7/7/2017 X X 1/31/2018 X
15 GOREMBALEM, LOUIE JR G. X X 7/7/2017 X X 1/31/2018 X
16 JOSE, ADRIAN X X 7/7/2017 X X 1/31/2018 X
17 JOSE, LENARD MAURICE REYES X X 7/7/2017 X X 2/1/2018 X
18 LUTRANIA, MARK JERY FRIAS X X 7/7/2017 X X 1/31/2018 X
19 MACARUBBO, LESTHER M X X 7/7/2017 X X 1/31/2018 X
20 MORALES, JOHN DEXTER X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 OFICIAL, JOHN PAUL X X 7/7/2017 X X 1/31/2018 X
22 PASCUA, VON MARK DUA X X 7/7/2017 X X 1/31/2018 X
23 PORQUILLANO, RYAN GABRIEL CRISOSTOMO X X 7/7/2017 X X 2/1/2018 X
24 QEIRIDO, KYM ASHLEY X X 7/7/2017 X X 1/31/2018 X
25 TUBERA, ALJHAMAR X X 7/7/2017 X X 1/31/2018 X
26 VICENTE, JOHN CARL B X X 7/7/2017 X X 1/31/2018 X
27 YAMAMOTO, KENTO C X X 7/7/2017 X X 1/31/2018 X
28 YARANON, MARK DOMINIC F X X 7/7/2017 X X 1/31/2018 X
29 AUSTRIA, MARJORIE X X 7/7/2017 X X 2/1/2018 X
30 BARRIENTOS, ETHEL JOY C. X X 7/7/2017 X X 1/31/2018 X
31 BAUTISTA, NICOLE X X 7/7/2017 X X 1/31/2018 X
32 BOLESA, CHRISTINE X X 7/7/2017 X X 1/31/2018 X
33 BURTON, PIA D X X 7/7/2017 X X 1/31/2018 X
34 CANTORIA, ANGELICA F X X 7/7/2017 X X 1/31/2018 X
35 DACAYO, JEANNE G. X X 7/7/2017 X X 1/31/2018 X
36 DIAZ, MA. MARCELLAC X X 7/7/2017 X X 2/1/2018 X
37 DUCOSIN, BEVVY JEAN D X X 7/7/2017 X X 1/31/2018 X
38 INTENDENCIA, RRHYSA P X X 7/7/2017 X X 1/31/2018 X
39 LUTRANIA, KIMBERLY X X 7/7/2017 X X 1/31/2018 X
40 MARQUITA, MARIA JASMINE M X X 7/7/2017 X X 2/1/2018 X
41 MENDOZA, ERIKA ANGELI C X X 7/7/2017 X X 2/1/2018 X
42 MOLINA, ANGEL L X X 7/7/2017 X X 1/31/2018 X
43 NACIANCENO, ERICKA M X X 7/7/2017 X X 1/31/2018 X
44 PIDLAWAN, MARIBEL LUTRANIA X X 7/7/2017 X X 1/31/2018 X
45 QUEYQUEP, KRYSTAL X X 7/7/2017 X X 1/31/2018 X
46 TABOBO, RACHEL C. X X 7/7/2017 X X 1/31/2018 X
47 TUBERA, RESEE CYRIL T. X X 7/7/2017 X X 1/31/2018 X
48 VELORIA, JANELLA MAE P X X 7/7/2017 X X 1/31/2018 X
49 VILLAFANIA, ROSELLE F. X X 7/7/2017 X X 1/31/2018 X
Total: 6 43 49 49 49
orm 1_2014
sroom Record

ariasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Citr * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 7-Orchid

