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    Bantay COVID-19 Monitoring Form

    Uploaded by

    MARY JOY ANGGABOY
    The document contains a template for recording daily COVID-19 monitoring information at Socbot National High School in the Philippines. It includes fields to log the date, time, visitor name, address, contact number, temperature, compliance with health protocols like hand washing and mask wearing, and health symptoms and vaccination status.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Bantay COVID-19 Monitoring Form

    Uploaded by

    MARY JOY ANGGABOY
    26 views9 pages
    The document contains a template for recording daily COVID-19 monitoring information at Socbot National High School in the Philippines. It includes fields to log the date, time, visitor name, address, contact number, temperature, compliance with health protocols like hand washing and mask wearing, and health symptoms and vaccination status.

    Copyright

    © © All Rights Reserved

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    DOCX, PDF, TXT or read online from Scribd

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    The document contains a template for recording daily COVID-19 monitoring information at Socbot National High School in the Philippines. It includes fields to log the date, time, visitor name, address, contact number, temperature, compliance with health protocols like hand washing and mask wearing, and health symptoms and vaccination status.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    26 views9 pages

    Bantay COVID-19 Monitoring Form

    Uploaded by

    MARY JOY ANGGABOY
    The document contains a template for recording daily COVID-19 monitoring information at Socbot National High School in the Philippines. It includes fields to log the date, time, visitor name, address, contact number, temperature, compliance with health protocols like hand washing and mask wearing, and health symptoms and vaccination status.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 9

    Republic of the Philippines

    Department of Education
    Cordillera Administrative Region
    SCHOOLS DIVISION OF KALINGA
    Bulanao Sports Complex, Bulanao Tabuk City Kalinga

    BANTAY COVID-19 DAILY MONITORING RECORD


    HEALTH PROTOCOLS
    COMPLIANCE (Put √ or
    X) HEALTH VACCINATION
    DECLARATION STATUS
    Date TIME NAME ADDRESS C.P Number Temp. YES/NO
    (If Yes, What
    Hand Mask/ Face COUG COLDS Brand)
    Washing Shield H
    Republic of the Philippines
    Department of Education
    Cordillera Administrative Region
    Schools Division of Kalinga
    Northern Pinukpuk District
    SOCBOT NATIONAL HIGH SCHOOL
    Socbot, Pinukpuk, Kalinga

    BANTAY COVID-19 DAILY MONITORING RECORD

    Date TIME NAME ADDRESS C.P Number Temp. HEALTH PROTOCOLS HEALTH VACCINATION
    COMPLIANCE (Put √ or DECLARATION STATUS
    X) YES/NO
    (If Yes, What
    Brand)
    Hand Mask/ Face COUG COLDS
    Washing Shield H
    Republic of the Philippines
    Department of Education
    Cordillera Administrative Region
    Schools Division of Kalinga
    Northern Pinukpuk District
    SOCBOT NATIONAL HIGH SCHOOL
    Socbot, Pinukpuk, Kalinga

    BANTAY COVID-19 DAILY MONITORING RECORD


    Date: _____________________

    No. TIME NAME ADDRESS C.P Number Temp. HEALTH PROTOCOLS HEALTH VACCINATION
    COMPLIANCE (Put √ or DECLARATION STATUS
    X) YES/NO
    (If Yes, What Brand)
    Hand Mask/ Face COUGH COLDS
    Washing Shield
    Republic of the Philippines
    Department of Education
    Cordillera Administrative Region
    Schools Division of Kalinga
    Northern Pinukpuk District
    SOCBOT NATIONAL HIGH SCHOOL
    Socbot, Pinukpuk, Kalinga

    BANTAY COVID-19 DAILY MONITORING RECORD


    Date: _____________________

    No TIME NAME ADDRESS C.P Number Temp. HEALTH PROTOCOLS HEALTH


    . COMPLIANCE (Put √ or X) DECLARATION

    Hand Mask/ Face COUGH COLDS


    Washing Shield
    Republic of the Philippines
    Department of Education
    Cordillera Administrative Region
    Schools Division of Kalinga
    Northern Pinukpuk District
    SOCBOT NATIONAL HIGH SCHOOL
    Socbot, Pinukpuk, Kalinga

    BANTAY COVID-19 DAILY MONITORING RECORD


    Date: _____________________

    No TIME NAME ADDRESS C.P Number Temp. HEALTH PROTOCOLS HEALTH


    . COMPLIANCE (Put √ or X) DECLARATION

    Hand Mask/ Face COUGH COLDS


    Washing Shield
    Republic of the Philippines
    Department of Education
    Cordillera Administrative Region
    Schools Division of Kalinga
    Northern Pinukpuk District
    SOCBOT NATIONAL HIGH SCHOOL
    Socbot, Pinukpuk, Kalinga

    BANTAY COVID-19 DAILY MONITORING RECORD


    Date: _____________________

    No TIME NAME ADDRESS C.P Number Temp. HEALTH PROTOCOLS HEALTH


    . COMPLIANCE (Put √ or X) DECLARATION

    Hand Mask/ Face COUGH COLDS


    Washing Shield
    Republic of the Philippines
    Department of Education
    Cordillera Administrative Region
    Schools Division of Kalinga
    Northern Pinukpuk District
    SOCBOT NATIONAL HIGH SCHOOL
    Socbot, Pinukpuk, Kalinga

    BANTAY COVID-19 DAILY MONITORING RECORD


    Date: _____________________

    No TIME NAME ADDRESS C.P Number Temp. HEALTH PROTOCOLS HEALTH


    . COMPLIANCE (Put √ or X) DECLARATION

    Hand Mask/ Face COUGH COLDS


    Washing Shield

    Republic of the Philippines


    Department of Education
    Cordillera Administrative Region
    Schools Division of Kalinga
    Northern Pinukpuk District
    SOCBOT NATIONAL HIGH SCHOOL
    Socbot, Pinukpuk, Kalinga

    BANTAY COVID-19 DAILY MONITORING RECORD


    Date: _____________________

    No TIME NAME ADDRESS C.P Number Temp. HEALTH PROTOCOLS HEALTH


    . COMPLIANCE (Put √ or X) DECLARATION

    Hand Mask/ Face COUGH COLDS


    Washing Shield

    Republic of the Philippines


    Department of Education
    Cordillera Administrative Region
    Schools Division of Kalinga
    Northern Pinukpuk District
    SOCBOT NATIONAL HIGH SCHOOL
    Socbot, Pinukpuk, Kalinga

    BANTAY COVID-19 DAILY MONITORING RECORD


    Date: _____________________

    No. TIME NAME ADDRESS C.P Number Temp. HEALTH PROTOCOLS HEALTH VACCINATION
    COMPLIANCE (Put √ or DECLARATION STATUS
    X) YES/NO
    (If Yes, What
    Brand)
    Hand Mask/ Face COUGH COLDS
    Washin Shield
    g

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