NATIONAL SCHOOL DEWORMING DAY
Region:_______ Division: _________ District: _______________
School ID:____________________
Name of School: _______________________________
Enrolment: ______ Grade Level and Section: _______________________
4Ps Beneficiaries Dewormed
Name of Learners Remarks Action Taken
4Ps Non 4Ps 4Ps Non 4Ps
Prepared by: Noted:
Class Adviser School Head