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 ABENIR, MARK ANTHONY P. X X 7/7/2017 X X 1/31/2018 X
2 ADVIENTO, ANTHONY X X 7/7/2017 X X 2/1/2018 X
3 ARTITA, ALDRIN G X X 7/7/2017 X X 1/31/2018 X
4 BARCELONA, GERALD X X 7/7/2017 X X 1/31/2018 X
5 BAUTISTA, ULYSSES X X 7/7/2017 X X 2/1/2018 X
6 BRUNO, JOHN RENZ P X X 7/7/2017 X X 2/1/2018 X
7 CASTANIETO, DARNIL X X 7/7/2017 X X 1/31/2018 X
8 CORPUZ, JOHN DANTE R X X 7/7/2017 X X 1/31/2018 X
9 CRESENCIA, CROMUEL H X X 7/7/2017 X X 1/31/2018 X
10 FABRO, AHRONE BACSA X X 7/7/2017 X X 1/31/2018 X
11 FERNANDEZ, AJ D X X 7/7/2017 X X 1/31/2018 X
12 FERRER, ARJADE M X X 7/7/2017 X X 1/31/2018 X
13 GARCIA, TERRENCE JAY C X X 7/7/2017 X X 1/31/2018 X
14 GAYLA, JOHN MICHAEL M X X 7/7/2017 X X 2/1/2018 X
15 LACHICA, YULO X X 7/7/2017 X X 1/31/2018 X
16 LAGUNA, ALLAN JR LANDAYAN X X 7/7/2017 X X 1/31/2018 X
17 LAGUNA, RAYMART PEREZ X X 7/7/2017 X X 1/31/2018 X
18 LAXAMANA, JOHN WIE TABOBO X X 7/7/2017 X X 2/1/2018 X
19 LORENZO, ADRIAN P X X 7/7/2017 X X 1/31/2018 X
20 LOZANO, JAY-JAY G X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 LUCENA, ARMAND JERICHO TORILO X X 7/7/2017 X X 1/31/2018 X
22 LUIS, CARLO JOHN X X 7/7/2017 X X 1/31/2018 X
23 PADUA, DOMINGO III DACASIN X X 7/7/2017 X X 2/1/2018 X
24 PAVO, JOHN RAY X X 7/7/2017 X X 1/31/2018 X
25 PORQUILLANO, PEE JHAY E X X 7/7/2017 X X 1/31/2018 X
26 SINGUEO, MARK JAY P X X 7/7/2017 X X 1/31/2018 X
27 UBALDO, JOHN DELFIN LOPEZ X X 7/7/2017 X X 2/1/2018 X
28 VELASCO, JOHN MICHAEL X X 7/7/2017 X X 1/31/2018 X
29 ANDRADA, ANGEL O X X 7/7/2017 X X 1/31/2018 X
30 BALGOA, JINALYN B X X 7/7/2017 X X 1/31/2018 X
31 BEGONIA, MARJORIE C. X X 7/7/2017 X X 1/31/2018 X
32 CASTAÑEDA, NICOL H. X X 7/7/2017 X X 1/31/2018 X
33 CASTRO, ARIANE E X X 7/7/2017 X X 1/31/2018 X
34 CASTRO, YROL ANNE M. X X 7/7/2017 X X 1/31/2018 X
35 DELOS REYES, GENESIS JHEN R X X 7/7/2017 X X 2/1/2018 X
36 DORIA, AYRA MAE T X X 7/7/2017 X X 1/31/2018 X
37 FABRO, SUNSHINE GRACE L X X 7/7/2017 X X 1/31/2018 X
38 HERMOSURA, JESSICA P. X X 7/7/2017 X X 1/31/2018 X
39 LAPITAN, JENNIFER D X X 7/7/2017 X X 2/1/2018 X
40 MARQUEZ, ROSALINA C X X 7/7/2017 X X 1/31/2018 X
41 PAGADUAN, JASMINE N X X 7/7/2017 X X 1/31/2018 X
42 PARAGAS, LYKA N. X X 7/7/2017 X X 1/31/2018 X
43 PINTO, KATHLEEN MAY X X 7/7/2017 X X 2/1/2018 X
44 PORQUILLANO SANDY F. X X 7/7/2017 X X 1/31/2018 X
45 TORNE, KZAIREL JOIE C. X X 7/7/2017 X X 1/31/2018 X
46 PARINAS, KRISTAL O. X X 7/7/2017 X X 1/31/2018 X
Total: 5 41 46 46 46
orm 1_2014
sroom Record

ariasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Ci * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 7-Jasmine

