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Closed Contact Monitoring

The document is a contact tracing log form for monitoring individuals who have had close contact with a confirmed COVID-19 case in Barangay Rizal, Monkayo, Davao de Oro. It includes sections for recording the individual's name, date of last exposure, and daily monitoring of symptoms such as fever, cough, and difficulty breathing. The quarantine period is specified to end 7 days after the date of last exposure.

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10 views1 page

Closed Contact Monitoring

The document is a contact tracing log form for monitoring individuals who have had close contact with a confirmed COVID-19 case in Barangay Rizal, Monkayo, Davao de Oro. It includes sections for recording the individual's name, date of last exposure, and daily monitoring of symptoms such as fever, cough, and difficulty breathing. The quarantine period is specified to end 7 days after the date of last exposure.

Uploaded by

bhsrizal9
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES

PROVINCE OF DAVAO DE ORO


MUNICIPALITY OF MONKAYO
BARANGAY OF RIZAL
OFFICE OF THE BARANGAY HEALTH CENTER
2024 NCOV CONTACT TRACING SIGN AND SYMTOMS LOG FORM
CLOSE CONTACT:

NAME: ______________________________________________

DATE OF LAST EXPOSURE: ______________________________

INSTRUCTION: Monitoring shall be done twice a day. Indicate the date. Go through each condition for monitoring. Put a check if the close contact met the condition being asked under the
corresponding time of the day (AM/PM) monitoring was done. Provide the Temperature taken.

ITEMS Date: Date: Date: Date: Date: Date: Date: Date:


AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM
Conditions for Monitoring
Sign/symptoms
Fever(temp)
cough
Sore throat
Difficult of Breathing
Diarrhea
Other Symptoms

Took antivirals
Thought consultation

Quarantine Period ends 7 days after Date of Last Exposure.

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