LORENA A. MILANO

	A	B	C	D	E	F	G	H	I	J	K	L	M
1	INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)
2	I,LORENA A. MILANO, 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, 2021.
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7									LORENA A. MILANO
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 Filled up clinical form for Consultation form and Attachement of Legal documents for medical certificate			4148 Filled up clinical form for Consultation form and Attachement of Legal documents for medical certificate			4	4	4	4.00
18		3000 Arranged Philhealth member record			4148 records Arranged			4	4	4	4.00
19		3000 Locates family folders of walk-in patients at the Record room			4148 family folders locates for walk-in patients at the Record room			4	4	4	4.00
20	Admin Services	954 Medical Certificate where prepared			954 Medical Certificate served.			5	5	5	5.00
21	Final Average Rating										4.00	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	LORENA A. MILANO			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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