REGINE R. HEOLIN

	A	B	C	D	E	F	G	H	I	J	K	L	M
1	INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)
2	I,REGINE R. HEOLIN, of the Municipal Health Office , commit to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated measures for the period of JANUARY TO JUNE , 2018
3
4
5
6
7									REGINE R. HEOLIN
8									Ratee
9									Date __________________________
10
11	Received				Date	Approved by							Date
12	RAFAIDA G. HERNANDEZ					ATTY. MARIA THERESA D. CONSTANTINO
13	Municipal Health Officer					Municipal Mayor
14
15	Output	Success Indicator (Target & Measure)			Actual Accomplishment			Rating				Remarks
16	Output	Success Indicator (Target & Measure)			Actual Accomplishment			Q1	E2	T3	A4	Remarks
17	1. Laboratory Services
18	a. Urinalysis	600 Urine samples examined & results released in not more than 30 minutes			1,600 Prepared urine specemen for microscopic examination			5	5	5	5.00
19	c. Hemoglobin determination	600 blood samples taken, examined & results in not more than 10 minutes.			607 blood samples perform for hemoglobin and HBsAg			4	4	4	4.00
20	d. Pregnancy test	3 urine samples tested, & results released in not more than 10 minutes.			4 urine samples tested immediately & results released in not more than 7 minutes.			3	3	4	3.33
21	f. Sputum smearing and staining	600 sputum smears prepared properly, examined and validated by the NTP provincial validator.			613 sputum smears prepared properly, examined immediately and validated by the NTP provincial validator.			5	4	4	4.33
22	e. Filariasis hemoglobinized and staining	900 Filariasis hemoglobinized and staining			900 Filariasis hemoglobinized and staining			5	5	5	5.00	300 target for 3 selected Barangays
23	Final Average Rating										4.17	Very Satisfactory
24
25	Comments and Recommendations for Development Purposes
26
27
28	Discussed with		Date	Assessed by			Date		Final Rating by				Date
29				I certify that I discussed my assessment of the performance with the employee
30
31	REGINE R. HEOLIN			RAFAIDA G. HERNANDEZ					ATTY. MARIA THERESA D. CONSTANTINO
32	Ratee			Municipal Health Officer					Municipal Mayor
33	Legend 1 - Quantity 2 - Efficiency 3 - Timeliness 4 - Average
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100