| Patient Name | ELLORDA, ELVIRA |
| Age / Sex | 37 / Female |
| Contact No. | 9071193953 |
| Address | Apaya |
| Record No. | #5 |
| Date Bitten | 10/18/2026 |
| Bite Site | feet |
| Anti-Rabies Vaccine | Anti-Rabies Vaccine | RIG Given: No |
| Tetanus Toxoid | No | ATS Given: No |
Rabies is a deadly viral disease affecting the brain and nervous system. Once symptoms appear, it is almost always fatal, but it is preventable with prompt, proper treatment after an animal bite or scratch.
| Dose / Day | Date Given | Vaccine Brand / Batch No. | Route / Site | Healthcare Provider Signature |
|---|---|---|---|---|
| PRE-EXPOSURE (PrEP) | ||||
| Day 0 | ||||
| Day 7 | ||||
| Day 21 | ||||
| Day 28 | ||||
| POST-EXPOSURE (PEP) | ||||
| Day 0 | ||||
| Day 3 | ||||
| Day 7 | ||||
| Day 14 | ||||
| Day 28 | ||||
| BOOSTERS / HISTORY | ||||
| Booster D0 | ||||
| Booster D3 | ||||
| Other / History | ||||