Escolar Documentos
Profissional Documentos
Cultura Documentos
Check List For COVID
Check List For COVID
Name
Date
Follow until
Date of birth
Age
Sex
Contact a Contact a
Days at suspected person with Feve Sore Shortness Headach Muscle Abdominal Other,
Cough Chills Vomiting Diarrhea
home person with confirmed r throat of breath e aches Pain specify
COVID-19 COVID-19
Day-1
Day-2
Day-3
Day-4
Day-5
Day-6
Day-7
Day-8
Day-9
Day-10
Day-11 No No No No No No No No No No No No N/A
Day-12 No No No No No No No No No No No No N/A
Day-13 No No No No No No No No No No No No N/A
Day-14 No No No No No No No No No No No No N/A
Day-15 No No No No No No No No No No No No N/A
Day-16 No No No No No No No No No No No No N/A
Day-17 No No No No No No No No No No No No N/A
Day-18 No No No No No No No No No No No No N/A
Day-19 No No No No No No No No No No No No N/A
Day-20 No No No No No No No No No No No No N/A
Day-21 No No No No No No No No No No No No N/A
Day-22 No No No No No No No No No No No No N/A
Day-23 No No No No No No No No No No No No N/A
Day-24 No No No No No No No No No No No No N/A
Day-25 No No No No No No No No No No No No N/A
Day-26 No No No No No No No No No No No No N/A
Day-27 No No No No No No No No No No No No N/A
Day-28 No No No No No No No No No No No No N/A
Day-29 No No No No No No No No No No No No N/A
Day-30 No No No No No No No No No No No No N/A
Day-31 No No No No No No No No No No No No N/A
Day-32 No No No No No No No No No No No No N/A
Day-33 No No No No No No No No No No No No N/A
Day-34 No No No No No No No No No No No No N/A
Day-35 No No No No No No No No No No No No N/A