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 BISENIO, RALP JUSTINE AGONIA X X 7/7/2017 X X 2/1/2018 X
2 CALIXTERIO, JOVITO X X 7/7/2017 X X 1/31/2018 X
3 CAYETANO, LAWRENCE M X X 7/7/2017 X X 1/31/2018 X
4 CORPUZ, RONNEL L X X 7/7/2017 X X 1/31/2018 X
5 DATUIN, RYAN N X X 7/7/2017 X X 2/1/2018 X
6 DELA CRUZ, JONEL E X X 7/7/2017 X X 1/31/2018 X
7 DILAN, JOHN PAUL X X 7/7/2017 X X 1/31/2018 X
8 EUGENIO, MARK KENNETH D X X 7/7/2017 X X 1/31/2018 X
9 FLORES, BENEDICT Q X X 7/7/2017 X X 1/31/2018 X
10 FLORES, CHARLES DAVID CRESENCIA X X 7/7/2017 X X 2/1/2018 X
11 FLORESCA, KEAFER T. X X 7/7/2017 X X 1/31/2018 X
12 GUTIERREZ, BENSON S X X 7/7/2017 X X 1/31/2018 X
13 LAMOSTE, KENT LAGUNA X X 7/7/2017 X X 1/31/2018 X
14 LLAGAS, JED G X X 7/7/2017 X X 1/31/2018 X
15 MANANGAN, JOSEPH L. X X 7/7/2017 X X 1/31/2018 X
16 MEDINA, GLENMARK ACUNA X X 7/7/2017 X X 1/31/2018 X
17 MONDINA, JONATHAN X X 7/7/2017 X X 1/31/2018 X
18 NITURA, JOSEPH BAYONETA X X 7/7/2017 X X 1/31/2018 X
19 OXILES, AXEL ALATAN X X 7/7/2017 X X 1/31/2018 X
20 PAZ, JOHN PAUL C. X X 7/7/2017 X X 2/1/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 TABOBO, JESS ANTHONY X X 7/7/2017 X X 1/31/2018 X
22 TABUNDA, MICHAEL AFICIAL X X 7/7/2017 X X 1/31/2018 X
23 TALVO, JUN X X 7/7/2017 X X 1/31/2018 X
24 ANTONIO, CHESKA JANE X X 7/7/2017 X X 1/31/2018 X
25 BALLESTEROS, JULIE ROSE S. X X 7/7/2017 X X 2/1/2018 X
26 CABBAB, NICOLE D. X X 7/7/2017 X X 1/31/2018 X
27 CORPUZ, MARICRIS L X X 7/7/2017 X X 1/31/2018 X
28 DELA CRUZ, ALWINAH L X X 7/7/2017 X X 1/31/2018 X
29 DESMAYA, ALYSSA SHANE D. X X 7/7/2017 X X 1/31/2018 X
30 DOMINGO, FHINA MARIE L. X X 7/7/2017 X X 1/31/2018 X
31 EGIPTO, EMRIELYN C. X X 7/7/2017 X X 1/31/2018 X
32 LACSON, PRINCESS HRYZA M X X 7/7/2017 X X 2/1/2018 X
33 LOZANO, CHRISTIANE KYLA J X X 7/7/2017 X X 1/31/2018 X
34 MARTIN, JANG GUEM X X 7/7/2017 X X 1/31/2018 X
35 MENDEZ, CATHERINE O. X X 7/7/2017 X X 1/31/2018 X
36 MONDINA, MARY ANGELA C X X 7/7/2017 X X 1/31/2018 X
37 MONDINA, MARY ANGELICA C X X 7/7/2017 X X 1/31/2018 X
38 NUALDA, RENEE ANNE C. X X 7/7/2017 X X 1/31/2018 X
39 OBEDOZA, PRESCILA X X 7/7/2017 X X 1/31/2018 X
40 PENULLAR, JOSHANE MORR E. X X 7/7/2017 X X 1/31/2018 X
41 PERMISON, ROSALYN L X X 7/7/2017 X X 1/31/2018 X
42 SALVADOR, ANGELINE MAE X X 7/7/2017 X X 1/31/2018 X
43 VASQUEZ, LYKA L. X X 7/7/2017 X X 1/31/2018 X
Total: 7 36 43 43 43
orm 1_2014
sroom Record

ariasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Record
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Cit * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 7-Daisy

