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ANNEX D MASTERLIST FORM - BARANGAY HEALTH STATION (BHS)


ANNEX D MASTER LIST FORM

         This Annex D Masterlist Form from the Barangay Health Station (BHS) appears to be a child immunization tracking form. It records essential details about children and their vaccinations.

Breakdown of Columns:
  • Child Information:
  • Name of Child
  • Age
  • Date of Birth
  • Name of Mother
  • Address in Purok (specific area in the barangay)
Vaccination Records:
  • BCO (BCG) – Bacillus Calmette–Guérin (for tuberculosis)
  • HEPA B – Hepatitis B vaccine
  • PENTA 1, 2, 3 – Pentavalent vaccine (DTP-HepB-Hib)
  • PCV 1, 2, 3 – Pneumococcal Conjugate Vaccine
  • OPV 1, 2, 3 – Oral Polio Vaccine
  • IPV 1, 2 – Inactivated Polio Vaccine
  • MCV 1, 2 – Measles-Containing Vaccine

Purpose of This Form:
  • Monitoring child immunization coverage in the community
  • Ensuring timely vaccine administration to prevent diseases
  • Identifying children who missed vaccinations for follow-up

This form is likely used by Barangay Health Workers (BHWs) and midwives to track immunization progress and report to the Department of Health (DOH). You can download this file to edit the editable version. Here!

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