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ANNEX A2

I.PCB Provider Data Region III Province AURORA Municipality DIPACULAO No. of assigned families: SP-NHTS: 855 SP LGU:2,050 SP-NGA:________________ SP-Private:______________ IPP-OG:_________________ IPP-OFW:245 Non-PHIC Members:_______

PHILLIPINE HEALTH INSURANCE CORPORATION PCB PROVIDER CLIENTELE PROFILE MAIN HEALTH CENTER NAME OF HEALTH CARE FACILITY

II. Age-Sex distribution Age Group 0-1 years 2-5 years 6-15 years 16-24 years 25-59 years 60 years and above 21 614 43 16 472 14 37 1086 57 Members and Dependents Male Female Total

III. Primary Preventive Services Breast Cancer Screening Female, 25 years old and above

# Members and Dependents Member

Dependents

Cervical Cancer Screening Female, 25 to 55 years old with intact uterus

TOTAL

1180
IV. Hypertension Cases Male F Adult with BP<140/90 mmHg Adult with BP>=140/90 but less than 180/120mmHg Adult with BP>180/120 History of diagnosis of hypertension Intake of hypertension medicine 380 100 12 21 3 356 35 11 21 11 # of Members and Dependents Members Dependent Female
Non Pregnant Pregnant

III. Diabetes Mellitus Cases With symptoms/signs of polyuria, polydipsia, weight loss Waist circumference 80 cm (female) 90 cm (male)

# of Members and Dependents Member M F Dependent M F

Total
M

Male

Female
Non Pregnant Pregnant

TOTAL 736 146 23 42 3

28 24 1 24 1

28

History of diagnosis of diabetes


Intake of oral hypoglycemic agents

Preferred by: MERCEDEZ SALAMANCA Public Health Nurse

Approved by: ARTURO A, PARILLA, JR.MD. Municipal Health Officer