GINGNE O. PALER

	A	B	C	D	E	F	G	H	I	J	K	L	M
1	INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)
2	I,GINGNE O. PALER, 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 , 2019
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7									GINGNE O. PALER
8									Ratee
9									Date __________________________
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11	Received				Date	Approved by							Date
12	RAFAIDA G. HERNANDEZ, MD					ATTY. MARIA THERESA D. CONSTANTINO
13	Municipal Health Officer					Municipal Mayor
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15	Output	Success Indicator (Target & Measure)			Actual Accomplishment			Rating				Remarks
16	Output	Success Indicator (Target & Measure)			Actual Accomplishment			Q1	E2	T3	A4	Remarks
17	PHIC Secretariat Services	3000 Patiennts profilling			3155 Patient profiled			4	5	5	4.67
18		137 Filled up Philhealth PMRF form and Attachement of Legal documents for Philihealth enrollment			137 Filled up Philhealth PMRF form and Attachement of Legal documents for Philihealth enrollment			4	4	5	4.33	143 available slots
19		10000 Arranged Philhealth member record			15000 records Arranged			5	5	5	5.00
20		600 Locates family folders of walk-in patients at the Record room			1225 family folders locates for walk-in patients at the Record room			5	5	4	4.67
21	Final Average Rating										4.67	Very Satisfactory
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23	Comments and Recommendations for Development Purposes
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26	Discussed with		Date	Assessed by			Date		Final Rating by				Date
27				I certify that I discussed my assessment of the performance with the employee
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29	GINGNE O. PALER			RAFAIDA G. HERNANDEZ, MD					ATTY. MARIA THERESA D. CONSTANTINO
30	Ratee			Municipal Health Officer					Municipal Mayor
31	Legend 1 - Quantity 2 - Efficiency 3 - Timeliness 4 - Average
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