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    I Ofc: Unang Ngipin Pagtibayin

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    angel_sagun_1
    This document is from the Municipal Health Office in Claveria providing oral health care and services. It contains forms for recording patients' personal information, oral health status, number of teeth, age, dates of fluoride applications, and signatures of the dentist Prudencia D. De Sagun who performed the procedures. The forms are used to monitor children's oral health and provide fluoride treatments to strengthen their first teeth.

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

    I Ofc: Unang Ngipin Pagtibayin

    Uploaded by

    angel_sagun_1
    16 views2 pages
    This document is from the Municipal Health Office in Claveria providing oral health care and services. It contains forms for recording patients' personal information, oral health status, number of teeth, age, dates of fluoride applications, and signatures of the dentist Prudencia D. De Sagun who performed the procedures. The forms are used to monitor children's oral health and provide fluoride treatments to strengthen their first teeth.

    Original Description:

    Original Title

    FLUORIDE CARD

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    This document is from the Municipal Health Office in Claveria providing oral health care and services. It contains forms for recording patients' personal information, oral health status, number of teeth, age, dates of fluoride applications, and signatures of the dentist Prudencia D. De Sagun who performed the procedures. The forms are used to monitor children's oral health and provide fluoride treatments to strengthen their first teeth.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    16 views2 pages

    I Ofc: Unang Ngipin Pagtibayin

    Uploaded by

    angel_sagun_1
    This document is from the Municipal Health Office in Claveria providing oral health care and services. It contains forms for recording patients' personal information, oral health status, number of teeth, age, dates of fluoride applications, and signatures of the dentist Prudencia D. De Sagun who performed the procedures. The forms are used to monitor children's oral health and provide fluoride treatments to strengthen their first teeth.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    LGU CLAVERIA

    MUNICIPAL HEALTH OFFICE


    ORAL HEALTH CARE AND SERVICES

    UNANG NGIPIN
    PAGTIBAYIN

    Name: ________________________________

    Age: ___________ Gender: _______________

    Birthday: ______________________________

    Address: ______________________________

    Mother’s Name: ________________________

    I OFC
    ORALLY FIT CHILD

    LGU CLAVERIA
    MUNICIPAL HEALTH OFFICE
    ORAL HEALTH CARE AND SERVICES

    UNANG NGIPIN
    PAGTIBAYIN

    Name: ________________________________

    Age: ___________ Gender: _______________

    Birthday: ______________________________

    Address: ______________________________

    Mother’s Name: ________________________

    I OFC
    ORALLY FIT CHILD
    ORAL HEALTH STATUS FLUORIDE APPLICATION

    55 54 53 52 51 61 62 63 64 65 No. of
    teeth AGE Dentist name
    DATE OFC
    present (months) and Signature
    85 84 83 82 81 71 72 73 74 75 PRUDENCIA D. DE SAGUN
    55 54 53 52 51 61 62 63 64 65 PRUDENCIA D. DE SAGUN

    PRUDENCIA D. DE SAGUN
    85 84 83 82 81 71 72 73 74 75 PRUDENCIA D. DE SAGUN
    55 54 53 52 51 61 62 63 64 65 PRUDENCIA D. DE SAGUN

    PRUDENCIA D. DE SAGUN

    85 84 83 82 81 71 72 73 74 75 PRUDENCIA D. DE SAGUN

    55 54 53 52 51 61 62 63 64 65 PRUDENCIA D. DE SAGUN

    PRUDENCIA D. DE SAGUN

    85 84 83 82 81 71 72 73 74 75 PRUDENCIA D. DE SAGUN

    55 54 53 52 51 61 62 63 64 65 PRUDENCIA D. DE SAGUN

    85 84 83 82 81 71 72 73 74 75
    55 54 53 52 51 61 62 63 64 65

    85 84 83 82 81 71 72 73 74 75

    ORAL HEALTH STATUS FLUORIDE APPLICATION

    55 54 53 52 51 61 62 63 64 65 No. of
    teeth AGE Dentist name
    DATE OFC
    present (months) and Signature
    85 84 83 82 81 71 72 73 74 75
    PRUDENCIA D. DE SAGUN
    55 54 53 52 51 61 62 63 64 65 PRUDENCIA D. DE SAGUN

    PRUDENCIA D. DE SAGUN
    85 84 83 82 81 71 72 73 74 75 PRUDENCIA D. DE SAGUN
    55 54 53 52 51 61 62 63 64 65 PRUDENCIA D. DE SAGUN

    PRUDENCIA D. DE SAGUN

    85 84 83 82 81 71 72 73 74 75 PRUDENCIA D. DE SAGUN

    55 54 53 52 51 61 62 63 64 65 PRUDENCIA D. DE SAGUN

    PRUDENCIA D. DE SAGUN

    85 84 83 82 81 71 72 73 74 75 PRUDENCIA D. DE SAGUN

    55 54 53 52 51 61 62 63 64 65 PRUDENCIA D. DE SAGUN

    85 84 83 82 81 71 72 73 74 75
    55 54 53 52 51 61 62 63 64 65

    85 84 83 82 81 71 72 73 74 75

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