ORAL HEALTH STATUS January 2025 REPORT

	A	B	D	F	G	H	I	J	K	L	M	N	O	P	Q	R	S	T	U	V	W	X	Y	Z	AA	AB	AC	AD	AE	AF	AG	AH	AI	AJ	AK	AL	AM
1				CONSOLIDATED ORAL HEALTH STATUS, SERVICES AND MEDICAL HISTORY MONTHLY REPORT
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3		Month/Quarter/Year	JANUARY 2025
4		Name of Health Facility	BOTOLAN
5		Municipality/City/Province
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7		INDICATORS		Pregnant Women	Infant (0-11mos.)		Under Five Children										School Age Children										Adolescents 10-19 Y/O except 12 Y/O		Adolescents 12 Y/O		Adults 20-59 Y/O		Older Persons 60+ Y/O		TOTAL ALL AGES		GRAND TOTAL (Both Sexes)
8					Infant (0-11mos.)		1		2		3		4		TOTAL		5		6		Total (5-6 Y/O)		7-9		Total (5-9 Y/O)		Adolescents 10-19 Y/O except 12 Y/O		Adolescents 12 Y/O		Adults 20-59 Y/O		Older Persons 60+ Y/O		TOTAL ALL AGES		GRAND TOTAL (Both Sexes)
9					M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F
11		NO. OF PERSON ATTENDED													0	0					0	0			0	0									0	0	0
12		NO. OF PERSON EXAMINED													0	0					0	0			0	0									0	0	0
14		A. MEDICAL HISTORY STATUS
15		1. Total No. with Allergies													0	0					0	0			0	0									0	0	0
16		2. Total No. with Hypertension/ CVA													0	0					0	0			0	0									0	0	0
17		3. Total No. with Diabetes Mellitus													0	0					0	0			0	0									0	0	0
18		4. Total No. with Blood Disorders													0	0					0	0			0	0									0	0	0
19		5. Total No. with Cardiovascular/Heart Diseases													0	0					0	0			0	0									0	0	0
20		6. Total No. with Thyroid Disorders													0	0					0	0			0	0									0	0	0
21		7. Total No. with Hepatitis													0	0					0	0			0	0									0	0	0
22		8. Total No. with Malignancy													0	0					0	0			0	0									0	0	0
23		9. Total No. with History of Previous Hospitalization													0	0					0	0			0	0									0	0	0
24		10. Total No. with Blood Transfusion													0	0					0	0			0	0									0	0	0
25		11. Total No. with Tattoo													0	0					0	0			0	0									0	0	0
26		B. DIETARY / SOCIAL HISTORY STATUS
27		1. Total No. of Sugar Sweetened Beverages/Food Drinker/Eater													0	0					0	0			0	0									0	0	0
28		2. Total No. of Alcohol Drinker																																	0	0	0
29		3. Total No. of Tobacco User																																	0	0	0
30		4. Total No. of Betel Nut Chewer																																	0	0	0
31		C. ORAL HEALTH STATUS
32		1. Total No. with Dental Caries													0	0					0	0			0	0									0	0	0
33		2. Total No. with Gingivitis													0	0					0	0			0	0									0	0	0
34		3. Total No. with Periodontal Disease													0	0					0	0			0	0									0	0	0
35		4. Total No. with Oral Debris													0	0					0	0			0	0									0	0	0
36		5. Total No. with Calculus													0	0					0	0			0	0									0	0	0
37		6. Total No. with Dento Facial Anomalies (cleft lip/palate. Malocclusion, etc)													0	0					0	0			0	0									0	0	0
38		7. Total (d/f)
39		a. Total decayed (d)													0	0					0	0			0	0									0	0	0
40		b. Total filled (f)													0	0					0	0			0	0									0	0	0
41		8. Total (D/M/F)
42		a. Total Decayed (D)		0													0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
43		NHTS-4Ps																			0	0			0	0									0	0	0
44		NHTS-Non-4Ps																			0	0			0	0									0	0	0
45		Non-NHTS																			0	0			0	0									0	0	0
46		b. Total Missing (M)		0													0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
47		NHTS-4Ps																			0	0			0	0									0	0	0
48		NHTS-Non-4Ps																			0	0			0	0									0	0	0
49		Non-NHTS																			0	0			0	0									0	0	0
50		c. Total Filled (F)		0													0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
51		NHTS-4Ps																			0	0			0	0									0	0	0
52		NHTS-Non-4Ps																			0	0			0	0									0	0	0
53		Non-NHTS																			0	0			0	0									0	0	0
54		D. SERVICES RENDERED
55		1. No. Given OP / Scaling													0	0					0	0			0	0									0	0	0
56		2. No. Given Permanent Fillings													0	0					0	0			0	0									0	0	0
57		3. No. Given Temporary Fillings													0	0					0	0			0	0									0	0	0
58		4. No. Given Extraction													0	0					0	0			0	0									0	0	0
59		5. No. Given Gum Treatment													0	0					0	0			0	0									0	0	0
60		6. No. Given Sealant																			0	0			0	0									0	0	0
61		7. No. Completed Fluoride Therapy													0	0																			0	0	0
62		8. No. Given Post-Operative Treatment													0	0					0	0			0	0									0	0	0
63		9. No. of Patient with Oral Abscess Drained													0	0					0	0			0	0									0	0	0
64		10. No. Given Other Services													0	0					0	0			0	0									0	0	0
65		11. No. Referred													0	0					0	0			0	0									0	0	0
66		12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc.																																	0	0	0
67		13. No. of Under Six Children Completed Toothbrush Drill													0	0					0	0													0	0	0
68		E. NO. OF ORALLY FIT CHILDREN (OFC)													0	0																			0	0	0
69		1. OFC Upon Oral Examination					0	0	0	0	0	0	0	0	0	0	0	0																	0	0	0
70		NHTS-4Ps													0	0																			0	0	0
71		NHTS-Non-4Ps													0	0																			0	0	0
72		Non-NHTS													0	0																			0	0	0
73		2. OFC Upon Complete Oral Rehabilitation					0	0	0	0	0	0	0	0	0	0	0	0																	0	0	0
74		NHTS-4Ps													0	0																			0	0	0
75		NHTS-Non-4Ps													0	0																			0	0	0
76		Non-NHTS													0	0																			0	0	0
77	No. of patients examined given BOHC	F. NO. OF PATIENTS EXAMINED GIVEN BOHC		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
78		NHTS-4Ps													0	0					0	0			0	0									0	0	0
79		NHTS-Non-4Ps													0	0					0	0			0	0									0	0	0
80		Non-NHTS													0	0					0	0			0	0									0	0	0
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83		Prepared By:
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86			UNA PATRIXIA MARIE Z. GUMABAO
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