Department of Education
National Capital Region
NAME OF SCHOOL –CONGRESS ELEM. SCHOOL
DISTRICT: NORTH I
GRADE LEVEL: IV
MONTH OF: JULY 2019
NAME OF PUPILS
1. Baring, Jean Perre
2. Bobis, Nathaniel John
3. Cabigan, Paulo Cloudy
4. Cortez, Jeffrey Jr
5. Deniega, Andrey Dave
6. Dula, Zyrus Mhine
7. Evangelista, Mark Laurence
8. Hachaso, Charles Laurence
9. Medina, Ellsworth
10.Mesia, Aldran Avila
11. Omotoy, Lloyd
12. Pabia, Jake
13. Paildelan, Jhunreiv Rein
14. Sabado, Christopher John
15. Serapen, Johnby
16. Villanueva, John Leendon
17. Aniversario, Angeline
18. Basister, Princesa Xiala
19. Canillo, Sarah
20. Coronel, Nicia Alliyah
21. Deplomo, Princess
22. Fama, Jicell Agni
23. Guday, Lhiana Almira
24. Guday,Lhiana Ayesha
25. Jalandoni, Rose Ann
26. Malamug, Erich Lei
27. Pantua, Jackie
28. Quilapio, Joilyn
29. Sanchez, Kristine Jade
30. Sinangote, Diana
31. Vergara, Mae Eleazar
32. Villa, Moreen Eirish
TOTAL
Submitted by:
EMILY O. PICANA
ADVISER
SCHOOLS DIVISION OFFICE
Caloocan City
MONTHLY TOOTHBRUSHING DRILL REPORT
SY: 2019-2020
DATE AND NO. OF EXPOSURE OF PUPILS IN TOOTHBRUSHING DRILL
1 2 3 4 5 8 9 10 11 12 15 16 17 18 19 22 23 24
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Noted by:
MA. CECILIA R. SOL
CLINIC TEACHER
SECTION: SWAN
25 26
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Date:
JULY 31 , 2019_
 Department of Education
National Capital Region
SCHOOLS DIVISION OFFICE
Caloocan City
MONTHLY TOOTHBRUSHING DRILL REPORT

NAME OF SCHOOL: CONGRESS E/S DISTRICT: NORTH 1

GRADE LEVEL: GRADE TWO SY: 2017-2018
MONTH OF:
DATE AND TOTAL NUMBER OF PUPILS PARTICIPATED IN TOOTHBRUSHING DRILL
SECTION
1.
2.
3.
4.
5.
6.
7
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
TOTAL

GRADE LEVEL: ______________________

DATE AND TOTAL NUMBER OF PUPILS PARTICIPATED IN TOOTHBRUSHING DRILL

SECTION
1
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
TOTAL

Submitted by: Noted by: Verified by:

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CLINIC TEACHER PRINCIPAL SCHOOL DENTIST