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 ANTONIO, KIRBY MILO X X 7/7/2017 X X 1/31/2018 X
2 BALTAZAR, ANGELO CARL M X X 7/7/2017 X X 1/31/2018 X
3 BANEZ, JACKY E X X 7/7/2017 X X 1/31/2018 X
4 CACHO, AXEL E X X 7/7/2017 X X 1/31/2018 X
5 CORPUZ, ORLANDO JAY X X 7/7/2017 X X 1/31/2018 X
6 CORPUZ, REYNIER CELMAR X X 7/7/2017 X X 1/31/2018 X
7 CRUCERO, RODNEY X X 7/7/2017 X X 1/31/2018 X
8 DAIZ, DEXTER M X X 7/7/2017 X X 1/31/2018 X
9 EUGENIO, JAKE TABANGCORA X X 7/7/2017 X X 2/1/2018 X
10 FABRO, MILES OCAMPO X X 7/7/2017 X X 1/31/2018 X
11 FERNANDEZ, MARVIN ANAGARAN X X 7/7/2017 X X 1/31/2018 X
12 GERONA, JOSE CHRISTIAN P X X 7/7/2017 X X 1/31/2018 X
13 GREGO, JOSEFINO X X 7/7/2017 X X 1/31/2018 X
14 LACHICA, EMAR X X 7/7/2017 X X 1/31/2018 X
15 LAGUA, JOHN LOWRENCE T X X 7/7/2017 X X 1/31/2018 X
16 LAGUNA, ALVIN L X X 7/7/2017 X X 1/31/2018 X
17 LAGUNA, MELVIN PANGILINAN X X 7/7/2017 X X 1/31/2018 X
18 LAGUNA, TROY NATURA X X 7/7/2017 X X 1/31/2018 X
19 LINGO, DANILO TORNE X X 7/7/2017 X X 2/1/2018 X
20 LOMEDA, ALEXANDER P X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 MARTIN, YORIE X X 7/7/2017 X X 1/31/2018 X
22 ORIBADO, JAYSON EUGENIO X X 7/7/2017 X X 1/31/2018 X
23 PAVO, EZEKEL JOSHUA B X X 7/7/2017 X X 1/31/2018 X
24 RAMOS, KIEL LICHAUCO X X 7/7/2017 X X 1/31/2018 X
25 SANTOS, AJ X X 7/7/2017 X X 1/31/2018 X
26 TORNE, LINMUEL SANCHEZ X X 7/7/2017 X X 1/31/2018 X
27 BEDONIO, JOANA MAE V. X X 7/7/2017 X X 1/31/2018 X
28 BENITO, CHRISTINE JOY L X X 7/7/2017 X X 1/31/2018 X
29 CASTISIMO, KITCHIE G. X X 7/7/2017 X X 1/31/2018 X
30 CAYETANO, MAXINE D. X X 7/7/2017 X X 1/31/2018 X
31 DE GUZMAN, ARABELLA SHANLEY D X X 7/7/2017 X X 2/1/2018 X
32 DISCIPULO, SOFEAH E. X X 7/7/2017 X X 1/31/2018 X
33 ELEGADO, AIRA JANE X X 7/7/2017 X X 1/31/2018 X
34 GUERRERO, LESLIE E. X X 7/7/2017 X X 2/1/2018 X
35 JAVIER, JENNYVIE B X X 7/7/2017 X X 1/31/2018 X
36 LAGUNA, MELINDA A X X 7/7/2017 X X 1/31/2018 X
37 LIBUNAO, SOPHIA ALEXIS R. X X 7/7/2017 X X 1/31/2018 X
38 MACARAEG, LORENA L X X 7/7/2017 X X 1/31/2018 X
39 MEQUIN, JUNINE C X X 7/7/2017 X X 1/31/2018 X
40 PANELO, ASHLEY HERMAINE J X X 7/7/2017 X X 1/31/2018 X
41 PORQUILLANO, MARY ANN X X 7/7/2017 X X 1/31/2018 X
42 TABOBO, ALEXANDRIA X X 7/7/2017 X X 1/31/2018 X
43 ZURITA, ANGELA MAE X X 7/7/2017 X X 1/31/2018 X
Total: 4 39 43 43 43
orm 1_2014
sroom Record

ariasis

Remarks
Remarks
 Form 1_2014
Harmonized Schedule of Mass Drug Administration Classroom Recor
for Selected Neglected Tropical Diseases
Legend:
IS= In School SCH= Schistosomiasis IMPORTANT REMIN
PP= Private Physician PZQ= Praziquantel * Deworming = Albendazole
AH= At Home LF= Lymphatic Filariasis * Treatment of Schistosomiasis = Praziquantel
O= Others DEC= Diethylcarbamazine Cit * Treatment of Filariasis = DEC + Albendazole
ALB= Albendazole DO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis
GRADE: 7-Rose

