Demographic Information

Name: Patient M Marital Status: Married

Age: 33 years old Ordinal Position: 2nd of 9

Gender: Female No. of Children: 3

Birthdate: January 29, 1987

Birthplace: Bucana, Siocon Zamboanga Del Norte Educational Attainment: High School Graduate

Occupation: N/A

Current Address: Tumaga, Zamboanga City Work Address: N/A

Country: Philippines

CLIENT’S HEALTH HISTORY:

Postal Code: 7000 Had 3 children who undergo caesarean section. Pregnant with
Cephalopelvic Disproportion (CPD)
Nationality: Filipino

Language/Dialects: Tausug, Filipino Client’s Physician: N/A

Religion: Islam