FORM 1.

NO. OF SURRENDERERS AND REHABILITATED PERSONS WHO USED DRUGS PER CITY AND MUNICIPALITY FOR THE YEAR 2017-2021
COMMUNITY-BASED DRUG REHABILOTATION PROGRAM (CBDRP)
REGION VI – WESTERN VISAYAS

No. City / 2017 2018 2019 2020 2021

Municipality
Total No. of Total No. of Total No. of Total No. of Total No. of Total No. of Total No. of Total No. of Total No. of Total No. of
Enrollees Graduates Enrollees Graduates Enrollees Graduates Enrollees Graduates Enrollees Graduates

TOTAL

Prepared by: Noted by:

(SIGNATURE OVER PRINTED NAME) (SIGNATURE OVER PRINTED NAME)

City/Municipal Health Officer City/Municipal Mayor