4P's Beneficiary Deworming SCH Deworming LF

NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
1 ABAD, VON EMMANUEL ZAMORA X X 7/7/2017 X X 1/31/2018 X
2 ARTITA, MARK ANTHONY G X X 7/7/2017 X X 2/1/2018 X
3 BENITO, CLARENCE ALCAZAR X X 7/7/2017 X X 1/31/2018 X
4 CAPAGNGAN, GIL III CRESENCIA X X 7/7/2017 X X 1/31/2018 X
5 FERNANDEZ, GENER TIBUS X X 7/7/2017 X X 1/31/2018 X
6 FERNANDEZ, JAY-PEE UMINGA X X 7/7/2017 X X 1/31/2018 X
7 GALLARDO, EISEN B X X 7/7/2017 X X 1/31/2018 X
8 GARCIA, DAN PAUL TALUBAN X X 7/7/2017 X X 1/31/2018 X
9 GOREMBALEM, JOHN LOUISE G X X 7/7/2017 X X 1/31/2018 X
10 LAGUNA, VICTOR DONATO X X 7/7/2017 X X 1/31/2018 X
11 LOCQUIAO, KURT IRVINE FAJARDO X X 7/7/2017 X X 1/31/2018 X
12 LOMUNTAD, EZEKIEL TACBAS X X 7/7/2017 X X 1/31/2018 X
13 MANIPON, MARK LESTER REBUSIT X X 7/7/2017 X X 1/31/2018 X
14 OLLERO, ALDIN BARREL X X 7/7/2017 X X 1/31/2018 X
15 PARINAS, ANDREI JOSH CABISON X X 7/7/2017 X X 2/1/2018 X
16 PARINAS, JOSHUA DAYAO X X 7/7/2017 X X 1/31/2018 X
17 PASCUA, BRYLE JOSHUA L X X 7/7/2017 X X 1/31/2018 X
18 PORQUILLANO, ROMAR MORALES X X 7/7/2017 X X 1/31/2018 X
19 PORQUILLANO, ROMMEL MORALES X X 7/7/2017 X X 1/31/2018 X
20 QUEYQUEP, TRISTAN ALLAN ARIBE X X 7/7/2017 X X 1/31/2018 X
 4P's Beneficiary Deworming SCH Deworming LF
NAME 1st Remarks 2nd Remarks DEC + A
YES NO Date PZQ Date
Dose IS PP AH O Dose IS PP AH O LB
21 SANTOS, KRISTIANE DALE X X 7/7/2017 X X 1/31/2018 X
22 TABOBO, MARCH ARLEN X X 7/7/2017 X X 2/1/2018 X
23 VISTA, VON SYDRIX MORANTE X X 7/7/2017 X X 1/31/2018 X
24 YARANON, JOHN PAUL D X X 7/7/2017 X X 1/31/2018 X
25 ABAD, CRISSA MAE O X X 7/7/2017 X X 1/31/2018 X
26 ALVARO, DISSY V. X X 7/7/2017 X X 1/31/2018 X
27 BALLESTEROS, ROCHELLE S X X 7/7/2017 X X 1/31/2018 X
28 BITUIN, GABRIELLE B. X X 7/7/2017 X X 1/31/2018 X
29 CLEMENTE, KEZZIAH JAMMAE B X X 7/7/2017 X X 2/1/2018 X
30 CORPUZ, CHANEL BERNICE M X X 7/7/2017 X X 1/31/2018 X
31 FABRO, MEKYLA JULIA D. X X 7/7/2017 X X 1/31/2018 X
32 FERNANDEZ, MYKAELLA E. X X 7/7/2017 X X 2/1/2018 X
33 JANER, KAYLA MAE A X X 7/7/2017 X X 2/1/2018 X
34 LAGUNA, MELODY B X X 7/7/2017 X X 1/31/2018 X
35 LANDAYAN, ZHANTAL CLARE S X X 7/7/2017 X X 1/31/2018 X
36 LIBUNAO, JENNILYN D X X 7/7/2017 X X 1/31/2018 X
37 LUCENA, ALIAH MARIE T X X 7/7/2017 X X 1/31/2018 X
38 MARANION, JYZEE M X X 7/7/2017 X X 2/1/2018 X
39 MAYANDOC, ALEAH T. X X 7/7/2017 X X 1/31/2018 X
40 NITURA, BERNADETTE C X X 7/7/2017 X X 1/31/2018 X
41 OBSINA, MARIEL X X 7/7/2017 X X 2/1/2018 X
42 PARINAS, AUDREY JANE A X X 7/7/2017 X X 1/31/2018 X
43 SAN VICENTE, ROSE ANN R X X 7/7/2017 X X 1/31/2018 X
44 SHARIEF, HAZEL B X X 7/7/2017 X X 1/31/2018 X
45 TALPE, ROSELYN X X 7/7/2017 X X 1/31/2018 X
46 TUAZON, LOIDA NICOLE M X X 7/7/2017 X X 1/31/2018 X
47 VALDEZ,MELONY X X 7/7/2017 X X 1/31/2018 X
48 VILLACERA, JENNILYN B X X 7/7/2017 X X 1/31/2018 X
49 SALDUA, AIRENE X X 7/7/2017 X X 1/31/2018 X
Total: 4 45 49 49 49 49
orm 1_2014
sroom Record

asis

Remarks
Remarks