LIST OF POTENTIAL FP CLIENTS

Year: 2017 Month JUNE

Gravida/
Date Name of Potential FP Client Age Sex
Para
JUNE 3, 2017 1 Ana Cruz 23 F 2/2
2
Gemma Bautista 17 F 1/1
3 Julia Cortez 25 F 4/3
4 Cristina Lopez 22 F 3/3
5 Sara Alvarez 27 F 3/3
6 Edith Tan 39 F 6/5
7 Claire Manalo 31 F 4/4
8 Juan Manalo (Husband of
32 M 8/8
Claire)
9 Liza Castro 41 F 7/7
10 Jade Palomar 37 F 6/6
11 Alice Dizon 31 F 5/4
12 Vilma Sanchez 27 F 4/4
13 Mara Claro F
23
14 (No previous method) M
15 Edwin Claro (Husband of
Mara – interested with 27
vasectomy)
16
17
18
19
20
OF POTENTIAL FP CLIENTS
Year: 2017 Month JUNE

Address Contact Details Remarks

Bacacay, Albay 0917-9234321

0918-8737629 (her
Camalig, Albay
Mother’s number)
Daraga (Locsin), Albay 0920-5439021
Guinobatan, Albay 0950-4914993
Jovellar, Albay 02- 5649821
Legazpi City, Albay 0999-3215642
Libon, Albay 0917-9834109

Libon, Albay 0918-9321132

Malilipot, Albay 0905-8721542

Bacacay, Albay 0927-9862123
Malinao, Albay 02-4335198
Manito, Albay 0926-8872314
Oas, Albay 0917-8732231
Pio Duran, Albay Same as Mara’s number
 LIST OF POTENTIAL FP CLIENTS
Year: _________ Month _______________

Gravida/
Date Name of Potential FP Client Age Sex
Para
JUNE 3, 2017 1 Tess Contes 33 F 5/5
2 (expressed specific interest
in using pills or DMPA)
3 Andrea Flores 19 F 1/1
4 Andrea Marcos 21 F 2/1
5 Ida Cruz 22 F 3/3
6 Anne Hapas 17 F 1/1
7 Inna Mundo 34 F 6/6
8 Ella Gallon 28 F 4/4
9 Cara Banez 23 F 2/2
10 Chezka Valle 41 F 6/5
11 Erna Lising 33 F 3/3
12
13
14
15
16
17
18
19
20
OF POTENTIAL FP CLIENTS
_____ Month _____________________

Address Contact Details Remarks

Tabaco, Albay 0921-7819872

Tiwi, Albay 0922-4714799

Malinao, Albay 02- 4339821
Manito, Albay 0998-9215648
Manito, Albay 0920-8834117
Bacacay, Albay 0922-0983287
Camalig, Albay 0926-0763212 (c/o Aunt)
Daraga (Locsin), Albay 0917-9723218
Legaspi City, Albay 0917-8642210
Legaspi City, Albay 0918-3421109